Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111.
Eunice Kennedy Shriver Center, University of Massachusetts Medical School, 465 Medford Street, Suite 500, Charlestown, MA 02129.
Curr Obes Rep. 2014 Jun;3(2):156-70. doi: 10.1007/s13679-014-0098-7.
The prevention of obesity in children with DD is a pressing public health issue, with implications for health status, independent living, and quality of life. Substantial evidence suggests that children with developmental disabilities (DD), including those with intellectual disabilities (ID) and autism spectrum disorder (ASD), have a prevalence of obesity at least as high if not higher than their typically developing peers. The paper reviews what is known about the classic and unique risk factors for childhood obesity in these groups of children, including dietary, physical activity, sedentary behavior, and family factors, as well as medication use. We use evidence from the literature to make the case that primary prevention at the individual/family, school and community levels will require tailoring of strategies and adapting existing intervention approaches.
预防儿童肥胖是一个紧迫的公共卫生问题，涉及健康状况、独立生活和生活质量。大量证据表明，包括智力障碍和自闭症谱系障碍在内的发育障碍儿童（DD）肥胖的患病率至少与他们的同龄人一样高，如果不是更高的话。本文综述了这些儿童群体中与肥胖相关的典型和独特的风险因素，包括饮食、身体活动、久坐行为和家庭因素，以及药物使用情况。我们利用文献中的证据表明，在个人/家庭、学校和社区层面进行初级预防将需要针对策略进行调整并采用现有的干预方法。
