“…The disease pattern in the whole ID population was similarly in people with DS ( Fig 4 ). Obesity/overweight (25.5%-59.5%) [ 71 , 93 , 94 ], visual impairment including blindness (0.8%-34.9%) [ 94 – 96 ], hearing loss (0.9%-57.4%) [ 88 , 97 – 103 ], middle ear infection (30.0%-93.0%) [ 97 , 99 , 102 , 104 , 105 ], congenital heart defects (unspecified) (14.1%-79.2%) [ 40 , 43 , 47 , 57 , 59 , 76 , 78 , 96 , 97 , 101 , 105 – 112 ], cold or influenza (78.7%) [ 99 ], thyroid disorders (1.0%-39.0%) [ 95 , 97 , 96 , 99 , 105 , 107 , 112 , 113 ], common skin diseases (13.0%-23.4%) [ 96 , 113 ], refractive error (14.4%-29.7%) [ 99 ], and lower respiratory tract infection (11.4%-27.0%)[ 97 , 99 ] were common in people with DS ( Fig 4 ). For hearing and visual impairments, the lower prevalence estimates were found for specific hearing [ 98 , 100 , 102 , 104 ] or visual impairments [ 94 , 96 ], ...…”