Abstract: Objective To systematically analyze the methodological features and effects of intervention on overweight and obesity in children and adolescents with intellectual disability, so as to provide reference for health promotion of these children. Method The literatures were searched in WOS, EBSCO and PubMed, and the samples, intervention methods and effects were summarized. Results Totally 11 articles were included, of which 8 were simple exercise intervention, 3 were comprehensive intervention.And the effective intervention was 64%. Intervention with 30—60 min/time, 2—5 times/week, 9—16 weeks received best effect. In addition, there was a lack of analysis of the differences in gender, age and level of barriers. The programme was mainly implemented in schools by professionals such as coaches, so an exploration of special education teachers, parents and other implementation environments was warranted. Moreover, control group setting was lacked and evaluation methods were not uniform. Conclusions Regular and organized exercise participation can significantly improve the overweight and obesity of children and adolescents with intellectual disability. However, the dose-effect relationship between exercise participation and obesity intervention needs to be further studied.

Key words: intellectual disability, exercise intervention, children, adolescents, overweight, obesity

摘要： 目的 系统分析智力障碍儿童青少年超重、肥胖干预的方法学特征和效果, 以期为智力障碍儿童青少年的健康促进提供借鉴和参考。方法 在WOS、EBSCO、PubMed外文数据库检索文献,并对纳入文献的样本、干预手段、效果等信息梳理归纳。结果 最终收录文献11篇,其中,8篇单纯运动干预类;3篇综合性干预类,有效干预64%,30~60 min/次,2~5次/周,9~16周的干预方案效果显著。此外,研究缺少在性别、年龄、障碍程度方面的差异性分析;方案主要由教练等专业人员在学校实施,缺乏特教教师、家长和其他实施环境的探索;缺乏对照组的设置且测评手段尚不统一。结论 规律的、有组织的运动参与对智力障碍儿童青少年超重、肥胖现象的改善效果显著,但不同障碍程度智力障碍儿童青少年运动参与对肥胖干预的剂量与效应关系仍需进一步研究。

关键词: 智力障碍, 运动干预, 儿童, 青少年, 超重, 肥胖