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障害を伴う成人における肥満
Evette Weil1, Melissa Wachterman, Ellen P McCarthy
1Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA.
JAMA
|September 7, 2002
まとめ
肥満は,障害のある成人,特に移動能力や精神疾患のある成人においてより一般的です. 医療従事者は,この集団に対して,体重管理と運動に重点を置くべきである.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 障害に関する研究 障害に関する研究
背景:
- 肥満は重大な公衆衛生上の問題であり,予防可能な病気と死亡の主な原因である.
- 肥満と障害の関係については,特に特定の障害者グループでは,十分に理解されていません.
研究 の 目的:
- 身体的制約,感覚障害,深刻な精神疾患を持つ成人の間で肥満の流行を調査する.
- 障害のある人とない人の肥満率を比較する.
主な方法:
- 米国成人の145,007人を含む,1994-1995年の国立健康面接調査のデータを分析した.
- 1つ以上の障害を持つ25,626人の回答者のサブグループに焦点を当てます.
- 肥満の可能性,体重減少の試み,そして運動カウンセリングの受付を確認した.
主要な成果:
- 障害のある成人では,障害のない成人 (15.1%) と比べて,著しく高い肥満の発生率 (24.9%) が認められた.
- 肥満に対する調整された確率比は,障害のある成人では1.9であったが,下肢の重度の移動障害のある人では最も高いリスクであった (AOR 2.5).
- 体重減少の試みは障害の種類によって変化し,運動カウンセリングは重度の移動障害のある人にとってあまり頻繁ではありませんでした.
結論:
- 肥満は,感覚的,身体的,精神的な健康状態を持つ成人の間でより一般的です.
- 医療従事者は,障害のある成人のための体重管理と運動介入を優先する必要があります.
- この集団の特定のニーズと効果的な戦略を理解するために,さらなる研究が必要です.
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