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Disabled Face Bigger Hurdles In Obesity Fight

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By VICKIE BECK

Tribune correspondent

Published: September 5, 2008

Americans are always being counted and categorized by one study or another, so there are plenty of statistics about people with disabilities. Some of the most disturbing have to do with weight.

A survey conducted by the Centers for Disease Control indicates 27.4 percent of adults with disabilities are obese - that's 25.5 percent of men and 29.1 percent of women. All of the numbers in the report are higher than those for people without disabilities. The greatest disparity of all is among people ages 45 to 64; 34.4 percent with disabilities are obese compared to 19.5 percent.

There are plenty of situations that play a part in this predicament. Statistically, the group has a much lower average income, which can affect food choices. They may not have the energy for shopping and cooking, and so may not always make nutritious decisions. Or they may be dependent on others for their food and food preparation.

Medications and the ability to chew or swallow can exacerbate the problem. Depression and other emotional problems may affect interest and motivation. Add in another statistic - people with disabilities are less likely to exercise regularly - and the problem is quite understandable.

In addition to affecting the superficial issue of appearance, obesity can be the beginning of a whole host of problems, including heart disease, high blood pressure, stroke, respiratory distress, diabetes, osteoarthritis, bladder and bowel problems, depression and lowered life expectancy.

The solutions are hard to come by, but mostly they are the same as for the non-disabled population, with a little more intensity. It's critically important to find a way to exercise regularly and eat healthfully (most people know the basics - if not, information on the food pyramid and other healthy guidelines is readily available). It's all about understanding how serious this is and being committed to changing built-in practices and breaking bad habits.

Shop smarter and more economically. Study your favorite grocery store's ads and plan meals around sale items. Look for store specials in every department. If you plan meals, you can shop from a list to avoid impulse buying. And then there's self-advocacy. Ask the store manager for help shopping if it will save energy and help you make better choices. Communicate with your caregiver about participating in healthy-living decisions, including food choices. Find an exercise buddy and a nutrition coach, if possible.

There are too many negative statistics surrounding people with disabilities. Obesity is one we can do something about. It's time to get started.

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