Overweight and obesity in older people with intellectual disability

Winter, C.F. de; Bastiaanse, Luc P.; Hilgenkamp, Thessa; Evenhuis, Heleen M.; Echteld, Michael A.

doi:10.1016/j.ridd.2011.09.022

Cited by 164 publications

(163 citation statements)

References 26 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…Four of these articles 90,[102][103][104] reported findings from the same study and a further two articles 109,125 reported findings from the same study, leaving 58 studies (see Table 3) remaining for the final systematic review and meta-analysis.…”

Section: Study Selectionmentioning

confidence: 99%

Screening for glucose intolerance and development of a lifestyle education programme for prevention of type 2 diabetes in a population with intellectual disabilities: the STOP Diabetes research project

Dunkley

Tyrer

Spong

et al. 2017

Programme Grants Appl Res

View full text Add to dashboard Cite

BackgroundThe prevalence of type 2 diabetes mellitus (T2DM) and of cardiovascular disease (CVD) is believed to be higher among people with intellectual disability (ID) than in the general population. However, research on prevalence and prevention in this population is limited.ObjectivesThe objectives of this programme of work were to establish a programme of research that would significantly enhance the knowledge and understanding of impaired glucose regulation (IGR) and T2DM in people with ID; to test strategies for the early identification of IGR and T2DM in people with ID; and to develop a lifestyle education programme and educator training protocol to promote behaviour change in a population with ID and IGR (or at a high risk of T2DM/CVD).SettingLeicestershire, UK.ParticipantsAdults with ID were recruited from community settings, including residential homes and family homes. Adults with mild to moderate ID who had an elevated body mass index (BMI) of ≥ 25 kg/m2and/or IGR were invited to take part in the education programme.Main outcome measuresThe primary outcome of the screening programme was the prevalence of screen-detected T2DM and IGR. The uptake, feasibility and acceptability of the intervention were assessed.Data sourcesParticipants were recruited from general practices, specialist ID services and clinics, and through direct contact.ResultsA total of 930 people with ID were recruited to the screening programme: 58% were male, 80% were white and 68% were overweight or obese. The mean age of participants was 43.3 years (standard deviation 14.2 years). Bloods were obtained for 675 participants (73%). The prevalence of previously undiagnosed T2DM was 1.3% [95% confidence interval (CI) 0.5% to 2%] and of IGR was 5% (95% CI 4% to 7%). Abnormal IGR was more common in those of non-white ethnicity; those with a first-degree family history of diabetes; those with increasing weight, waist circumference, BMI, diastolic blood pressure or triglycerides; and those with lower high-density lipoprotein cholesterol. We developed a lifestyle educational programme for people with ID, informed by findings from qualitative stakeholder interviews (health-care professionals,n = 14; people with ID,n = 7) and evidence reviews. Subsequently, 11 people with ID (and carers) participated in pilot education sessions (two groups) and five people attended education for the feasibility stage (one group). We found that it was feasible to collect primary outcome measures on physical activity and sedentary behaviour using wrist-worn accelerometers. We found that the programme was relatively costly, meaning that large changes in activity or diet (or a reduction in programme costs) would be necessary for the programme to be cost-effective. We also developed a quality development process for assessing intervention fidelity.LimitationsWe were able to screen only around 30% of the population and involved only a small number in the piloting and feasibility work.ConclusionsThe results from this programme of work have significantly enhanced the existing knowledge and understanding of T2DM and IGR in people with ID. We have developed a lifestyle education programme and educator training protocol to promote behaviour change in this population.Future workFurther work is needed to evaluate the STOP Diabetes intervention to identify cost-effective strategies for its implementation.Trial registrationClinicalTrials.gov NCT02513277.FundingThe National Institute for Health Research Programme Grants for Applied Research programme and will be published in full inHealth Research Programme Grants for Applied Research; Vol. 5, No. 11. See the NIHR Journals Library website for further project information.

show abstract

Section: Study Selectionmentioning

confidence: 99%

Screening for glucose intolerance and development of a lifestyle education programme for prevention of type 2 diabetes in a population with intellectual disabilities: the STOP Diabetes research project

