Journal ArticleDOI
Obesity and associated factors in adults with intellectual disability
TLDR
Adults with ID, in general, have a high risk of developing obesity, and women with ID have ahigh risk ofdeveloping morbid obesity.Abstract:
Background
We examined the prevalence of obesity in adults with intellectual disabilities (ID) compared with the general population, and the factors associated with obesity and weight management status, comparing individuals with ID who were overweight or obese to those who were not.
Methods
We analysed baseline data (n = 1450) from the ongoing 4-year Longitudinal Health and Intellectual Disabilities Study (LHIDS) using a multivariate approach. Measures included body mass index (BMI), demographics, level of ID, diagnoses related to ID, health behaviours (i.e. physical activity, dietary habits, smoking, and alcohol consumption), various health parameters (e.g. mobility limitation, medications), and residential type and location.
Results
Compared with the general population, adults (≥18 years) with ID had a higher prevalence of obesity (38.3% vs. 28%) and morbid obesity (7.4% vs. 4.2%). Being female (AOR = 1.40, 95% CI = 1.09–1.81), having Down syndrome (AOR = 2.53, 95% CI = 1.86–3.45), taking medications that cause weight gain (AOR = 1.80, 95% CI = 1.38–2.37), engaging in less moderate physical activity (AOR = 0.89, 95% CI = 0.79–0.99), and drinking greater amounts of soda (AOR = 1.20, 95% CI = 1.02–1.42) were associated with higher rates of obesity.
Conclusion
Adults with ID, in general, have a high risk of developing obesity, and women with ID have a high risk of developing morbid obesity. Health promotion initiatives should target individuals with the greatest risk.read more
Citations
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Journal ArticleDOI
Early death and causes of death of people with intellectual disabilities: A systematic review.
TL;DR: Improved health care, including anticipatory care such as health checks, and initiatives addressing most relevant lifestyle behaviours and health risks are indicated.
Journal ArticleDOI
Growth Charts for Children With Down Syndrome in the United States
Babette S. Zemel,Mary Pipan,Virginia A. Stallings,Waynitra Hall,Kim Schadt,David S. Freedman,Phoebe Thorpe +6 more
TL;DR: The DSGS growth charts can be used as screening tools to assess growth and nutritional status and to provide indications of how growth of an individual child compares with peers of the same age and sex with DS.
Journal Article
Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines.
William F. Sullivan,Heidi Diepstra,John Heng,Shara Ally,Elspeth Bradley,Ian Casson,Brian Hennen,Maureen Kelly,Marika Korossy,Karen McNeil,Dara Abells,Khush Amaria,Kerry Boyd,Meg Gemmill,Elizabeth Grier,Natalie Kennie-Kaulbach,Mackenzie Ketchell,Jessica Ladouceur,Amanda Lepp,Yona Lunsky,Shirley McMillan,Ullanda Niel,Samantha Sacks,Sarah Shea,Katherine Stringer,Kyle Sue,Sandra Witherbee +26 more
TL;DR: The approaches to care outlined here can be applied to other groups of patients that have impairments in cognitive, communicative, or other adaptive functioning and can aid their decision making with patients and caregivers.
Journal ArticleDOI
Low risk of solid tumors in persons with Down syndrome.
TL;DR: The risk of all major groups of solid tumors was decreased, except testicular cancer, and altered screening strategies should be considered for persons with Down syndrome.
Journal ArticleDOI
A scoping review of what is known of the physical health of adults with autism spectrum disorder
TL;DR: From the findings, it can be stated with confidence that people with ASD have a high rate of comorbidity and increased risk for chronic disease.
References
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Journal ArticleDOI
Prevalence and trends in obesity among US adults, 1999-2008.
TL;DR: The increases in the prevalence of obesity previously observed do not appear to be continuing at the same rate over the past 10 years, particularly for women and possibly for men.
Journal ArticleDOI
Prevalence and Trends in Obesity Among US Adults, 1999-2000
TL;DR: The increases in the prevalences of obesity and overweight previously observed continued in 1999-2000, and increases occurred for both men and women in all age groups and for non-Hispanic whites, non- Hispanic blacks, and Mexican Americans.
Journal ArticleDOI
Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010
TL;DR: In 2009-2010, the prevalence of obesity was 35.5% among adult men and 35.8% amongadult women, with no significant change compared with 2003-2008, and trends in BMI were similar to obesity trends.
Journal ArticleDOI
Intake of sugar-sweetened beverages and weight gain: a systematic review
TL;DR: The weight of epidemiologic and experimental evidence indicates that a greater consumption of SSBs is associated with weight gain and obesity, and sufficient evidence exists for public health strategies to discourage consumption of sugary drinks as part of a healthy lifestyle.
Journal ArticleDOI
The impact of confounder selection criteria on effect estimation
Ruth M. Mickey,Sander Greenland +1 more
TL;DR: The results of a Monte Carlo simulation of several confounder selection criteria, including change-in-estimate and collapsibility test criteria, are presented, compared with respect to their impact on inferences regarding the study factor's effect.