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The incidence
of obesity among disabled adults is significantly greater than
that of the general population, according to researchers at Beth
Israel Deaconess Medical Center.
"Our
research showed that adults with sensory, physical and mental
health conditions are at increased risk of obesity," said
Dr. Christina Wee of the Division of General Medicine and Primary
Care at Beth Israel and senior author of the study. "We in
the field of public health need to develop strategies to help
these patients in their weight-control efforts."
Researchers
examined data from 145,000 individuals taken from U.S. government
surveys. Of this group, nearly 26,000 had one or more potentially
disabling heath conditions, which were classified into six groups:
blind/low vision, deaf/hard of hearing, lower extremity mobility
difficulty, upper extremity mobility difficulty, hand dexterity
difficulty, and serious mental illness.
The analysis
showed that nearly 25 percent of the people with disabilities
were obese, compared with about 15 percent of the adults without
a disability, according to the report in the Journal of the American
Medical Association.
The highest
risk of obesity was found in the adults with lower limb mobility
difficulties. This same group was also not likely to have received
exercise counseling from their physician, according to Wee.
"This
aspect of our findings was particularly troubling," said
Wee. "Exercise is very important for weight maintenance among
patients with lower mobility disabilities. Without exercise, you're
often left with a 'vicious cycle,' in that inactivity contributes
to obesity, obesity exacerbates disability and disability impedes
a person's ability to exercise."
The authors
concluded that better clinical guidelines are needed to help physicians
promote weight control and exercise among their disabled patients.
Other
sources: Beth Israel Deaconess Medical Center, Journal of the
American Medical Association
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