Obesity and overweight in intellectual and non-intellectually disabled children
Corresponding Author
E. Slevin
Institute of Nursing Research, University of Ulster, Belfast, UK
Correspondence: Dr Eamonn Slevin, Institute of Nursing Research, University of Ulster, Jordastown, Newtownabbey, Co Antrim, Belfast BT37 0QB, UK (e-mail: [email protected]).Search for more papers by this authorM. Truesdale-Kennedy
Institute of Nursing Research, University of Ulster, Belfast, UK
Search for more papers by this authorR. McConkey
Institute of Nursing Research, University of Ulster, Belfast, UK
Search for more papers by this authorB. Livingstone
Institute of Nursing Research, University of Ulster, Belfast, UK
Search for more papers by this authorP. Fleming
College of Science, University of Canterbury, Christchurch, New Zealand
Search for more papers by this authorCorresponding Author
E. Slevin
Institute of Nursing Research, University of Ulster, Belfast, UK
Correspondence: Dr Eamonn Slevin, Institute of Nursing Research, University of Ulster, Jordastown, Newtownabbey, Co Antrim, Belfast BT37 0QB, UK (e-mail: [email protected]).Search for more papers by this authorM. Truesdale-Kennedy
Institute of Nursing Research, University of Ulster, Belfast, UK
Search for more papers by this authorR. McConkey
Institute of Nursing Research, University of Ulster, Belfast, UK
Search for more papers by this authorB. Livingstone
Institute of Nursing Research, University of Ulster, Belfast, UK
Search for more papers by this authorP. Fleming
College of Science, University of Canterbury, Christchurch, New Zealand
Search for more papers by this authorAbstract
Background
Few studies have compared overweight and obesity in intellectually disabled (ID) and non-intellectually disabled (N-ID) children. This research compared the prevalence of overweight and obesity between a sample of 218 ID and 229 N-ID school pupils in Northern Ireland (NI). Comparison of the physical activity and dietary behaviour of the two groups of school pupils were also undertaken.
Methods
Each pupil completed (assisted if required) a food intake and physical activity questionnaire. Following this body mass index (BMI) and waist circumference were measured and recorded.
Results
Significantly more ID pupils (72, 33%) were overweight/obese compared with 55 (24%) of the N-ID pupils in accordance with their BMI. ID pupils also had significantly higher waist circumferences. Over a quarter of foods consumed by the pupils were fatty and sugary foods and close to 30% of these foods were eaten by the ID children. Pupils spent most of their time engaging in low levels of activity such as reading, watching TV, on games consoles and listening to music. Pupils with an ID spent fewer hours on moderate and high levels of activities compared with those children with N-ID.
Conclusions
Results of this study found higher levels of overweight and obesity in this sample than in international published research. Additionally significantly higher numbers of ID pupils were overweight and obese indicating the need for future research and public health to focus on this issue.
References
-
Aldridge J., Pullen J. & Whelan C. (2000) A survey of the nutritional status of adults and children using the learning disability services of a health trust. Journal of Intellectual Disabilities 4, 141–152.
10.1177/146900470000400205 Google Scholar
- Allison R., Beales P. L. & Hill J. (2008) The clinical, molecular, and functional genetics of Bardet–Biedl syndrome. In: Genetics of Obesity Syndromes (eds P. L. Beales, S. Farooqi & S. Rahilly), pp. 147–186. Oxford University Press, New York.
- Baker J. L., Olsen L. W. & Sorensen T. I. A. (2007) Childhood body mass index and the risk of coronary heart disease in adulthood. New England Journal of Medicine 357, 2329–2337.
- Bhaumik S. & Michael D. M. (2004) Pharmacotherapy and pharmacovigilance in learning disability. Learning Disability Psychiatry 6, 9–10.
-
Buttriss J. L. (2006) Stark reality – statistics on childhood obesity. Nutrition Bulletin 31, 175–177.
10.1111/j.1467-3010.2006.00569.x Google Scholar
- Chapman M. J., Craven M. J. & Chadwick D. D. (2005) Fighting fit? An evaluation of health practitioner input to improve healthy living and reduce obesity for adults with learning disabilities. Journal of Intellectual Disabilities 9, 131–144.
- Chinn S. & Rona R. J. (2001) Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974–94. British Medical Journal 322, 24–26.
- Cole T. J., Bellizzi M. C., Flegal K. M. & Dietz W. H. (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 320, 1240–1245.
- Eiholzer U. E. A. (2001) Comprehensive team approach to the management of Prader-Willi syndrome. International Prader-Willi Syndrome Organization, Switzerland. Available at: http://www.pwsausa.org/syndrome/pharmacia_brochure_english.pdf (retrieved 1 February 2012).
