Podgórska-Bednarz Justyna, Wyszyńska Justyna, Perenc Lidia, Yatsula Marta, Gagat-Matuła Anna, Mazur Artur
Institute of Health Sciences, Medical College of Rzeszow University, Warzywna 1A, 35-310 Rzeszów, Poland.
Department of Pediatrics No. 1, Danylo Halytsky Lviv National Medical University, Pekarska 69, 79010 Lviv, Ukraine.
J Clin Med. 2024 Dec 13;13(24):7608. doi: 10.3390/jcm13247608.
: The aim of the study was to determine the frequency of occurrence of a significant health problem-abdominal obesity (AO)-in children and adolescents with intellectual disability (ID) compared to children and adolescents without disabilities, examined in the period 2013-2014. : The study group included 568 students with various ID degrees ( = 265 mild; = 249 moderate; = 54 severe) (age range 7-18 years) attending care and educational facilities. The comparison group (non-ID) was randomly selected based on the principle of matching the group (age and sex) among students without ID. Anthropometric measurements were taken: waist circumference (WC), height, and body mass. To classify WC and BMI values, percentile charts developed within the OLAF project were used. Analyses were performed using the independence chi-square test, odds ratio (95% confidence interval) and logistic regression for multivariate analysis. The level of significance was assumed as α = 0.05. : The prevalence of AO in the ID group was not statistically significant (OR = 1.31; = 0.056). The risk in the study group was significantly higher in the older age category (OR = 1.88; < 0.001) and increased with the level of intellectual disability, amounting (OR = 3.71; < 0.001) to moderate ID and (OR = 5.62; < 0.001) for profound ID, respectively. : Consideration should be given to the extension of preventive and therapeutic measures to defined subgroups of children and adolescents with intellectual disabilities, who are particularly vulnerable to AO.
本研究旨在确定2013 - 2014年期间，与无残疾的儿童和青少年相比，智障（ID）儿童和青少年中严重健康问题——腹部肥胖（AO）的发生频率。研究组包括568名患有不同程度ID的学生（轻度 = 265名；中度 = 249名；重度 = 54名）（年龄范围7 - 18岁），他们就读于护理和教育机构。对照组（非ID组）是根据无ID学生中匹配组（年龄和性别）的原则随机选取的。进行了人体测量：腰围（WC）、身高和体重。为了对WC和BMI值进行分类，使用了在OLAF项目中制定的百分位图。分析采用独立性卡方检验、比值比（95%置信区间）和多变量分析的逻辑回归。显著性水平设定为α = 0.05。ID组中AO的患病率无统计学意义（OR = 1.31；P = 0.056）。研究组中，年龄较大类别中的风险显著更高（OR = 1.88；P < 0.001），并且随着智力残疾程度的增加而增加，中度ID时达到（OR = 3.71；P < 0.001），重度ID时达到（OR = 5.62；P < 0.001）。应考虑将预防和治疗措施扩展到智障儿童和青少年的特定亚组，他们特别容易患AO。
