Prevalence of overweight in children with developmental disorders in the continuous National Health and Nutrition Examination Survey (NHANES) 1999-2002

Prevalence of overweight in children with developmental disorders in the continuous National Health and Nutrition Examination Survey (NHANES) 1999-2002
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DOI:
10.1016/j.jpeds.2005.01.049
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发表时间:
2005-06-01
影响因子:
5.1
通讯作者:
Must, A
Must, A
中科院分区:
医学2区
文献类型:
--
作者:
Bandini, LG;Curtin, C;Must, A

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目的 根据具有全国代表性的调查数据,评估被确诊患有发育障碍的儿童中超重的患病率。 研究设计 我们依据近期一项大型的具有全国代表性的调查,评估了患有发育障碍的儿童中超重的患病率。1999 - 2002年持续进行的美国国家健康与营养检查调查(NHANES)包含4个用于识别患有发育障碍儿童的问题。身高和体重被用于计算体重指数(BMI)。BMI百分位数是相对于美国疾病控制与预防中心针对年龄和性别制定的生长参考标准来估算的。第85百分位的BMI定义为有超重风险,第95百分位的BMI定义为超重。 结果 在对年龄和种族 - 民族因素进行调整后,我们发现与无这些情况的儿童相比,身体活动受限的儿童中有超重风险和超重的患病率更高,有学习障碍的女孩中超重的患病率也更高。 结论 就发育障碍儿童被纳入大型代表性调查的程度而言,数据表明发育障碍儿童超重的风险至少与正常发育儿童一样大。
Objective To estimate the prevalence of overweight in children identified with developmental disorders on the basis of nationally representative survey data.Study design We estimated the prevalence of overweight in children with developmental disorders on the basis of a recent large nationally representative survey. The continuous National Health and Nutrition Examination Survey (NHANES) 1999-2002 included 4 questions to identify children with developmental disorders. Height and weight were used to calculate body mass index (BMI). BMI percentiles were estimated relative to the age- and sex-specifie Centers for Disease Control and Prevention growth reference. The 85th percentile BMI defined at-risk-for-overweight and the 95th percentile BMI defined overweight.Results We found ahigherprevalence of at-risk-for overweight and overweight among children with limitations in physical activity and a higher prevalence of overweight in girls with learning disabilities, compared with children without these conditions, after adjustment for age and race-ethnicity.Conclusion To the extent that children with developmental disorders are included in large representative surveys, the data suggest that children with developmental disorders have a risk for overweight that is at least as great as that of typically developing children.