- Ells L. J., Lang R., Shield J. P. H., Wilkinson J. R., Lidstone J. S. M., Coulton S. et al. (2006) Obesity and disability – a short review. Obesity Reviews 7, 341–345.
- Ells L. J., Shield J. P. H., Lidstone J. S. M., Tregonning D., Whittaker V., Batterham A. et al. (2008) Teesside Schools Health Study: body mass index surveillance in special needs and mainstream school children. Public Health 122, 251–254.
- Emerson E. (2009) Overweight and obesity in 3- and 5-year-old children with and without developmental delay. Public Health 123, 130–133.
- Emerson E. & Baines S. (2010) Health Inequalities & People with Learning Disabilities in the UK . Improving Health and Lives Learning Disability Observatory. Available at: http://www.improvinghealthandlives.org.uk (retrieved 4 June 2012).
- Flodmark C. E., Marcus C. & Britton M. (2006) Interventions to prevent obesity in children and adolescents: a systematic literature review. International Journal of Obesity 30, 579–589.
- Friedman K., Reichman S., Costanzo P. & Musante G. (2002) Body image practically medicates the relationship between obesity and psychological distress. Obesity Research 10, 33–41.
- Ikeda J. P., Crawford P. B. & Woodward-Lopez G. (2006) BMI screening in schools: helpful or harmful. Health Education Research 21, 761–769.
- Janssen I., Graig W. M., Boyce W. F. & Pickett W. (2004) Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics 113, 1187–1194.
- Jinks A., Cotton A. & Rylance R. (2011) Obesity interventions for people with a learning disability: an integrative literature review. Journal of Advanced Nursing 67, 460–471.
- Keating C. L., Moodie M. L. & Swinburn B. A. (2011) The health-related quality of life of overweight and obese adolescents – a study measuring body mass index and adolescent-reported perceptions. International Journal of Pediatric Obesity 6, 434–441.
- de Kuijper G., Hoekstra P., Visser F., Scholte F. A., Penning C. & Evenhuis H. (2010) Use of antipsychotic drugs in individuals with intellectual disability (ID) in the Netherlands: prevalence and reasons for prescription. Journal of Intellectual Disability Research 54, 659–667.
- Lamerz A., Kuepper-Nybelen J., Wehle C., Bruning N., Trost-Brinkhues G., Brenner H. et al. (2005) Social class, parental education, and obesity prevalence in a study of six-year-old children in Germany. International Journal of Obesity 29, 373–380.
- Law M., Petrenchik T., King G. & Hurley P. (2007) Perceived environmental barriers to recreational, community, and school participation for children and youth with physical disabilities. Archives of Physical Medicine and Rehabilitation 88, 1636–1642.
- Lin J. D., Yen C. F., Li C. W. & Wu J. L. (2005) Patterns of obesity among children and adolescents with intellectual disabilities in Taiwan. Journal of Applied Research in Intellectual Disabilities 18, 123–129.
- McCarthy H. D., Ellis S. & Cole T. (2003) Central overweight and obesity in British youth aged 11-16: cross sectional surveys of waist circumference. British Medical Journal 326, 624–626.
- Maiano C. (2011) Prevalence and risk factors of overweight and obesity among children and adolescents with intellectual disabilities obesity reviews. Obesity Reviews 12, 189–197.
- Marks B., Sisarak J. & Heller T. (2010) Health Matters: The Exercise and Nutrition Health Education Curriculum for People with Developmental Disabilities. Paul. H. Brookes Publishing Co, Maryland.
- Marshall D., McConkey R. & Moore G. (2003) Obesity in people with intellectual disabilities, the impact of nurse-led health screenings and health promotion activities. Journal of Advanced Nursing 41, 147–153.
- Matson J. L. & Neal D. (2009) Psychotropic medication use for challenging behaviors in persons with intellectual disabilities: an overview. Research in Developmental Disabilities 30, 572–586.
- Melville C., Hamilton S., Miller S., Boyle S., Robinson N., Pert C. et al. (2009) Carer knowledge and perceptions of healthy lifestyles for adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities 22, 298–306.
- Melville C. A., Cooper S. A., McGrother C., Thorp C. F. & Collacott R. (2005) Obesity in adults with Down's syndrome a case-control study. Journal of Intellectual Disability Research 49, 125–133.
- Neter J. E., Schokker D. F., de Jong E., Renders C. M., Seidell J. C. & Visscher T. L. S. (2011) The prevalence of overweight and obesity and its determinants in children with and without disabilities. Journal of Pediatrics 158, 735–739.
- Norris B. & Wilson J. R. (1995) CHILDATA: The Handbook of Child Measurements and Capabilities. Department of Trade and Industry, London.
