Characteristics Associated With Bone Mineral Density Screening in Adults With Intellectual Disabilities

Dreyfus, Deborah; Lauer, Emily; Wilkinson, Joanne

doi:10.3122/jabfm.2014.01.130114

Cited by 26 publications

(9 citation statements)

References 33 publications

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“…Those who lived at home were also more likely not to engage in DXA screening; however, this could possibly be because those at home were generally younger. Overall, levels of DXA scans were low, a finding similar to Dreyfus et al () who suggest the need for service provider awareness. Screening recommendations vary considerably, and there are no specific recommendations for people with ID in Ireland.…”

Section: Discussionsupporting

confidence: 77%

An exploration of the bone health of older adults with an intellectual disability in Ireland

Burke

McCallion

Carroll

et al. 2016

J intellect Disabil Res

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Background Many risk factors have been confirmed for poor bone health among the general population including age, gender and corticosteroid use. There is a paucity of investigation among people with intellectual disability; however, research points to differing risks namely anti‐epileptic medication use, Down syndrome and poor behaviour lifestyle. Methods Data was extracted from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing in Ireland. In total, 753 participants took part, and data was gathered on participants' health status, behavioural health, health screenings and activities of daily living. The prevalence of osteoporosis and related risk factors were specifically examined. Results Overall, 8.1% reported a doctor's diagnosis of osteoporosis with over 20% reporting history of fracture. Risk identified included older age (P < 0.0001), female gender (P < 0.0001), difficulty walking (P < 0.0001) with older age and being female the stronger predictors for osteoporosis, odds ratio = 6.53; 95% confidence interval 2.82–15.11 and odds ratio = 4.58; 95% confidence interval 2.29–9.17, respectively. There was no gender difference regarding the level of fractures; however, epilepsy and anti‐epileptic medication were strong predictors. Overall, 11.1% attended for bone screening diagnostics. Conclusion Despite low levels of reported doctor's diagnosis of osteoporosis risk factor prevalence was high. Considering the insidious nature of osteoporosis and the low levels of diagnostic screening, prevalence could be possibly higher.

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Section: Discussionsupporting

confidence: 77%

An exploration of the bone health of older adults with an intellectual disability in Ireland

Burke

McCallion

Carroll

et al. 2016

J intellect Disabil Res

View full text Add to dashboard Cite

show abstract

“…It is clearly shown that low bone mass in DS might emerge in early years and becomes a significant health problem when they become older. Despite the high prevalence of osteoporosis, persons with ID are less likely to receive BMD testing, potentially indicating barriers to screening at individual, organisational and policy levels (Dreyfus et al 2014). While screening for osteoporosis is generally recommended for women over 65 years old (US Preventive Services Task Force 2011), corresponding recommendation for persons with ID is not available because of the insufficient understanding of how BMD changes with age.…”

Section: Introductionmentioning

confidence: 99%

Bone mineral density from early to middle adulthood in persons with Down syndrome

Tang

Luo

Wong

et al. 2019

J intellect Disabil Res

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Background While accelerated ageing is recognised among individuals with Down syndrome (DS), the trajectory of their bone health across adulthood remains poorly understood. Methods This study aimed to determine the age‐related loss of bone mineral density (BMD) of the lumbar spine in 128 adults with DS aged 18 to 54 years compared with 723 counterparts without DS. Results Men and women with DS had lower level of BMD than counterparts without DS across age groups. Magnitude of decrement in BMD as reflected in the z‐scores was similar between younger and older men with DS. Older women with DS, on the contrary, showed greater decrement in older ages especially in their fourth decade of life. Osteopenia and osteoporosis as defined using age‐specific and gender‐specific T‐scores affected greater number of men with DS (38% and 25%) than women (17% and 17%) aged 40–49 years. Conclusions Findings supported adults with DS, especially men, to have early bone mineral testing.

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“…The causes and significance of sterile pyuria are unclear, yet it can confuse patient diagnosis and treatment. In addition, despite higher risks of fractures, Dreyfus et al 15 noted that bone mineral density testing is underused in adults with intellectual disability, especially those men and women with Down syndrome.…”

Section: Research By Family Physicians For Family Physicians Can Imprmentioning

confidence: 99%

Family Physicians are Complex Care Physicians and Quality of Care Advancement Experts

Bowman¹,

Neale²

2014

The Journal of the American Board of Family Medicine

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Sharma and coauthors 1 from the Graham Center present this issue's policy brief and suggest that family physicians should be considered "complex care physicians." The evidence? The majority of patients seeking care for 11 of 14 high-cost chronic conditions are more likely to see a primary care physician rather than the corresponding specialist physician, a fact that often is underappreciated. As we know, caring only for conditions requiring chronic care can be more than a full-time job; this article once again suggests that we do not have enough primary care physicians. At minimum, urgent, prevention, behavior change counseling, and health care coordination needs also must be met by this same workforce. In keeping with this theme of care across the spectrum, Cohen et al 2 show that family physicians are about 2.5 times more likely than obstetriciangynecologists to deal with additional nongynecologic health problems at the time of a preventive gynecologic visit. (Editors' note: but they are likely paid the same, which is unfortunate and inappropriate!) This suggests seeing an obstetrician-gynecologist for preventive gynecologic visits also would increase costs because the patient must then see another provider for the additional problems.

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Characteristics Associated With Bone Mineral Density Screening in Adults With Intellectual Disabilities

Cited by 26 publications

References 33 publications

An exploration of the bone health of older adults with an intellectual disability in Ireland

An exploration of the bone health of older adults with an intellectual disability in Ireland

Bone mineral density from early to middle adulthood in persons with Down syndrome

Family Physicians are Complex Care Physicians and Quality of Care Advancement Experts

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