目的 系统分析智力障碍儿童青少年超重、肥胖干预的方法学特征和效果, 以期为智力障碍儿童青少年的健康促进提供借鉴和参考。方法 在WOS、EBSCO、PubMed外文数据库检索文献,并对纳入文献的样本、干预手段、效果等信息梳理归纳。结果 最终收录文献11篇,其中,8篇单纯运动干预类;3篇综合性干预类,有效干预64%,30~60 min/次,2~5次/周,9~16周的干预方案效果显著。此外,研究缺少在性别、年龄、障碍程度方面的差异性分析;方案主要由教练等专业人员在学校实施,缺乏特教教师、家长和其他实施环境的探索;缺乏对照组的设置且测评手段尚不统一。结论 规律的、有组织的运动参与对智力障碍儿童青少年超重、肥胖现象的改善效果显著,但不同障碍程度智力障碍儿童青少年运动参与对肥胖干预的剂量与效应关系仍需进一步研究。
Abstract
Objective To systematically analyze the methodological features and effects of intervention on overweight and obesity in children and adolescents with intellectual disability, so as to provide reference for health promotion of these children. Method The literatures were searched in WOS, EBSCO and PubMed, and the samples, intervention methods and effects were summarized. Results Totally 11 articles were included, of which 8 were simple exercise intervention, 3 were comprehensive intervention.And the effective intervention was 64%. Intervention with 30—60 min/time, 2—5 times/week, 9—16 weeks received best effect. In addition, there was a lack of analysis of the differences in gender, age and level of barriers. The programme was mainly implemented in schools by professionals such as coaches, so an exploration of special education teachers, parents and other implementation environments was warranted. Moreover, control group setting was lacked and evaluation methods were not uniform. Conclusions Regular and organized exercise participation can significantly improve the overweight and obesity of children and adolescents with intellectual disability. However, the dose-effect relationship between exercise participation and obesity intervention needs to be further studied.
关键词
智力障碍 /
运动干预 /
儿童 /
青少年 /
超重 /
肥胖
Key words
intellectual disability /
exercise intervention /
children /
adolescents /
overweight /
obesity
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 冬雪.美国智力障碍定义的演变及其启示[J].中国特殊教育,2011,18(5):34-39.
[2] Westendorp M, Houwen S, Hartman E, et al. Are gross motor skills and sports participation related in children with intellectual disabilities? [J]. Res Dev Disabil,2011, 32(3): 1147-1153.
[3] Wang J, Gao Y, Kwok HHM, et al. Children with intellectual disability are vulnerable to overweight and obesity: a cross-sectional study among Chinese children[J]. Childhood Obesity, 2018, 14(5): 316-326.
[4] Hinckson EA, Dickinson A, Water T, et al. Physical activity, dietary habits and overall health in overweight and obese children and youth with intellectual disability or autism[J]. Res Dev Disabil, 2013, 34(4): 1170-1178.
[5] 刘洋,卢雁,刘强,等.北京市智力障碍儿童青少年超重与肥胖现状调查[J].中国公共卫生,2018,34(7):1017-1020.
[6] Casey AF, Rasmussen R. Reduction measures and percent body fat in individuals with intellectual disabilities: a scoping review[J]. Disabil Health J, 2013, 6(1): 2-7.
[7] Einarsson IT, Jóhannsson E, Daly D, et al. Physical activity during school and after school among youth with and without intellectual disability[J]. Res Dev Disabili, 2016, 56: 60-70.
[8] 孙长良,何敏学,解超.体育活动对肥胖学龄儿童身体成分影响的meta分析[J].西安体育学院学报,2018,35(5):599-605.
[9] Maiano C, Normand CL, Aime A, et al. Lifestyle interventions targeting changes in body weight and composition among youth with an intellectual disability: a systematic review[J]. Res Dev Disabil, 2014, 35(8):1914-1926.
[10] Harris L, Melville C, Murray H, et al. The effects of multi-component weight management interventions on weight loss in adults with intellectual disabilities and obesity: a systematic review and meta-analysis of randomised controlled trials[J]. Res Dev Disabil, 2018, 72: 42-45.
[11] Conrad E, Knowlden AP. A systematic review of obesity interventions targeting anthropometric changes in youth with intellectual disabilities[J]. J Intell Disabil, 2020, 24(3): 398-417.
[12] Doherty AJ, Jones SP, Chauhan U, et al. An integrative review of multicomponent weight management interventions for adults with intellectual disabilities[J]. J Appl Res Intellect, 2018, 31: 39-51.
[13] Spanos D, Melville CA, Hankey CR. Weight management interventions in adults with intellectual disabilities and obesity: a systematic review of the evidence[J]. Nutr J, 2013, 12(1): 132.
[14] Casey AF, Rasmussen R, Mackenzie SJ, et al. Dual-energy X-ray absorptiometry to measure the influence of a 16-week community-based swim training program on body fat in children and adolescents with intellectual disabilities[J]. Arch Phys Med Rehabil, 2010, 91(7): 1064-1069.
