智能障礙者均衡營養健康促進方案之設計與規劃

Design and Formulation of Nutritious & Physical Health Promotion Program for People with Intellectual Disabilities

10.30072/JDR.200606.0004

嚴嘉楓(Chia-Feng Yen)

身體質量指數 ； 智能障礙者 ； 健康促進方案 ； 營養失衡 ； Body mass index ； malnutrition ； people with intellectual disability ； program of health promotion

身心障礙研究季刊

4卷2期（2006 / 06 / 01）

119 - 135

繁體中文

過去文獻中鮮少針對智障者進行營養評估調查，原因除了智障者大多合併許多代謝性疾病，本身容易有先天性的肥胖，或因智障者長期服用藥物之副作用造成肥胖，所以在探討全民營養調查時，往往忽略智障群體的體位調查及營養評估，所以本文整理關於智障者的體位、營養及運動習慣情形等文獻研究；並根據世界衛生組織健康促進之意義，回顧智能障礙健康議題相關文獻，針對智障者的特殊需求設計適當的健康促進介入方案，在內容陳述上將分成（一）智障者健康促進；（二）智障者營養、體位及生活型態現況；（三）健康促進方案設計原則三大部分進行論述。文獻中顯示智障者的確是營養失衡的高危險群，體重不足及肥胖比例較一般人口群高，尤其是女性智障者更為明顯，內文建議藉由場所性的健康促進概念達成「促進智能障礙者營養均衡，使其身體質量指數達到正常的範圍內」之目標，是可行且效益較大的健康促進方式。

The national nutrition survey often neglects the coverage of people with intellectual disabilities (ID). Their nutrition statuses and physical health needs have received limited attention in the medical care system and they are usually at risk for malnutrition or malnourished. This paper explored the studies of nutrition and physical health of people with ID and designed the program of health promotion base on Ottawa Charter for Health Promotion of World Health Organization. The prevention and intervention strategies for people with ID should include effective nutrition education that enables individuals and their carers to adopt healthful dietary practices. This paper included three parts: (ⅰ) health promotion for people with ID, (ⅱ) nutrition, physical health and life styles of people with ID, and (ⅲ) the principle of design the program of promoting nutrition health and normal body mass index. The practical guideline of nutritious and physical health promotion program for people with ID will be discussed in the content.

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