智力和学习障碍学童肥胖与身体活动特征

Shih-chang Cheng
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摘要

先前的研究表明,有智力和学习障碍的学童比没有残疾的学童肥胖的患病率更高。然而,体育活动对有智力和学习障碍的学童肥胖的作用仍不清楚。本研究的目的是调查有或没有智力和学习障碍的儿童中肥胖的患病率,并区分其与体育活动水平的关系。本研究之资料采自“台北市学童身心健康调查”,这是一项以台北市小学生为对象的横断面流行病学研究。根据数据,将小学生分为无残疾组(ND)和智力/学习障碍组(ILD)。经ANCOVA分析,我们发现经性别和年龄调整的体重指数(BMI)在ILD患者中高于ND患者。与ND组相比,ILD组的身高、久坐行为时间(看电视和使用电脑)和体力活动水平较低。经多项逻辑回归协变量调整后的数据显示,智力/学习障碍与肥胖相关,运动时间低于建议,倾向于不寻找运动伴侣的比例。目前的研究结果表明,肥胖的高发率似乎与智力/学习障碍学童的体育活动水平有关。此外,我们还发现“人的支持”在智力/学习障碍小学生的运动参与中起重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obesity and Physical Activity Characteristics of Schoolchildren with Intellectual and Learning Disability
Previous studies indicated that schoolchildren with intellectual and learning disability have higher prevalence of obesity than those without disability. However, the role of physical activity on obesity in schoolchildren with intellectual and learning disability is still unclear. The purpose of this study was to investigate the prevalence of obesity in children with or without intellectual and learning disability, and to distinguish the relationship with their physical activity levels. The data for the study were extracted from the Taipei School Children Physical and Mental Health Survey, a population based, cross-sectional epidemiological study of elementary schoolchildren of Taipei city. Based on the data, schoolchildren were divided into non-disability (ND) and intellectual/learning disability (ILD) groups. We found that gender- and age-adjusted body mass index (BMI) were higher in ILD than ND as analyzed by ANCOVA. Height and sedentary behavior times (watching TV and using computer) and physical activity levels were lower in ILD compared to ND group. Data adjusting for covariates in multinomial logistic regression showed that intellectual/learning disabilities were associated with obesity, exercise time below suggestion, and proportion of tendency was not to find the partner for exercise. The present study findings concluded that the high prevalence of obesity appears to be associated with physical activity level in schoolchildren with intellectual/learning disabilities. Moreover, we also found that "people support" plays an important role in exercise participation of elementary schoolchildren with intellectual/learning disability.
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