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青少年智力和发育障碍患者父母的肥胖患病率和生活方式行为。

The prevalence of obesity and lifestyle behaviors of parents of youth with intellectual and developmental disabilities.

机构信息

Department of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.

Department of Neurology, The University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.

出版信息

Disabil Health J. 2023 Jul;16(3):101430. doi: 10.1016/j.dhjo.2022.101430. Epub 2022 Dec 14.

Abstract

BACKGROUND

Parents of youth with intellectual and developmental disabilities (IDD) may have a higher prevalence of overweight and obesity and poorer weight management behaviors compared to the general population.

OBJECTIVE

To describe the prevalence of overweight/obesity and related socioeconomic and lifestyle factors including diet quality, physical activity, and reported health habits in parents of youth with IDD.

METHODS

We assessed: BMI (kg/m), moderate-to-vigorous physical activity (MVPA), fruit and vegetable intake (FVI), parental diet and physical activity habits, and socioeconomic characteristics. Associations of BMI on MVPA and FVI were assessed with Spearman's correlation; differences in BMI by parental diet and physical activity habits were assessed with Kruskall-Wallis tests; and the relationships of BMI to household income, race, and education were assessed with Kendall Tau-b and Mann Whitney U tests.

RESULTS

Data was obtained from 110 parents (97.3% female) who were study partners for their adolescents/young adults with IDD participating in a weight loss clinical trial. Approximately 81% of parents were overweight or obese (25.7% overweight, 55.1% obese), with 46.3% and 20% meeting the recommended U.S. guidelines for MVPA and FVI, respectively. Higher FVI and higher income were significantly associated with lower parent BMI. BMI was significantly lower in parents who reported to be physically active and choose healthy food.

CONCLUSION

We observed a high prevalence of overweight/obesity, low FVI and low levels of MVPA in parents of adolescents with IDD. These observations suggest that interventions designed to address these factors have the potential to improve the health and wellbeing of both parents and adolescents with IDD.

CLINICAL TRIALS NUMBER

NCT02561754.

摘要

背景

与普通人群相比,智力和发育障碍青年的父母超重和肥胖的比例更高,体重管理行为更差。

目的

描述智力和发育障碍青年父母超重/肥胖的流行情况,以及相关的社会经济和生活方式因素,包括饮食质量、身体活动和报告的健康习惯。

方法

我们评估了以下内容:BMI(kg/m)、中等到剧烈的身体活动(MVPA)、水果和蔬菜摄入量(FVI)、父母的饮食和身体活动习惯以及社会经济特征。使用 Spearman 相关系数评估 BMI 与 MVPA 和 FVI 的相关性;使用 Kruskal-Wallis 检验评估 BMI 与父母饮食和身体活动习惯的差异;使用 Kendall Tau-b 和 Mann Whitney U 检验评估 BMI 与家庭收入、种族和教育的关系。

结果

数据来自 110 名父母(97.3%为女性),他们是参加减肥临床试验的智力和发育障碍青少年的研究伙伴。约 81%的父母超重或肥胖(25.7%超重,55.1%肥胖),其中 46.3%和 20%分别符合美国推荐的 MVPA 和 FVI 指南。较高的 FVI 和较高的收入与较低的父母 BMI 显著相关。报告身体活跃和选择健康食物的父母的 BMI 明显较低。

结论

我们观察到智力和发育障碍青少年父母中存在较高的超重/肥胖率、低 FVI 和低水平的 MVPA。这些观察结果表明,针对这些因素设计的干预措施有可能改善父母和智力和发育障碍青少年的健康和幸福感。

临床试验编号

NCT02561754。

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