Fornieles Gabriel, Camacho-Molina Alejandra, Rosety Miguel A, Díaz Antonio J, Rosety Ignacio, Rosety-Rodríguez Manuel, Alvero-Cruz José Ramón, Rosety Manuel, Ordonez Francisco J
Medicine Department. School of Medicine. University of Cadiz. Cadiz. Spain..
Division of Internal Medicine. Juan Ramon Jimenez Hospital. Huelva Spain..
Nutr Hosp. 2013 Nov 1;28(6):1918-21.
Previous studies have found a significant correlation between parents and offspring regarding overweight and obesity in general population at early life stages. However this issue has received no attention in people with intellectual disability (ID). Therefore, the present study was designed to find out potential correlations in overweight/obesity between young adult women with ID living in the family and their parents.
In the present observational cross-sectional study, a total of thirty-four women with Down syndrome (n=34;22.6±2.1 years; 29.6±3.3 km/m2) were recruited through different community support groups for people with intellectual disabilities. Furthermore, biological mothers (n=34;59.6±4.9 years; 28.5±3.2 km/m2) and fathers (n=34; 61.5±5.3 years; 26.2±2.7 km/m2) volunteered for this study. They all underwent an anthropometric assessment to determine body mass index (BMI). This protocol was approved by an Institutional Ethics Committee.
In the studied population, a total of 26 (76.5%) women with ID were overweight/obese. Furthermore, there were 22 (66.6%) overweight/obese mothers and 16(53.3%) fathers. Results also showed significant correlations between participants BMI and their father (r = 0.327; p = 0.0116) and mother BMI (r = 0.412; p < 0.001). Lastly, overweight/obese women presented a stronger correlation with overweight/obese mothers (odds ratio 4.3; 95%CI 2.9-7.3) than fathers (odds ratio 3.1; 95%CI 1.6-4.4).
Parental overweight/obesity, especially maternal one, was strongly associated to overweight/obesity in young adult women with DS. Accordingly, there is an urgent necessity of incorporating parents in the intervention programs designed to the prevention and treatment of overweight and obesity in people with ID.
以往研究发现，在一般人群的早期生命阶段，父母与子女在超重和肥胖方面存在显著相关性。然而，这一问题在智障人士中尚未得到关注。因此，本研究旨在探究居家生活的成年智障女性及其父母在超重/肥胖方面的潜在相关性。
在本观察性横断面研究中，通过不同的智障人士社区支持团体招募了34名唐氏综合征女性（n = 34；22.6±2.1岁；29.6±3.3kg/m²）。此外，亲生母亲（n = 34；59.6±4.9岁；28.5±3.2kg/m²）和父亲（n = 34；61.5±5.3岁；26.2±2.7kg/m²）自愿参与本研究。他们均接受了人体测量评估以确定体重指数（BMI）。本方案已获机构伦理委员会批准。
在研究人群中，共有26名（76.5%）智障女性超重/肥胖。此外，有22名（66.6%）超重/肥胖的母亲和16名（53.3%）超重/肥胖的父亲。结果还显示，参与者的BMI与父亲BMI（r = 0.327；p = 0.0116）和母亲BMI（r = 0.412；p < 0.001）之间存在显著相关性。最后，超重/肥胖女性与超重/肥胖母亲的相关性（优势比4.3；95%CI 2.9 - 7.3）强于与超重/肥胖父亲的相关性（优势比3.1；95%CI 1.6 - 4.4）。
父母超重/肥胖，尤其是母亲的超重/肥胖，与成年唐氏综合征女性的超重/肥胖密切相关。因此，迫切需要让父母参与到旨在预防和治疗智障人士超重和肥胖的干预项目中。
