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心血管风险特征在残疾儿童和青少年中聚集。

Cardiovascular risk profiles clusters among children and adolescents with disabilities.

机构信息

Health Promotion Research Center, Ariel University, Ari'el, Israel.

Department of Nursing, Faculty of Health Science, Ariel University, Ari'el, Israel.

出版信息

BMC Public Health. 2023 May 16;23(1):896. doi: 10.1186/s12889-023-15796-4.

Abstract

BACKGROUND

Cardiovascular diseases (CVD) are a precursor for disabilities and death worldwide. Being overweight or obese in combination with physical inactivity and smoking habits may increase the risk for CVD and other health problems such as lower limb osteoarthritis, diabetes, stroke, and various cancer types among children and adolescents. The literature emphasizes the need to follow such groups and evaluate the risk of individuals developing CVD diseases. Therefore, the current study explores the variety of cardiovascular risks in children and adolescents' profiles clusters with and without disabilities.

METHODS

Data from 42 countries including Israel, was collected with the support of the world health organization (WHO, Europe) through a questionnaire from 11-19 years old school-aged.

RESULTS

The study finding shows that children and adolescents with disabilities demonstrated a higher prevalence of overweight than those who completed the HBSC youth behavior survey. Moreover, the prevalence of tobacco smoking and alcohol use was statisticaly significantly higher among the disabled group than the non-disabled group. In addition, socioeconomic status of responders who presented a very high CVD risk was found as significantly lower than those from the first and second low risk groups.

CONCLUSION

This led to the conclusion that children and adolescents with disability were at a higher risk of developing CVDs than their non-disabled peers. In addition, intervention programs tailored to the needs of adolescents with disability should consider lifestyle habit change and promoting healthy living thus improving their quality of life as well as reducing their risk of being exposed to severe CVD diseases.

摘要

背景

心血管疾病(CVD)是全球残疾和死亡的主要原因。超重或肥胖,再加上缺乏身体活动和吸烟习惯,可能会增加儿童和青少年患 CVD 和其他健康问题的风险,如下肢骨关节炎、糖尿病、中风和各种癌症。文献强调需要对这些人群进行随访,并评估个体患 CVD 疾病的风险。因此,目前的研究探讨了有和没有残疾的儿童和青少年群体中心血管风险的多样性。

方法

该研究的数据来自包括以色列在内的 42 个国家,由世界卫生组织(WHO,欧洲)通过问卷调查支持,调查对象为 11-19 岁的在校青少年。

结果

研究结果表明,残疾儿童和青少年超重的比例高于完成 HBSC 青年行为调查的儿童和青少年。此外,残疾组青少年吸烟和饮酒的比例明显高于非残疾组。此外,研究还发现,心血管疾病风险非常高的应答者的社会经济地位明显低于第一和第二低风险组。

结论

这表明残疾儿童和青少年患 CVD 的风险高于非残疾同龄人。此外,针对残疾青少年需求的干预计划应考虑改变生活方式习惯,并促进健康生活,从而提高他们的生活质量,降低他们患严重 CVD 疾病的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f3/10186679/7732e99226e4/12889_2023_15796_Fig1_HTML.jpg

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