- O'Dea J. A. (2005) Prevention of child obesity: ‘First, do not harm’. Health Education Research 20, 259–265.
- Ogden C. L., Flegal K. M., Carroll M. D. & Johnson C. L. (2002) Prevalence and trends in overweight among US children and adolescents, 1999–2000. Journal of American Medical Association 288, 1728–1732.
- Paton C., Flynn A., Shingleton-Smith A., McIntyre S., Bhaumik S., Rasmussen J. et al. (2011) Nature and quality of antipsychotic prescribing practice in UK psychiatry of intellectual disability services. Journal of Intellectual Disability Research 55, 665–674.
- Rimmer J. H., Rowland J. L. & Yamaki K. (2007) Obesity and secondary conditions in adolescents with disabilities: addressing the needs of an underserved population. Journal of Adolescent Health 41, 224–229.
- Rimmer J. H., Yamaki K., Davis Lowry B. M., Wang E. & Voge L. C. (2010) Obesity and obesity-related secondary conditions in adolescents with intellectual/developmental disabilities. Journal of Intellectual Disability Research 54, 787–794.
- Ross R., Berentzen T., Bradshaw A. J., Janssen I., Kahn H. S., Katzmarzyk P. T. et al. (2008) Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference? Obesity Reviews 9, 312–325.
- Rowles B. M. & Findling R. L. (2010) Review of pharmacotherapy options for the treatment of Attention-Deficit/ Hyperactivity Disorder (ADHD) and ADHD-like symptoms in children and adolescents with developmental disorders. Developmental Disabilities Research Reviews 16, 273–282.
- Rukavina P. B. & Li W. (2008) School physical activity interventions: do not forget about obesity bias. Obesity Reviews 9, 67–75.
- Salaun L. & Berthouze-Aranda S. (2011) Obesity in school children with intellectual disabilities in France. Journal of Applied Research in Intellectual Disability 24, 333–340.
- Seifert W., Holder-Espinasse M., Spranger S., Hoeltzenbein M., Rossier E., Dollfus H. et al. (2006) Mutational spectrum of COH1 and clinical heterogeneity in Cohen syndrome. Journal of Medical Genetics 43, 1–6.
- Singh A. N., Matson J. L., Cooper C. L., Dixon D. & Sturmey P. (2005) The use of risperidone among individuals with mental retardation: clinically supported or not? Research in Developmental Disabilities 26, 203–218.
- Singh A. N., Matson J. L., Hill B. D., Pella R. D., Cooper C. L. & Adkins A. D. (2010) The use of clozapine among individuals with intellectual disability: a review. Research in Developmental Disabilities 31, 1135–1141.
- Stewart L., VandeVen L., Katsarou V., Rentziou E., Doran M., Jackson P. et al. (2009) High prevalence of obesity in ambulatory children and adolescents with intellectual disability. Journal of Intellectual Disability Research 53, 882–886.
- Stice E., Shaw H. C. & Nathan M. C. (2006) Meta-analytic review of obesity prevention programs for children and adolescents: the skinny on interventions that work. Psychological Bulletin 132, 667–691.
- Tardieu S., Micallef J., Gentile S. & Blin O. (2003) Weight gain profiles of new anti-psychotics: public health consequences. Obesity Reviews 4, 129–138.
- Van Cleave J. & Davis M. M. (2006) Bullying and peer victimization among children with special health care needs. Pediatrics 118, 1212–1219.
- Wells J. C. K., Coward W. A., Cole T. J. & Davies P. S. W. (2002) The contribution of fat and fat-free tissue to body mass index in contemporary children and the reference child. International Journal of Pediatric Obesity 26, 1323–1328.
- WHO (2008a) School policy framework: implementation of the WHO global strategy on diet, physical activity and health . WHO, Geneva. Available at: http://www.who.int/dietphysicalactivity/SPF-en-2008.pdf (retrieved 14 January 2011).
- WHO (2008b) Waist circumference and waist-hip ratio: report of a WHO expert consultation , Geneva, World Health Organization. Available at: http://whqlibdoc.who.int/publications/2011/9789241501491_eng.pdf (retrieved 14 January 2011).
- Willis L. H., Slentz C. A., Houmard J. A., Johnson J. L., Duscha B. D., Aiken L. B. et al. (2007) Minimal versus umbilical waist circumference measures as indicators of cardiovascular disease risk. Obesity 15, 753–759.
- Yamaki K., Rimmer J. H., Lowry B. D. & Vogel L. C. (2011) Prevalence of obesity-related chronic health conditions in overweight adolescents with disabilities. Research in Developmental Disabilities 32, 280–288.