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Examining risk factors for overweight and obesity in children with disabilities: a commentary on Bronfenbrenner's
Meaghan Walker1,2, Stephanie Nixon2,3,4, Jess Haines5
1a Bloorview Research Institute , Holland Bloorview Kids Rehabilitation Hospital , Toronto , ON , Canada.
Insights
Childhood overweight and obesity (OW/OB) is a global concern. This commentary examines the Davison and Birch framework for identifying OW/OB risk factors in children with disabilities.
Area of Science:
- Pediatric health
- Obesity research
- Disability studies
Background:
- Childhood overweight and obesity (OW/OB) prevalence is alarmingly high globally.
- Existing research often overlooks children with disabilities, who face elevated OW/OB risks.
- Davison and Birch adapted Bronfenbrenner's Ecological Systems Theory to identify OW/OB risk factors.
Purpose of the Study:
- To explore the application of the Davison and Birch socioecological framework to pediatric OW/OB.
- To critically examine the framework's utility for children with disabilities.
Main Methods:
- Literature review and critical analysis.
- Application of a socioecological model.
- Examination of existing research on pediatric OW/OB and disability.
Main Results:
- The socioecological framework offers a comprehensive approach to understanding OW/OB risk factors.
- Specific considerations are needed when applying the framework to children with disabilities.
- The framework's potential to identify unique risk factors in this population is highlighted.
Conclusions:
- The socioecological framework is a valuable tool for studying pediatric OW/OB.
- Further research is needed to adapt and validate this framework for children with disabilities.
- Addressing OW/OB in children with disabilities requires a tailored, holistic approach.
Abstract:
Globally, overweight and obesity (OW/OB) levels are high among children, with rates surpassing the adult population. With such high pediatric OW/OB rates, it is imperative that risk factors are identified and explored. Thus, Davison and Birch developed an adapted framework, based on Bronfenbrenner's Ecological Systems Theory, which identifies and categorizes the factors in a child's life that put them at risk for OW/OB. While a socioecological perspective has been a useful tool for examining risk factors in typically developing pediatric populations, this holistic approach has not yet been applied to populations of children with disabilities, who are at an even higher risk of OW/OB than their typically developing peers. This commentary, therefore, explores Bronfenbrenner's Ecological Framework as applied to OW/OB by Davison and Birch, and critically examines its application to children with disabilities.
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