Prevalence of overweight and obesity among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Maïano, Christophe; Hüe, Olivier; Morin, Alexandre J. S.; Moullec, Grégory

doi:10.1111/obr.12408

Cited by 107 publications

(94 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This constitutes a serious health concern given that youth with ID are known to be less physically active than youth with TD (for a review, see Hinckson & Curtis ) and that a large proportion of them are overweight or obese (for a meta‐analysis, see Maïano et al . ). The greater the deficit in FMS, the less physically active these youth will be, and the higher their risk of being overweight/obese.…”

mentioning

confidence: 97%

“…Given that FMS are fundamental to participation in various physical activities or sports (Barnett et al 2016b;Logan et al 2018), these deficits may make youth with ID less willing or less likely to be physically active. This constitutes a serious health concern given that youth with ID are known to be less physically active than youth with TD (for a review, see Hinckson & Curtis 2013) and that a large proportion of them are overweight or obese (for a meta-analysis, see Maïano et al 2016). The greater the deficit in FMS, the less physically active these youth will be, and the higher their risk of being overweight/obese.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Effects of motor skill interventions on fundamental movement skills in children and adolescents with intellectual disabilities: a systematic review

Maïano

April

2019

J intellect Disabil Res

Self Cite

View full text Add to dashboard Cite

Background Children and adolescents with intellectual disabilities (ID) are characterised by deficits in fundamental movement skills (FMS). In youth with typical development, motor skill interventions have been recognised as an efficient means to improve FMS. However, the effects of these interventions among youth with ID have not yet been systematically reviewed. Purpose The purpose of the present systematic review was to summarise the findings from studies pertaining to the effects of motor skill interventions designed to improve FMS in children and adolescents with ID. Method A systematic literature search (without year restriction) was performed in 12 databases. Studies in press or published in English in a peer‐reviewed journal were included if: (1) participants were youth with ID aged 5 to 22; (2) motor skill interventions aimed to improve one or several FMS; and (3) they were experimental, quasi‐experimental or pre‐experimental. The Physiotherapy Evidence Database scale was used to assess the quality of the studies. Results Through the search strategy, 1083 articles were identified, and 14 studies published between 1969 and 2018 met the inclusion criteria. In studies with children, motor skill interventions successfully improved balance skills and overall FMS, whereas mixed and inconclusive results were found for locomotor skills. In studies with adolescents, motor skill interventions were shown to successfully improve balance skills. However, none of the motor skill interventions reviewed focused on locomotor and object control skills. Conclusions The reviewed motor skill interventions were effective in improving balance skills in both children and adolescents with ID as well as overall FMS in children with ID. Conversely, the effects of motor skill interventions targeting locomotor and object control skills remain unclear. Therefore, given the relatively small number of studies and their limitations, the present findings need to be interpreted with caution, and further rigorous studies are necessary.

show abstract

mentioning

confidence: 97%

mentioning

confidence: 99%

Effects of motor skill interventions on fundamental movement skills in children and adolescents with intellectual disabilities: a systematic review

Maïano

April

2019

J intellect Disabil Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Our estimate that 36.4% of adults with ID measured were obese is similar to other UK findings, 101,102 but far exceeds a pooled prevalence estimate of 15% among adolescents with ID from several countries. 103 Although the association between ID and being underweight in adulthood is generally accepted owing to poor feeding and swallowing, 17 we were not aware of any population estimates of its prevalence. Older patients with ID are known to suffer an earlier onset of frailty than the general population, 104 and our higher prevalence of recorded osteoporosis reflects the high prevalence of low bone quality that has been measured among older patients with ID.…”

Section: Disease Prevalencementioning

confidence: 99%

An evaluation of the effectiveness of annual health checks and quality of health care for adults with intellectual disability: an observational study using a primary care database

