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2005 - 2010年8至18岁特殊奥林匹克运动会运动员的肥胖趋势

Obesity trends of 8-18 year old Special Olympians: 2005-2010.

作者信息

Foley John T, Lloyd Meghann, Vogl Daniel, Temple Viviene A

机构信息

Physical Education Department, State University of New York College at Cortland, Cortland, NY, USA.

Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, ON, Canada.

出版信息

Res Dev Disabil. 2014 Mar;35(3):705-10. doi: 10.1016/j.ridd.2013.12.005. Epub 2014 Jan 4.

Abstract

Obesity is a worldwide health problem. Individuals with intellectual disabilities (ID) experience health disparities, including higher rates of obesity than their peers with typical development; however, there has been no tracking of the obesity rates of children and youth with ID over time. The objective of this study was to compare the BMI of children and youth (8-<19 years of age) with and without ID in the USA, measured overtime; and determine differences between the two groups. This study is a secondary analysis of BMI derived from the Special Olympics International (SOI) Healthy Athletes database. Data were available for 2541 (1527 male) American SOI participants. Using BMI cut-offs from the CDC growth curves the BMI data were stratified into two age bands: 8-11 years (n=429) and 12-<19 years (n=2112), and comparisons were made between SOI participants' BMI data and published NHANES data from the years 2005-2006, 2007-2008, and 2009-2010. SOI participants (12-<19 years) had significantly higher levels of obesity than the national average in 2007-2008 and 2009-2010; there were no differences in the children (8-11 years). Males in the 8-11 years age group were more likely to be obese than females in the same age group (OR=1.62, p=.035). These results highlight that an obesity disparity exists in the USA for children and youth with ID, particularly as they get older and there is a need for further physical activity and healthy eating interventions and overall health promotion activities targeted at this population.

摘要

肥胖是一个全球性的健康问题。智障人士存在健康差异,包括肥胖率高于发育正常的同龄人;然而,一直没有对智障儿童和青少年的肥胖率随时间变化进行跟踪。本研究的目的是比较美国有和没有智障的儿童和青少年(8至未满19岁)的体重指数(BMI),并进行长期测量;同时确定两组之间的差异。本研究是对源自国际特殊奥林匹克运动会(SOI)健康运动员数据库的BMI进行的二次分析。有2541名(1527名男性)美国SOI参与者的数据可供使用。利用美国疾病控制与预防中心(CDC)生长曲线的BMI临界值,将BMI数据分为两个年龄组:8至11岁(n = 429)和12至未满19岁(n = 2112),并将SOI参与者的BMI数据与2005 - 2006年、2007 - 2008年和2009 - 2010年公布的美国国家健康与营养检查调查(NHANES)数据进行比较。2007 - 2008年和2009 - 2010年,SOI参与者(12至未满19岁)的肥胖水平显著高于全国平均水平;8至11岁儿童中没有差异。8至11岁年龄组的男性比同年龄组的女性更易肥胖(比值比=1.62,p = 0.035)。这些结果表明,美国智障儿童和青少年存在肥胖差异,尤其是随着年龄增长,针对这一人群需要进一步开展体育活动、健康饮食干预及整体健康促进活动。

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