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British healthy-weights serviced for disabled children are largely based on inappropriate data

机译：为残疾儿童提供服务的英国健康体重秤主要基于不适当的数据

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In the UK BMI data from the National Childhood Measurement Programme is widely used to plan NHS health-weight services and interventions. Although special school participation is encouraged, technical difficulties and constrained resources mean that special schools are significantly under-represented. The data gathered from the few schools that do participate is not included in national analysis on the grounds that it is unrepresentative.1 It is well attested in the international literature that children (and adults) with disabilities experience significantly higher rates of obesity and these findings have been replicated in two British studies comparing students from special and mainstream education.This vulnerable population has a disproportionately high requirement for NHS healthy-weight services whose development is exclusively informed by data from mainstream schoolchildren. Working with the European Centre for the Environment and Human Health we intend to collect BMI data for every child in Cornish Special Schooling to provide the first British epidemiological survey in this field. The measurements will be augmented by qualitative data from parental focus groups exploring perceptions of obesity, influencing factors and the efficacy of local services. Internationally we feel a greater emphasis needs to be placed on understanding the nature of the relationship between disability and obesity backed up by high-quality, representative data. Our work will provide a unique insight that stands to deliver national benefit as well as informing local policymakers and influencing the agenda for children with disabil-ities. We hope to see more work in this overlooked area in the near-future.
机译：在英国，来自国家儿童评估计划的BMI数据被广泛用于规划NHS健康权重服务和干预措施。尽管鼓励特殊学校的参与，但技术困难和资源有限意味着特殊学校的人数严重不足。从几所参与的学校中收集到的数据由于没有代表性而未包括在国家分析中。1在国际文献中已充分证明，残疾儿童（和成年人）的肥胖率明显更高，这些发现英国的两项研究比较了特殊教育和主流教育的学生，这些研究已经复制了这一弱势人群对NHS健康体重服务的需求过高。其发展完全取决于主流学童的数据。我们打算与欧洲环境与人类健康中心合作，为康沃尔特殊学校中的每个孩子收集BMI数据，以提供该领域的首个英国流行病学调查。家长焦点小组的定性数据将探索肥胖的影响，影响因素和当地服务的有效性，从而增加测量结果。在国际上，我们认为需要更加重视了解高质量和代表性数据支持的残疾与肥胖之间关系的性质。我们的工作将提供独特的见解，既能带来国家利益，又能为地方决策者提供信息并影响残疾儿童的议程。我们希望在不久的将来在这个被忽视的领域中看到更多的工作。

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