Baumer Nicole, Davidson Emily J
Boston Children's Hospital, Down Syndrome Program, Developmental Medicine Center, Boston, Massachusetts, USA.
Curr Opin Pediatr. 2014 Aug;26(4):428-34. doi: 10.1097/MOP.0000000000000122.
To review clinical updates and current healthcare issues for adolescents with Down syndrome and intellectual disabilities, including behavioral, social, and emotional issues, health supervision recommendations, and recommendations for supporting the transition process.
Several recent findings merit particular attention: low activity levels and implications for overweight and poor bone density; high prevalence of obstructive sleep apnea and its implications; prevalence of mental health and behavioral concerns; and need for appropriate transition services.
In guiding adolescents with Down syndrome towards healthy productive adult lives, clinicians can make use of healthcare guidelines and should also take a broader, more interdisciplinary approach to ensure that social, educational, and vocational plans are in place to support physical and mental health and development during transition into adulthood. Many of these issues have broader applicability to any adolescent with an intellectual disability.
回顾唐氏综合征和智力残疾青少年的临床进展及当前医疗保健问题，包括行为、社交和情感问题、健康监督建议以及支持过渡过程的建议。
最近的几项发现值得特别关注：活动水平低及其对超重和骨密度差的影响；阻塞性睡眠呼吸暂停的高患病率及其影响；心理健康和行为问题的患病率；以及对适当过渡服务的需求。
在引导唐氏综合征青少年走向健康、有成效的成年生活时，临床医生可利用医疗保健指南，还应采取更广泛、跨学科的方法，以确保制定社会、教育和职业计划，在向成年过渡期间支持身心健康和发展。其中许多问题对任何智力残疾青少年都具有更广泛的适用性。
