身体残疾儿童的体重指数、身体活动、心肺耐力与生活质量
Body Mass Index, Physical Activity, Cardiorespiratory Endurance and Quality of Life among Children with Physical Disabilities.
作者信息
Supramaniam Nimale, Zanudin Asfarina, Azmi Nor Azura
机构信息
Physiotherapy Program, Centre for Rehabilitation and Special Needs Studies, Faculty of Health Science, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Selangor, Malaysia.
Physiotherapy Unit, Hospital Tuanku Ampuan Najihah Kuala Pilah, Kuala Pilah 72000, Negeri Sembilan, Malaysia.
出版信息
Children (Basel). 2023 Aug 28;10(9):1465. doi: 10.3390/children10091465.
BACKGROUND
Children with physical disabilities (PD) have reduced levels of physical activity (PA) compared to typically developing children, which increases their risk of becoming overweight and obese, which leads to numerous adverse health consequences. This study aimed to determine the differences between groups classified by body mass index (BMI) percentile in terms of PA levels, cardiorespiratory endurance and quality of life (QoL), and also to evaluate the relationship between BMI percentile and PA levels, cardiorespiratory endurance and QoL in children and adolescents with physical disabilities.
METHODS
A total of 172 children and adolescents with PD aged between 5 and 17 years from Hospital Tunku Azizah were included in this cross-sectional study. The BMI percentile was calculated to determine the weight status. PA levels were assessed with the Physical Activity Questionnaire for Older Children (PAQ-C), cardiorespiratory endurance was measured by the Six-Minute Walk Test (6MWT) and QoL was measured by the Paediatric Quality of Life Inventory version 2.0 (PedsQL 2.0).
RESULTS
According to the BMI percentile, 70.3% had a healthy BMI percentile (50th to 84th percentile), 11.6% were overweight (50th to 84th percentile), 11% were underweight (0-49th percentile) and 7.0% were obese (95th percentile and above). Most children reported a healthy weight, and the rates of being overweight and obese were higher in children who could ambulate without aids (6.4% and 3.5%, respectively) compared to those who used walking aids (5.2% and 3.5%, respectively). Significant differences were found in the PAQ-C, 6MWT and PedsQL 2.0 scores between different BMI percentile groups ( < 0.05). There were also significant correlations between the BMI percentile and the PAQ-C ( = 0.209, < 0.001), 6MWT ( = 0.217, < 0.001) and PedsQL 2.0 ( = 0.189, < 0.001).
CONCLUSION
The rate of being overweight and obese is greater among children who ambulate without aids than among those with aids. An increase in the BMI percentile can reduce the QoL in different ways. This study suggests that children with PD who can walk without aids are at a greater risk of being overweight and obese. Hence, the engagement of this population in PA is crucial for their weight management.
背景
与发育正常的儿童相比，身体残疾（PD）儿童的身体活动（PA）水平较低，这增加了他们超重和肥胖的风险，进而导致许多不良健康后果。本研究旨在确定按体重指数（BMI）百分位数分类的组在PA水平、心肺耐力和生活质量（QoL）方面的差异，并评估BMI百分位数与身体残疾儿童和青少年的PA水平、心肺耐力和QoL之间的关系。
方法
本横断面研究纳入了172名来自敦库·阿齐扎医院的5至17岁身体残疾儿童和青少年。计算BMI百分位数以确定体重状况。PA水平通过《大龄儿童身体活动问卷》（PAQ-C）进行评估，心肺耐力通过六分钟步行试验（6MWT）进行测量，QoL通过《儿童生活质量量表》第2.0版（PedsQL 2.0）进行测量。
结果
根据BMI百分位数，70.3%的儿童BMI百分位数健康（第50至84百分位数），11.6%超重（第50至84百分位数），11%体重过轻（第0至49百分位数），7.0%肥胖（第95百分位数及以上）。大多数儿童报告体重健康，与使用助行器的儿童相比，能够独立行走的儿童超重和肥胖率更高（分别为6.4%和3.5%）（分别为5.2%和3.5%）。不同BMI百分位数组之间在PAQ-C、6MWT和PedsQL 2.0评分上存在显著差异（<0.05）。BMI百分位数与PAQ-C（=0.209，<0.001）、6MWT（=0.217，<0.001）和PedsQL 2.0（=0.189，<0.001）之间也存在显著相关性。
结论
能够独立行走的儿童中超重和肥胖率高于使用助行器的儿童。BMI百分位数的增加会以不同方式降低生活质量。本研究表明，能够独立行走的身体残疾儿童超重和肥胖的风险更大。因此，让这一人群参与体育活动对他们的体重管理至关重要。
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