HHS Public Access Author manuscript Author Manuscript
Disabil Health J. Author manuscript; available in PMC 2017 July 01. Published in final edited form as: Disabil Health J. 2016 July ; 9(3): 392–398. doi:10.1016/j.dhjo.2015.12.003.
Intellectual disability is associated with increased risk for obesity in a nationally representative sample of U.S. children Mary Segal, PhD, Center for Bioethics, Urban Health and Policy, Temple University School of Medicine, 3440 N Broad Street, #200, Philadelphia PA 19140
Author Manuscript
Misha Eliasziw, PhD, Tufts University School of Medicine, Dept. of Public Health and Community Medicine, 136 Harrison Ave., Boston, MA 02111 Sarah Phillips, MS, MPH, Tufts University School of Medicine, Dept. of Public Health and Community Medicine, 136 Harrison Ave., Boston, MA 02111 Linda Bandini, PhD, E.K. Shriver Center, UMass Medical School, Dept. of Family Medicine & Community Health, 465 Medford Street, Suite 500, Charlestown, MA 02129
Author Manuscript
Carol Curtin, MSW, E.K. Shriver Center, UMass Medical School, Dept. of Family Medicine & Community Health, 465 Medford Street, Suite 500, Charlestown, MA 02129 Tanja Kral, PhD, University of Pennsylvania, School of Nursing and Perelman School of Medicine, Department of Biobehavioral Health Sciences, Philadelphia, PA 19104-4217 Nancy E. Sherwood, PhD, Health Partners Institute for Education and Research, 8170 33rd Ave. S. Mail Stop 23301A, PO Box 1524, Bloomington, MN, 55440-1524 Lin Sikich, MD, Department of Psychiatry, UNC Chapel Hill, 101 Manning Drive, Chapel Hill, NC 27599 Heidi Stanish, PhD, and
Author Manuscript
Correspondence to: Mary Segal, [email protected]. Disclosures The authors do not have any relevant conflicts of interest to disclose. A similar analysis was presented in poster format at the 2014 annual meeting of The Obesity Society (TOS). The Secondary Data Analysis Core of the Healthy Weight Research Network for Children with Autism Spectrum Disorder and Developmental Disabilities (HWRN) (1 UA3MC25735-01-00) conducted this research as part of our larger research agenda on obesity and its correlates in this population. We thank the other members of the HWRN for their participation in the Network’s efforts. Funding was also provided to the last author from NIHDK046200 and to the first author from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, grant R03HD076588. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Segal et al.
Page 2
Author Manuscript
Department of Exercise and Health Sciences, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA 02125 Aviva Must, PhD Tufts University School of Medicine, Dept. of Public Health and Community Medicine, 136 Harrison Ave., Boston, MA 02111 Mary Segal: [email protected]; Misha Eliasziw: [email protected]; Sarah Phillips: [email protected]; Linda Bandini: [email protected]; Carol Curtin: [email protected]; Tanja Kral: [email protected]; Nancy E. Sherwood: [email protected]; Lin Sikich: [email protected]; Heidi Stanish: [email protected]; Aviva Must: [email protected]
Abstract Background—Data on obesity prevalence in children with intellectual disability (ID) are scarce.
Author Manuscript
Objective—We estimated rates of obesity among children aged 10–17 years with and without ID in a nationally representative dataset that included measures of child weight and ID status, as well as family meal frequency, physical activity, and sedentary behavior. Methods—Chi-square tests compared prevalence of obesity, demographic and behavioral characteristics between children with and without ID as reported in the 2011 National Survey of Children’s Health. Tests for interaction in logistic regression models determined whether associations between obesity and behavioral characteristics were different between children with/ without ID.
Author Manuscript
Results—Obesity prevalence for children with ID was 28.9% and 15.5% for children without ID. After adjusting for age, sex, race/ethnicity and poverty level, the odds ratio was significantly 1.89 times greater among children with ID than among those without ID (95% CI: 1.14 to 3.12). Among children with ID, 49.8% ate at least one meal with family members every day compared to 35.0% without ID (p< 0.002), and 49.5% with ID participated in frequent physical activity compared to 62.9% (p
Disabil Health J. Author manuscript; available in PMC 2017 July 01. Published in final edited form as: Disabil Health J. 2016 July ; 9(3): 392–398. doi:10.1016/j.dhjo.2015.12.003.
