Walker Meaghan, Nixon Stephanie, Haines Jess, McPherson Amy C
a Bloorview Research Institute , Holland Bloorview Kids Rehabilitation Hospital , Toronto , ON , Canada.
b Rehabilitation Sciences Institute , University of Toronto , Toronto , ON , Canada.
Dev Neurorehabil. 2019 Jul;22(5):359-364. doi: 10.1080/17518423.2018.1523241. Epub 2018 Oct 11.
Globally, overweight and obesity (OW/OB) levels are high among children, with rates surpassing the adult population. With such high pediatric OW/OB rates, it is imperative that risk factors are identified and explored. Thus, Davison and Birch developed an adapted framework, based on Bronfenbrenner's Ecological Systems Theory, which identifies and categorizes the factors in a child's life that put them at risk for OW/OB. While a socioecological perspective has been a useful tool for examining risk factors in typically developing pediatric populations, this holistic approach has not yet been applied to populations of children with disabilities, who are at an even higher risk of OW/OB than their typically developing peers. This commentary, therefore, explores Bronfenbrenner's Ecological Framework as applied to OW/OB by Davison and Birch, and critically examines its application to children with disabilities.
在全球范围内，儿童超重和肥胖（OW/OB）水平较高，其发生率超过了成年人群体。鉴于儿童OW/OB率如此之高，识别和探究风险因素势在必行。因此，戴维森和伯奇基于布朗芬布伦纳的生态系统理论开发了一个适应性框架，该框架识别并分类了儿童生活中使他们面临OW/OB风险的因素。虽然社会生态视角一直是研究典型发育儿童群体风险因素的有用工具，但这种整体方法尚未应用于残疾儿童群体，他们患OW/OB的风险比发育正常的同龄人更高。因此，本评论探讨了戴维森和伯奇将布朗芬布伦纳的生态框架应用于OW/OB的情况，并批判性地审视了该框架在残疾儿童中的应用。
