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Obesity and cardiometabolic disease risk factors among US adolescents with disabilities

查看全文 作　　者：Sarah E [1,2]Messiah;Denise C [2]Vidot;Gabriel [1]Somarriba;Kanathy [2]Haney;Semra [3]Aytur;Ruby A [4]Natale;Jeffrey P [5,5]Brosco;Kristopher L [2]Arheart 高影响力作者 机构地区：[1]Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine;[2]Department of Public Health Sciences, University of Miami, Leonard M. Miller School of Medicine;[3]Department of Health Management and Policy, University of New Hampshire;[4]Department of Pediatrics, Mailman Center for Childhood Development, University of Miami, Leonard M. Miller School of Medicine;[5]Mailman Center for Childhood Development, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine高影响力机构 出　　处：《World Journal of Diabetes》索引2015年第6卷第1期,共8页高影响力期刊 基　　金：Supported by National Institutes of Health,No.K01 DA 026993 摘　　要：AIM: To generate prevalence estimates of weight status and cardiometabolic disease risk factors among adolescents with and without disabilities.METHODS: Analysis of the 1999-2010 National Health and Nutrition Examination Survey data was conducted among 12-18 years old with(n = 256) and without disabilities(n = 5020). Mean values of waist circumference, fasting glucose, high-density-lipoprotein cholesterol, triglycerides, systolic and diastolic blood pressure and metabolic syndrome(Met S, ≥ 3 risk factors present) were examined by the following standardized body mass index(BMI) categories for those with and without disabilities; overweight(BMI ≥ 85th- < 95 th percentile for age and sex), obesity(BMI ≥ 95 th percentile) and severe obesity(BMI ≥35 kg/m2). Linear regression models were fit with each cardiometabolic disease risk factor independently as continuous outcomes to show relationships with disability status. RESULTS: Adolescents with disabilities were significantlymore likely to be overweight(49.3%), obese(27.6%) and severely obese(12%) vs their peers without disabilities(33.1%, 17.5% and 3.6%, respectively, P ≤ 0.01 for all). A higher proportion of overweight, obese and severely obese children with disabilities had abnormal SBP, fasting lipids and glucose as well as Met S(18.9% of overweight, 32.3% of obese, 55% of severely obese) vs their peers without disabilities(9.7%, 16.8%, 36.3%, respectively). US adolescents with disabilities are over three times as likely to have Met S(OR = 3.45, 95%CI: 1.08-10.99, P = 0.03) vs their peers with no disabilities.CONCLUSION: Results show that adolescents with disabilities are disproportionately affected by obesity and poor cardiometabolic health vs their peers with no disabilities. Health care professionals should monitor the cardiometabolic health of adolescents with disabilities. 关 键 词：Adolescents CHILDREN DISABILITY OBESITY CARDIOMETABOLIC Disease risk
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