Dunkley

Tyrer

Spong

et al. 2017

Programme Grants Appl Res

View full text Add to dashboard Cite

show abstract

“…Possible explanations for the high prevalence of overweight and obesity in these patients are usually eating unhealthy food and using antipsychotic drugs. 25 The NHANES III study found a significant relationship between obesity and periodontal disease using a combination of deep pockets and attachment loss as criteria of periodontal disease. 26 In the present study, the significant positive correlations between BMI and periodontal disease criteria like PD and CAL, may suggest that high BMI scores may be a contributing factor for periodontal disease susceptibility in these patients.…”

Section: Discussionmentioning

confidence: 99%

“…1 According to AAMD, MR classified into four categories in relation to intelligence quotient (IQ): Mild (IQ score 50-55 to 70), moderate (IQ score 35-40 to 50), severe (IQ score 20-25 to 35) and profound (IQ score below [20][21][22][23][24][25]. 1 The disabled subjects comprise a considerable amount of the community and it is estimated that there are about 500 million people having disabilities worldwide.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Handicap Severity on Oral and Periodontal Status of Patients with Mental Retardation

Özgül

Dursun

Özgül

et al. 2014

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

Aim Mental retardation (MR) subjects comprise a considerable amount of the community and are susceptible to oral and periodontal problems due to insufficient oral care. The aim of this cross-sectional study was to determine the oral health and periodontal status of MR patients in Turkey with regard to periodontal indices and Decay missed filling teeth (DMFT) scores and compare findings according to severity of the MR. Materials and methods One hundred and five MR patients were included to the study and divided into 3 groups according to MR severity diagnoses. Demographic variables like age, gender, disabled sibling, BMI, living an institution and clinical parameters like plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), missing teeth and DMFT scores were recorded from all subjects. Appropriate statistical analyses were used to compare the findings. Results There were no statistically significant differences between groups according to age, gender, disabled sibling, living status and DMFT scores. Clinical periodontal indices and the number of missing teeth were showed a statistically significant increasing trend with the severity of MR (p < 0.05). Correlation analysis showed significant positive correlations between PI and periodontal disease measures like GI, PD, CAL and BOP and also between PI and DMFT (p < 0.05). Conclusion The deteriorated teeth condition and deprived periodontal health of MR patients may be most likely caused by the poor oral hygiene and may be worsen with the severity of the MR. Clinical significance Knowledge of oral and periodontal status of mental retardation patients has great importance for public health and family education. How to cite this article Ozgul O, Dursun E, Ozgul BM, Kartal Y, Coskunses FM, Kocyigit ID, Tözüm TF. The Impact of Handicap Severity on Oral and Periodontal Status of Patients with Mental Retardation. J Contemp Dent Pract 2014;15(2):218-222.

show abstract

“…Many develop somatic diseases such as cardiovascular disease, type-2 diabetes, chronic obstructive pulmonary disease or cancer at a much earlier age than the general population [5,[8][9][10]. Additionally, it is challenging to determine the positive and adverse effects of a medical treatment particularly in persons with intellectual disability.…”

Section: Introductionmentioning

confidence: 99%

Improving Safety in the Medicines Use Process for Disabled Persons in Residential Facilities. Results from a Pilot Study

Thomsen¹

2014

J Clinic Toxicol

View full text Add to dashboard Cite

show abstract

Overweight and obesity in older people with intellectual disability

Cited by 164 publications

References 26 publications

Screening for glucose intolerance and development of a lifestyle education programme for prevention of type 2 diabetes in a population with intellectual disabilities: the STOP Diabetes research project

Screening for glucose intolerance and development of a lifestyle education programme for prevention of type 2 diabetes in a population with intellectual disabilities: the STOP Diabetes research project

The Impact of Handicap Severity on Oral and Periodontal Status of Patients with Mental Retardation

Improving Safety in the Medicines Use Process for Disabled Persons in Residential Facilities. Results from a Pilot Study

Contact Info

Product

Resources

About