Dean Sarah, Marshall Josephine, Whelan Erin, Watson Jo, Zorbas Christina, Cameron Adrian J
Faculty of Health, School of Health and Social Development, Global Obesity Centre (GLOBE), Institute for Health Transformation, Deakin University, Geelong, 3220, Australia.
Faculty of Health, School of Health and Social Development, Deakin University, Geelong, 3220, Australia.
Curr Nutr Rep. 2021 Dec;10(4):255-266. doi: 10.1007/s13668-021-00382-0. Epub 2021 Dec 10.
To investigate the type and effectiveness of health promotion programs designed to improve nutrition for people with intellectual disability. This review also sought to highlight gaps in the evidence by mapping interventions to the socio-ecological model.
To date, reviews on health promotion programs for people with intellectual disability have focused on individualised weight management interventions and behaviour change techniques. No reviews have focused solely on nutrition or considered a broader range of interventions and policies targeted beyond the individual. This review found that health promotion interventions to date were predominantly at the individual level of the socio-ecological model and of varying effectiveness. Of the non-individually focused interventions, those targeting the physical environment or considering multiple socio-ecological levels achieved the greatest improvements in nutrition outcomes. Nutrition and obesity prevention research and policy need to include intellectual disability as part of equity considerations, while intellectual disability policy needs to consider the broader food environment.
探讨旨在改善智力残疾者营养状况的健康促进项目的类型及效果。本综述还试图通过将干预措施映射到社会生态模型来突出证据方面的差距。
迄今为止，关于智力残疾者健康促进项目的综述主要集中在个体化体重管理干预措施和行为改变技术上。尚无综述仅聚焦于营养，或考虑超出个体范围的更广泛的干预措施和政策。本综述发现，迄今为止的健康促进干预措施主要处于社会生态模型的个体层面，且效果各异。在非个体聚焦的干预措施中，那些针对物理环境或考虑多个社会生态层面的措施在营养结果方面取得了最大改善。营养与肥胖预防研究及政策需要将智力残疾纳入公平性考量的一部分，而智力残疾政策则需要考虑更广泛的食物环境。