[15] Davis K, Zhang GL, Hodson P. Promoting health-related fitness for elementary students with intellectual disabilities through a specifically designed activity program[J]. J Policy Pract Intell, 2011, 8(2):77-84.
[16] Grolla E, Andrighetto G, Parmigiani P, et al. Specific treatment of Prader-Willi syndrome through cyclical rehabilitation programmes[J]. Disabil Rehabil, 2011, 33(19-20): 1837-1847.
[17] Elmahgoub SS, Calders P, Lambers S, et al. The effect of combined exercise training in adolescents who are overweight or obese with intellectual disability: the role of training frequency[J]. J Strength Cond Res, 2011, 25(8): 2274-2282.
[18] Stanish HI, Temple VA. Efficacy of a peer-guided exercise programme for adolescents with intellectual disability[J]. J Appl Res Intellect, 2012, 25(4): 319-328.
[19] Baran F, Aktop A, Ozer D, et al. The effects of a special olympics unified sports soccer training program on anthropometry, physical fitness and skilled performance in Special Olympics soccer athletes and non-disabled partners[J]. Res Dev Disabil, 2013, 34(1): 695-709.
[20] Boer PH, Meeus M, Terblanche E, et al. The influence of sprint interval training on body composition, physical and metabolic fitness in adolescents and young adults with intellectual disability: a randomized controlled trial[J]. Clin Rehabil, 2014, 28(3): 221-231.
[21] Haney K, Messiah SE, Arheart KL, et al. Park-based afterschool program to improve cardiovascular health and physical fitness in children with disabilities[J].Disabil Health J, 2014, 7(3): 335-342.
[22] Wu WL, Yang YF, Chu IH, et al. Effectiveness of a cross-circuit exercise training program in improving the fitness of overweight or obese adolescents with intellectual disability enrolled in special education schools[J]. Res Dev Disabil, 2017, 60: 83-95.
[23] Kong Z, Sze TM, Yu JJ, et al. Tai Chi as an alternative exercise to improve physical fitness for children and adolescents with intellectual disability[J]. Int J Env Res Public Health, 2019, 16(7): 1152.
[24] An J, DuBose KD, Decker JT, et al. A school-based mentoring program developing healthy behaviors of adolescents with intellectual and developmental disabilities: A pilot feasibility study[J]. Disabil Health J, 2019, 12(4): 727-731.
[25] Sadowsky M, McConkey R, Shellard A. Obesity in youth and adults with intellectual disability in Europe and Eurasia[J]. J Appl Res Intellect, 2020, 33(2): 321-326.
[26] 王丹丹,张磊,吴雪萍.国外智力障碍者身体活动水平研究进展与启示[J].上海体育学院学报,2019,43(1):103-112.
[27] Jakicic JM, Otto AD. Physical activity considerations for the treatment and prevention of obesity[J]. Am J Clin Nutr, 2005, 82(1): 226-229.
[28] Sundahl L, Zetterberg M, Wester A, et al. Physical activity levels among adolescent and young adult women and men with and without intellectual disability[J]. J Appl Res Intellect, 2016, 29(1): 93-98.
[29] WHO. Global strategy on diet, physical activity and health[J]. Scand J Nutr, 2009, 48(2): 292-302.
[30] Tamar H, Jeffrey AM, Charles D, et al. Physical activity and nutrition health promotion interventions: what is working for people with intellectual disabilities? [J]. Intellect Dev Disabil, 2011, 49(1): 26-36.
[31] Must A, Curtin C, Hubbard K, et al. Obesity prevention for children with developmental disabilities[J]. Curr Obes Rep, 2014, 3(2): 156-170.
[32] 刘洋,陶玉流,徐建华.融合体育教育:“残健融合”的当代残疾人体育教育发展理念[J].山东体育学院学报,2012,28(2):96-102.
[33] 桑国强.国内、外特殊体育教师研究现状述评及展望[J].中国体育科技,2015,51(6):44-54.
[34] 刘洋,张邦翔.体育教育专业学生融合体育教育自我效能的研究[J].北京体育大学学报,2015,38(10):109-113,119.
[35] Wang Y, Cai L, Wu Y, et al. What childhood obesity prevention programmes work? A systematic review and meta-analysis[J]. Obes Rev, 2015, 16(7): 547-565.
[36] 王丹丹,吴雪萍.ICF在社区智力障碍者体质健康促进中的应用研究[J].西安体育学院学报,2016,33(2):172-178,185.
[37] Must A, Jacques PF,Dallal GE, et al. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935[J]. New Engl J Med, 1992, 327(19): 1350-1355.
[38] Pietrobelli A, Faith MS, Allison DB, et al. Body mass index as a measure of adiposity among children and adolescents: a validation study[J]. J Pediatr, 1998, 132(2): 204-210.
基金
国家社会科学基金重点项目(18ATY004)
PDF(566 KB)
