Bennett Elizabeth Anne, Kolko Rachel Pearl, Chia Lichun, Elliott Jennifer Padden, Kalarchian Melissa Ann
1 Duquesne University, Pittsburgh, PA, USA.
2 University of Pittsburgh, Pittsburgh, PA, USA.
West J Nurs Res. 2017 Aug;39(8):1008-1027. doi: 10.1177/0193945917697664. Epub 2017 Mar 28.
Childhood obesity is a serious health issue, associated with medical comorbidity and psychosocial impairment that can persist into adulthood. In the United States, youth with intellectual and developmental disabilities are more likely to be obese than youth without disabilities. A large body of evidence supports the efficacy of family-based treatment of childhood obesity, including diet, physical activity, and behavior modification, but few interventions have been developed and evaluated specifically for this population. We highlight studies on treatment of obesity among youth with intellectual and developmental disabilities, including both residential/educational settings as well as outpatient/hospital settings. All interventions were delivered in-person, and further development of promising approaches and delivery via telenursing may increase access by youth and families. Nursing scientists can assume an important role in overcoming barriers to care for this vulnerable and underserved population.
儿童肥胖是一个严重的健康问题，与医学合并症及可能持续至成年期的心理社会障碍相关。在美国，患有智力和发育障碍的青少年比无残疾的青少年更易肥胖。大量证据支持以家庭为基础的儿童肥胖治疗方法的有效性，包括饮食、体育活动和行为矫正，但专门针对这一人群开发和评估的干预措施很少。我们重点介绍了关于智力和发育障碍青少年肥胖治疗的研究，包括寄宿/教育环境以及门诊/医院环境。所有干预措施均为面对面实施，进一步开发有前景的方法并通过远程护理提供服务可能会增加青少年及其家庭获得服务的机会。护理科学家在克服这一弱势群体和服务不足人群的护理障碍方面可发挥重要作用。
