Miller School of Medicine, University of Miami, Miami, Florida, USA.
School of Public Health, University of Texas Health Science Center, Houston, Texas, USA.
Child Care Health Dev. 2020 Nov;46(6):733-740. doi: 10.1111/cch.12803. Epub 2020 Aug 27.
Previous studies show a higher prevalence of obesity among preschool-age children with developmental disabilities (DDs) versus children who are typically developing (TD). Little is known about parent concerns about obesity in young children with DD. The purpose of this study was to examine concerns regarding paediatric obesity among parents who had a preschool-age child with DD compared with parents with a child who is TD.
A cross-sectional analysis occurred at baseline entry into one of three community-based programmes. Parents of a child with DD (n = 815) or TD (n = 563) were asked obesity-related questions about their child and in general. Multinomial and logistic regression unadjusted and adjusted models were run to generate the odds of obesity concerns based on disability status.
The average child age was 38 months. Parent concerns about paediatric obesity differed by disability status. Unadjusted odds of parents 'doing anything to control their child's weight' was 38% lower among parents of a child with DD versus TD (OR: 0.62, 95% CI: 0.48, 0.82). The adjusted odds of perceiving that their child was underweight was 83% higher among parents of a child with DD compared with parents of a child who is TD (aOR: 1.83, 95% CI: 1.27, 2.64). Parents of a child with DD were 179% more likely to believe that childhood obesity is a public health problem (aOR: 2.79, 95% CI: 1.88, 3.96). The models were adjusted for age, sex and race/ethnicity.
Findings indicate that parents of preschool-age children with DD are more likely to acknowledge that obesity is a public health concern. Because some parents of children with DD are concerned about their child's weight, families of preschool-age children with DD may be receptive to the delivery of healthy weight strategies in community-based programs.
先前的研究表明，与发育正常的儿童相比，患有发育障碍 (DD) 的学龄前儿童肥胖的发生率更高。关于患有 DD 的幼儿的父母对肥胖的担忧知之甚少。本研究的目的是比较有发育障碍儿童的父母与发育正常儿童的父母，检查他们对幼儿肥胖的担忧。
在三个基于社区的项目之一的基线入组时进行了横断面分析。询问了有发育障碍儿童 (n=815) 或发育正常儿童 (n=563) 的父母有关其子女的肥胖相关问题。使用多项和逻辑回归非调整和调整模型，根据残疾状况生成肥胖担忧的几率。
平均儿童年龄为 38 个月。父母对儿童肥胖的担忧因残疾状况而异。未调整的情况下，有发育障碍儿童的父母“为控制孩子体重而采取任何措施”的几率比发育正常儿童的父母低 38%（OR：0.62，95%CI：0.48，0.82）。与发育正常儿童的父母相比，有发育障碍儿童的父母认为自己孩子体重过轻的几率高 83%（aOR：1.83，95%CI：1.27，2.64）。有发育障碍儿童的父母认为儿童肥胖是一个公共卫生问题的可能性高 179%（aOR：2.79，95%CI：1.88，3.96）。这些模型还调整了年龄、性别和种族/族裔。
研究结果表明，有发育障碍的学龄前儿童的父母更有可能认识到肥胖是一个公共卫生问题。由于一些有发育障碍儿童的父母担心孩子的体重，因此，有发育障碍的学龄前儿童的家庭可能会接受社区项目中提供的健康体重策略。
