Development of Walking and Self-sufficiency Ability Related to Nutrition among People with Down Syndrome

• Autorzy: Éva Brantmüller , Monika Gyuró , Ilona Karácsony
• Języki publikacji: EN

Abstrakty

EN

Development of the walking ability and self-care of patients with Down syndrome is affected by their body weight determining their lifestyle to a great extent. Objectives: The study aimed at the determination of body mass index for persons living in residential institutions and families, exploration its impact on walking and self-care as two, objective factors of life quality. Method: Data collection of persons aged 3-35 with Down syndrome living in families covered seven counties, while those of living in residential institutions covered thirteen counties in Hungary. In the 183 cases studied 76 people in residential institutions, 107 people lived in families. The cross-sectional study was processed by non-random sample selection. The questionnaires were filled out by health visitors and care takers edited by their own. Results: 50.6% of adults and 26.1% of children belonged to the overweight or obese category. Their residence showed a significant correlation with the body mass index (p< 0.001). Overweight and obese persons in families, while thin ones were more prevalent in institutions. Regarding the walking ability and self-care of the persons living in families a significantly higher level of development was achieved (p< 0.001). Walking ability (p = 0.001) and self-care (p = 0,008) were worsened by less body weight significantly, while overweight or obesity influenced it less negatively. Discussion: The claim is not further acceptable whereas persons with Down syndrome are more prone to obesity than average people. However unfavourable weight gain in adults draws attention to the necessity to a healthy diet and regular exercise. The people living in residential institutions with significantly lower body mass index and the associated low development of walking ability and self-care envisages an urgent reform of residential institutions. Life in the institutions negatively affects the walking ability and self-care, and thus significantly reduces the quality of life of persons with Down's syndrome.

Słowa kluczowe

EN

Down syndrome; body mass index; walking and self-care development

• Wydawca: Sciendo
• Czasopismo: Practice and Theory in Systems of Education
• Rocznik: 2015
• Tom: 10
• Numer: 2
• Strony: 165-176

Daty

wydano

2015-05-01

otrzymano

2015-01-02

zaakceptowano

2015-04-21

online

2015-07-29

Twórcy

autor

Éva Brantmüller

• University of Pécs, Pécs, Hungary,

autor

Monika Gyuró

• University of Pécs, Pécs, Hungary

autor

Ilona Karácsony

• University of Pécs, Pécs, Hungary

Bibliografia

• 26/2014. (IV.8.) EMMI rendelete a varandosgondozasrol. Magyar Közlöny, (52), 4937-4942.
• Barlow, S.E. (2007). Expert Committee Recommendations on the Assessment, Prevention, and Treatment of Child and Adolescent Overweight and Obesity.European Journal Pediatric, 120 (4), 164-192.
• Blascovi-Assis, S. (2009). Obesity and Down's Syndrome. Obesity Surgery, 19 (8), 987-987.
• Buday J. (1974). Anthropometrische Untersuchung oligophrener Kinder. Acta paediatrica Academiae Scientiarum Hungaricae, 15 (3-4), 255-274.
• Buday J. (2001). Genotipus es fenotipus: oroklott es kornyezeti tenyezők hatasa Down korosok testalkatara. Gyógypedagógiai Szemle, 29 (4) 247-257.
• Buki Gy., Gallai M., & Paksy L. (2004). A pszichomotoros fejlődés zavarainak felismerése és ellátása az alapellátás gyakorlatában. 2. sz. Módszertani levél.Budapest: Magyar Vedőnők Egyesulete.
• Czeizel E. (2001). A down-kor megelőzhetősegeről. Védőnő, 11 (2) 28-29.
• Falvai R., & Zolnai E. (2007). Fogyatékossággal élő emberek számára nyújtott szolgáltatások. Irányelvek és protokoll tervezete. Szociális és gyermekvédelmi szabályozók. Retrieved from www.hfk.hu/docs/070327/fogy.pdf [30.11.2014].
• Figler M. (2009). Ehezes es elhizas a XXI. szazad kuszoben. LAM Lege Artis Medicinae, 19 (3), 174-176.
• Gollesz, V. (1963). Retardation of somatic development in Down’s disease (mongolism). Acta Morphologica Academiae Scientiarum Hungaricae, (12), 85-102.
• Halmy L. (1999). Az elhizas gyakorlati kerdesei. Hippocrates, 1 (3), 130-134.
• Harjanne Brantmuller E., Nagy I., Pal K., Mate O., Csima M., & Sandor J. (2010).Csaladban gondozott Down-szindromasok onellatasi kepessege.Nővér, 23 (4), 7-15.
• Horvath L. (1990) Az ertelmi fogyatekossag kortana. In Gollesz V. (Ed.), Gyógypedagógiai kórtan (pp. 68-147). Budapest: Tankonyvkiado.
• Hoshi, H., Ashizawa, K., & Ikeda, Y. (1979). Secular trend in growth infants with Down’s syndrome. Human Biology, 51 (3) 289-297.
• Magge, S. N., O’Neill, K. L., Shults, J., Stallings, V. A., & Stettler, N. (2008).
• Leptin Levels among Prepubertal Children with Down Syndrome Compared with Their Siblings. Journal Pediatric, 152 (3), 321-326.
• Magni, P., Ruscica, M., Dozio, E., Roti, E., Licastro, F., Motta1, M., Corsi, M. M. (2004). Free and bound leptin in prepubertal children with Down's syndrome and different degrees of adiposity. European Journal of Clinical Nutrition, 58 (11), 1547-1549.[Crossref]
• Mendonca, G. V., Pereira, F. D., & Fernhall, B. (2010). Reduced exercise capacity in persons with Down syndrome: cause, effect, and management. Therapeutics and Clinical Risk, Management, 6 (6), 601-610.
• Metneki J., Siffel Cs., Szunyogh M., & Sandor J. (2002). Down-kor genetikai epidemiologiai vizsgalata es megelőzese. Epinfó, 9 (33-34), 389-394.
• Orszagos Elelmezes- es Taplalkozastudomanyi Intezet. (2010). Országos Táplálkozás és Táplálási Állapot Vizsgálat 2009. Budapest: OETI. Retrieved from http://www.oeti.hu/?m1id=16&m2id=169 [30.11.2014].
• Pinter A. (2004). Útmutató és táblázatok a gyermekkori tápláltság megítéléséhez. 3. sz. Módszertani levél. Budapest: Magyar Vedőnők Egyesulete.
• Szunyogh M., Horvath-Puho E., & Metneki J. (2006). A Down-kor gyakorisaga a VRONY adatai alapjan. Epinfo, 13 (12), 157-162.
• Weaver, R. F., & Hedrick, P. (2000). Genetika. Budapest: Panem.
• World Health Organization. (1997). WHOQOL study protocol. Retrieved from http://www.who.int/mental_health/media/68.pdf [30.11.2014].
• World Health Organization. (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. (WHO Technical Report Series 894). Retrieved from http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/index.html [30.11.2014].
• World Health Organization (n.d.). Global Database on Body Mass Index. Retrieved from http://apps.who.int/bmi/index.jsp?introPage=intro_3.html [30.11.2014].

Identyfikatory

DOI

10.1515/ptse-2015-0016