PurposeChildren with disabilities are two to three times more likely to become
overweight or obese than typically developing children. Children with spina
bifida (SB) are at particular risk, yet obesity prevalence and weight
management with this population are under-researched. This retrospective
chart review explored how weight is assessed and discussed in a
children’s SB outpatient clinic.MethodHeight/weight data were extracted from records of children aged 2–18
with a diagnosis of SB attending an outpatient clinic at least once between
June 2009–2011. Body mass index was calculated and classified using
Centers for Disease Control and Prevention cut-offs. Notes around weight,
diet and physical/sedentary activities were transcribed verbatim and
analysed using descriptive thematic analysis.ResultsOf 180 eligible patients identified, only 63 records had sufficient data to
calculate BMI; 15 patients were overweight (23.81%) and 11 obese (17.46%).
Weight and physical activity discussions were typically related to function
(e.g. mobility, pain). Diet discussions focused on bowel and bladder
function and dietary challenges.ConclusionsAnthropometrics were infrequently recorded, leaving an incomplete picture of
weight status in children with SB and suggesting that weight is not
prioritised. Bowel/bladder function was highlighted over other benefits of a
healthy body weight, indicating that health promotion opportunities are
being missed.Implications for RehabilitationIt is important to assess, categorise and record anthropometric data
for children and youth with spina bifida as they may be at
particular risk of excess weight.Information around weight categorisation should be discussed openly
and non-judgmentally with children and their families.Health promotion opportunities may be missed by focusing solely on
symptom management or function.Healthcare professionals should emphasise the broad benefits of
healthy eating and physical activity, offering strategies to enable
the child to incorporate healthy lifestyle behaviours appropriate to
their level of ability.
Knowledge of specific factors associated with suicide attempts in young people can help inform and guide suicide prevention efforts in both academic and community settings. Specific to the findings of this study regarding the method of suicide attempt used, for example, limiting access to dangerous substances or large quantities of medications may help prevent or reduce suicide attempts in this population.
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