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

机译：为残疾儿童服务的英国健康重量主要基于不适当的数据

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摘要

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，来自全国儿童计量计划的BMI数据被广泛用于计划NHS健康的服务和干预措施。虽然鼓励特殊学校参与，但有限困难和受限的资源意味着特殊学校的人数显着。从少数众多学校收集的数据并不包括在国家分析中，理由是不足的理由。已经在两个英国研究中复制了学生，将学生从特殊和主流的教育进行比较。这一脆弱的人口对NHS健康重量服务有一个不成比例的高要求，其开发专门通过主流学童的数据完全了解。与欧洲环境和人类健康中心合作，我们打算为康沃尔特殊学校教育中的每个孩子收集BMI数据，以提供该领域的第一个英国流行病学调查。从父母焦点小组的定性数据探讨了对肥胖，影响因素和当地服务的疗效的看法来增强测量。在国际上，我们感到更加重视了解通过高质量，代表性数据支持的残疾和肥胖之间的关系的性质。我们的工作将提供独特的洞察力，这些洞察力能够提供国家福利，并向当地的政策制定者通报并影响有拟人的儿童议程。我们希望在近期在这个忽视的地区看到更多的工作。

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  • 来源
    《Public health》 |2014年第5期|共1页
  • 作者

    AllenL.;

  • 作者单位

    Royal Cornwall Hospital Royal Cornwall Hospital Trust Truro Cornwall TR1 3LJ United Kingdom;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
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