title: Obesity in disabled children and adolescents: an overlooked group of patients.
abstract: BACKGROUND
  There is an ongoing debate concerning the relationship between disability and obesity in childhood and adolescence.
  
  
  METHODS
  The literature available in Medline was selectively searched for the terms: "(children /OR/ adolescents) /AND/ disability /AND/ (overweight /OR/ obesity)". This search was complemented by inspection of journals in the fields of obesity, pediatrics, and neurology.
  
  
  RESULTS
  A total of 38 relevant articles were identified. All studies agreed that the prevalence of overweight and obesity in children with disabilities was almost twice that in their non-disabled peers. No effective, long-lasting interventions for obesity in disabled children and adolescents have been published.
  
  
  CONCLUSIONS
  Since a high proportion of disabled children and adolescents are overweight or obese, effective strategies for preventing and managing excess weight need to be developed so as not to further endanger their social participation. Moreover, risk factors for overweight in disabled children and adolescents should be identified and their weight status carefully monitored.
authors.affiliation: Institut für Pädiatrische Ernährungsmedizin, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, 5711 Datteln, Germany. T.Reinehr@kinderklinik-datteln.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Reinehr
authors.forename: Michael
authors.initials: M
authors.lastname: Dobe
authors.forename: Katrin
authors.initials: K
authors.lastname: Winkel
authors.forename: Anke
authors.initials: A
authors.lastname: Schaefer
authors.forename: Dieter
authors.initials: D
authors.lastname: Hoffmann
mesh_terms: D000293:Adolescent; D002648:Child; D015897:Comorbidity; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D009765:Obesity / Q000453:epidemiology*; D018570:Risk Assessment; D012307:Risk Factors
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