Carey

Hosking

Harris

et al. 2017

Health Serv Deliv Res

View full text Add to dashboard Cite

Background People with intellectual disability (ID) have poorer health than the general population; however, there is a lack of comprehensive national data describing their health-care needs and utilisation. Annual health checks for adults with ID have been incentivised through primary care since 2009, but only half of those eligible for such a health check receive one. It is unclear what impact health checks have had on important health outcomes, such as emergency hospitalisation. Objectives To evaluate whether or not annual health checks for adults with ID have reduced emergency hospitalisation, and to describe health, health care and mortality for adults with ID. Design A retrospective matched cohort study using primary care data linked to national hospital admissions and mortality data sets. Setting A total of 451 English general practices contributing data to Clinical Practice Research Datalink (CPRD). Participants A total of 21,859 adults with ID compared with 152,846 age-, gender- and practice-matched controls without ID registered during 2009–13. Interventions None. Main outcome measures Emergency hospital admissions. Other outcomes – preventable admissions for ambulatory care sensitive conditions, and mortality. Data sources CPRD, Hospital Episodes Statistics and Office for National Statistics. Results Compared with the general population, adults with ID had higher levels of recorded comorbidity and were more likely to consult in primary care. However, they were less likely to have long doctor consultations, and had lower continuity of care. They had higher mortality rates [hazard ratio (HR) 3.6, 95% confidence interval (CI) 3.3 to 3.9], with 37.0% of deaths classified as being amenable to health-care intervention (HR 5.9, 95% CI 5.1 to 6.8). They were more likely to have emergency hospital admissions [incidence rate ratio (IRR) 2.82, 95% CI 2.66 to 2.98], with 33.7% deemed preventable compared with 17.3% in controls (IRR 5.62, 95% CI 5.14 to 6.13). Health checks for adults with ID had no effect on overall emergency admissions compared with controls (IRR 0.96, 95% CI 0.87 to 1.07), although there was a relative reduction in emergency admissions for ambulatory care-sensitive conditions (IRR 0.82, 95% CI 0.69 to 0.99). Practices with high health check participation also showed a relative fall in preventable emergency admissions for their patients with ID, compared with practices with minimal participation (IRR 0.73, 95% CI 0.57 to 0.95). There were large variations in the health check-related content that was recorded on electronic records. Limitations Patients with milder ID not known to health services were not identified. We could not comment on the quality of health checks. Conclusions Compared with the general population, adults with ID have more chronic diseases and greater primary and secondary care utilisation. With more than one-third of deaths potentially amenable to health-care interventions, improvements in access to, and quality of, health care are required. In primary care, better continuity of care and longer appointment times are important examples that we identified. Although annual health checks can also improve access, not every eligible adult with ID receives one, and health check content varies by practice. Health checks had no impact on overall emergency admissions, but they appeared influential in reducing preventable emergency admissions. Future work No formal cost-effectiveness analysis of annual health checks was performed, but this could be attempted in relation to our estimates of a reduction in preventable emergency admissions. Funding The National Institute for Health Research Health Services and Delivery Research programme.

show abstract

“…These studies suggest elevated rates of obesity among children and adolescents with disabilities relative to the general population. A recent systematic review and meta-analysis documented that adolescents with intellectual disabilities are 1.8 times more at risk for obesity than adolescents without, noting variations as a function of geographical region, recruitment setting, additional diagnoses, and definition of obesity (Maïano, Hue, Morin, & Moullec, 2016). …”

Section: Obesity Among Youth With Intellectual and Developmental Disamentioning

confidence: 99%

Treatment of Obesity Among Youth With Intellectual and Developmental Disabilities: An Emerging Role for Telenursing

et al. 2017

View full text Add to dashboard Cite

Childhood obesity is a serious health issue, associated with medical comorbidity and psychosocial impairment that can persist into adulthood. In the United States, youth with intellectual and developmental disabilities are more likely to be obese than youth without disabilities. A large body of evidence supports the efficacy of family-based treatment of childhood obesity, including diet, physical activity, and behavior modification, but few interventions have been developed and evaluated specifically for this population. We highlight studies on treatment of obesity among youth with intellectual and developmental disabilities, including both residential/educational settings as well as outpatient/hospital settings. All interventions were delivered in-person, and further development of promising approaches and delivery via telenursing may increase access by youth and families. Nursing scientists can assume an important role in overcoming barriers to care for this vulnerable and underserved population.

show abstract

Prevalence of overweight and obesity among children and adolescents with intellectual disabilities: a systematic review and meta‐analysis

Cited by 107 publications

References 55 publications

Effects of motor skill interventions on fundamental movement skills in children and adolescents with intellectual disabilities: a systematic review

Effects of motor skill interventions on fundamental movement skills in children and adolescents with intellectual disabilities: a systematic review

An evaluation of the effectiveness of annual health checks and quality of health care for adults with intellectual disability: an observational study using a primary care database

Treatment of Obesity Among Youth With Intellectual and Developmental Disabilities: An Emerging Role for Telenursing

Contact Info

Product

Resources

About