Intellectual disability is associated with increased risk for obesity in a nationally representative sample of U.S. children Mary Segal, PhD, Center for Bioethics, Urban Health and Policy, Temple University School of Medicine, 3440 N Broad Street, #200, Philadelphia PA 19140
Author Manuscript
Misha Eliasziw, PhD, Tufts University School of Medicine, Dept. of Public Health and Community Medicine, 136 Harrison Ave., Boston, MA 02111 Sarah Phillips, MS, MPH, Tufts University School of Medicine, Dept. of Public Health and Community Medicine, 136 Harrison Ave., Boston, MA 02111 Linda Bandini, PhD, E.K. Shriver Center, UMass Medical School, Dept. of Family Medicine & Community Health, 465 Medford Street, Suite 500, Charlestown, MA 02129
Author Manuscript
Carol Curtin, MSW, E.K. Shriver Center, UMass Medical School, Dept. of Family Medicine & Community Health, 465 Medford Street, Suite 500, Charlestown, MA 02129 Tanja Kral, PhD, University of Pennsylvania, School of Nursing and Perelman School of Medicine, Department of Biobehavioral Health Sciences, Philadelphia, PA 19104-4217 Nancy E. Sherwood, PhD, Health Partners Institute for Education and Research, 8170 33rd Ave. S. Mail Stop 23301A, PO Box 1524, Bloomington, MN, 55440-1524 Lin Sikich, MD, Department of Psychiatry, UNC Chapel Hill, 101 Manning Drive, Chapel Hill, NC 27599 Heidi Stanish, PhD, and
Author Manuscript
Correspondence to: Mary Segal, [email protected]. Disclosures The authors do not have any relevant conflicts of interest to disclose. A similar analysis was presented in poster format at the 2014 annual meeting of The Obesity Society (TOS). The Secondary Data Analysis Core of the Healthy Weight Research Network for Children with Autism Spectrum Disorder and Developmental Disabilities (HWRN) (1 UA3MC25735-01-00) conducted this research as part of our larger research agenda on obesity and its correlates in this population. We thank the other members of the HWRN for their participation in the Network’s efforts. Funding was also provided to the last author from NIHDK046200 and to the first author from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, grant R03HD076588. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Segal et al.
Page 2
Author Manuscript
Department of Exercise and Health Sciences, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA 02125 Aviva Must, PhD Tufts University School of Medicine, Dept. of Public Health and Community Medicine, 136 Harrison Ave., Boston, MA 02111 Mary Segal: [email protected]; Misha Eliasziw: [email protected]; Sarah Phillips: [email protected]; Linda Bandini: [email protected]; Carol Curtin: [email protected]; Tanja Kral: [email protected]; Nancy E. Sherwood: [email protected]; Lin Sikich: [email protected]; Heidi Stanish: [email protected]; Aviva Must: [email protected]
Abstract Background—Data on obesity prevalence in children with intellectual disability (ID) are scarce.
Author Manuscript
Objective—We estimated rates of obesity among children aged 10–17 years with and without ID in a nationally representative dataset that included measures of child weight and ID status, as well as family meal frequency, physical activity, and sedentary behavior. Methods—Chi-square tests compared prevalence of obesity, demographic and behavioral characteristics between children with and without ID as reported in the 2011 National Survey of Children’s Health. Tests for interaction in logistic regression models determined whether associations between obesity and behavioral characteristics were different between children with/ without ID.
Author Manuscript
Results—Obesity prevalence for children with ID was 28.9% and 15.5% for children without ID. After adjusting for age, sex, race/ethnicity and poverty level, the odds ratio was significantly 1.89 times greater among children with ID than among those without ID (95% CI: 1.14 to 3.12). Among children with ID, 49.8% ate at least one meal with family members every day compared to 35.0% without ID (p< 0.002), and 49.5% with ID participated in frequent physical activity compared to 62.9% (p
