TY - JOUR
T1 - Children with Intellectual Disability Are Vulnerable to Overweight and Obesity
T2 - A Cross-Sectional Study among Chinese Children
AU - Wang, Jingjing
AU - Gao, Yang
AU - Kwok, Heather H M
AU - Huang, Wendy Y J
AU - Li, Siuting
AU - Li, Liping
N1 - Funding Information:
This research was supported by the Health Care and Promotion Scheme (HCPS) under the Health and Medical Research Fund (HMRF), administered by the Food and Health Bureau of Hong Kong (Ref. No. 01170068).
PY - 2018/7
Y1 - 2018/7
N2 - Background: The epidemic of childhood obesity has been well documented in typically developing child populations, while situations among children with intellectual disabilities (ID) remain unclear. Methods: A cross-sectional study was conducted among 524 Chinese children with ID (males: 68.9%, mean age: 12.2 years) in Hong Kong in 2015. Children's height and weight were measured at school. Parents, in the presence of their children, completed a self-administered questionnaire at home about the children's physical activity (PA), eating habits, and sleep duration in a typical week as well as parenting practices regarding children's eating, PA, and their sociodemographic characteristics. Results: Of the participants, 31.3% were overweight or obese, which was higher than their typical counterparts (18.7%-19.9%). Multivariate logistic regression analyses revealed that overweight and obesity in children with ID were linked to their comorbidity with autism, maternal overweight and obesity, parenting practices with less pressure to eat more, children having shorter sleep duration, longer periods of sedentary behavior, and higher intake frequencies of sweetened beverages, fried food, meats, fish, and eggs. Conclusions: Children with ID are vulnerable to being overweight or obese. Identified risk factors in this study highlight a multifaceted approach to the involvement of parents as well as the modification of some children's questionable behaviors to help them achieve a healthy weight.
AB - Background: The epidemic of childhood obesity has been well documented in typically developing child populations, while situations among children with intellectual disabilities (ID) remain unclear. Methods: A cross-sectional study was conducted among 524 Chinese children with ID (males: 68.9%, mean age: 12.2 years) in Hong Kong in 2015. Children's height and weight were measured at school. Parents, in the presence of their children, completed a self-administered questionnaire at home about the children's physical activity (PA), eating habits, and sleep duration in a typical week as well as parenting practices regarding children's eating, PA, and their sociodemographic characteristics. Results: Of the participants, 31.3% were overweight or obese, which was higher than their typical counterparts (18.7%-19.9%). Multivariate logistic regression analyses revealed that overweight and obesity in children with ID were linked to their comorbidity with autism, maternal overweight and obesity, parenting practices with less pressure to eat more, children having shorter sleep duration, longer periods of sedentary behavior, and higher intake frequencies of sweetened beverages, fried food, meats, fish, and eggs. Conclusions: Children with ID are vulnerable to being overweight or obese. Identified risk factors in this study highlight a multifaceted approach to the involvement of parents as well as the modification of some children's questionable behaviors to help them achieve a healthy weight.
KW - Children with disability
KW - obesity
KW - prevalence
KW - risk factors
UR - http://www.scopus.com/inward/record.url?scp=85050319440&partnerID=8YFLogxK
U2 - 10.1089/chi.2018.0015
DO - 10.1089/chi.2018.0015
M3 - Article
C2 - 29975552
AN - SCOPUS:85050319440
SN - 2153-2168
VL - 14
SP - 316
EP - 326
JO - Childhood Obesity
JF - Childhood Obesity
IS - 5
ER -
