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首页> 外文期刊>Disability and health journal >Prevalence of physical activity, screen time, and obesity among US children by the service type of special health care needs
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Prevalence of physical activity, screen time, and obesity among US children by the service type of special health care needs

机译：根据特殊医疗需求的服务类型，美国儿童中的体育锻炼，筛查时间和肥胖症的患病率

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Background Children with special health care needs (SHCN) may be at greater risk of obesity than children without SHCN. A new classification system categorizes SHCN among children by service type using the following categories: No-SHCN, medication use only, services use only, medication + service use, and functional limitations. Research is needed to examine obesity and obesity-related behaviors among children using the new classification system. Objective To determine the prevalence of inadequate vigorous physical activity (VPA), high screen time and obesity by SHCN category using the new classification system. Methods Multivariate regression models were fitted for inadequate VPA, high screen time, and obesity to determine if there were differences in these outcomes by SHCN category, adjusting for multistage-sampling and survey-design effects using a nationally representative sample of children in the National Survey of Children's Health 2007. Results 22.9% of the sample was classified as having SHCN: 9% medication use only, 5% medication + service use, 4% service use only, and 5% functional limitations. Children in the medication use only and medication + service use groups were not at increased risk for inadequate VPA, high screen time, or obesity. Children in the service use only and functional limitation groups had increased odds of high screen time and obesity, which disappeared after controlling for confounders. However, the higher odds of inadequate VPA remained significant in the service use only [OR (95% CI) = 2.00 (1.34-3.00)] and the functional limitations groups with 2.21 (1.55-3.15). Conclusions Physical activity promotion programs are needed for children with SHCN, especially children with functional limitations and those who require service use only and do not use prescribed medication.
机译：背景技术有特殊医疗需要（SHCN）的儿童比没有SHCN的儿童有更大的肥胖风险。一个新的分类系统使用以下类别按服务类型对儿童中的SHCN进行分类：不使用SHCN，仅药物使用，仅服务使用，药物+服务使用以及功能限制。需要使用新的分类系统研究儿童肥胖和与肥胖相关的行为。目的采用新的分类系统，通过SHCN分类确定剧烈运动量（VPA），高筛查时间和肥胖的患病率。方法采用多变量回归模型来分析VPA不足，筛查时间长和肥胖症的发生率，以根据SHCN类别确定这些结果是否存在差异，并使用全国代表性的儿童样本进行多阶段抽样和调查设计效果调整儿童健康2007年报告。结果22.9％的样本被分类为具有SHCN：仅9％的药物使用，5％的药物+服务使用，仅4％的服务使用和5％的功能限制。仅使用药物和药物+服务使用组的儿童不会因VPA不足，筛查时间长或肥胖而增加患病风险。服务中的儿童仅使用，功能限制组的高筛查时间和肥胖几率增加，在控制混杂因素后消失。但是，仅在使用服务时[OR（95％CI）= 2.00（1.34-3.00）]，功能限制组为2.21（1.55-3.15），VPA不足的较高几率仍然很明显。结论SHCN患儿，特别是功能受限的患儿，以及仅需使用服务而未使用处方药的儿童，需要进行体育锻炼促进计划。

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