title: Obesity and cardiometabolic disease risk factors among US adolescents with disabilities.
abstract: OBJECTIVE
  To generate prevalence estimates of weight status and cardiometabolic disease risk factors among adolescents with and without disabilities.
  
  
  METHODS
  Analysis of the 1999-2010 National Health and Nutrition Examination Survey data was conducted among 12-18 years old with (n = 256) and without disabilities (n = 5020). Mean values of waist circumference, fasting glucose, high-density-lipoprotein cholesterol, triglycerides, systolic and diastolic blood pressure and metabolic syndrome (MetS, ≥ 3 risk factors present) were examined by the following standardized body mass index (BMI) categories for those with and without disabilities; overweight (BMI ≥ 85(th) - < 95(th) percentile for age and sex), obesity (BMI ≥ 95(th) percentile) and severe obesity (BMI ≥35 kg/m(2)). Linear regression models were fit with each cardiometabolic disease risk factor independently as continuous outcomes to show relationships with disability status.
  
  
  RESULTS
  Adolescents with disabilities were significantly more likely to be overweight (49.3%), obese (27.6%) and severely obese (12%) vs their peers without disabilities (33.1%, 17.5% and 3.6%, respectively, P ≤ 0.01 for all). A higher proportion of overweight, obese and severely obese children with disabilities had abnormal SBP, fasting lipids and glucose as well as MetS (18.9% of overweight, 32.3% of obese, 55% of severely obese) vs their peers without disabilities (9.7%, 16.8%, 36.3%, respectively). US adolescents with disabilities are over three times as likely to have MetS (OR = 3.45, 95%CI: 1.08-10.99, P = 0.03) vs their peers with no disabilities.
  
  
  CONCLUSIONS
  Results show that adolescents with disabilities are disproportionately affected by obesity and poor cardiometabolic health vs their peers with no disabilities. Health care professionals should monitor the cardiometabolic health of adolescents with disabilities.
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Sarah E
authors: SE
authors: Messiah
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Denise C
authors: DC
authors: Vidot
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Gabriel
authors: G
authors: Somarriba
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Kanathy
authors: K
authors: Haney
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Semra
authors: S
authors: Aytur
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Ruby A
authors: RA
authors: Natale
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Jeffrey P
authors: JP
authors: Brosco
authors: Sarah E Messiah, Gabriel Somarriba, Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami, Leonard M. Miller School of Medicine, Miami, FL 33101, United States.
authors: Kristopher L
authors: KL
authors: Arheart
keywords: Adolescents; Cardiometabolic; Children; Disability; Disease risk; Obesity