Screening for cardiovascular disease risk factors at baseline and post intervention among adults with intellectual disabilities in an urbanised <scp>A</scp>sian society

Wee, Liang En; Koh, Gerald; Au-Yong, Linda; Cheong, Angela; Myo, Thant Thant; Lin, Junyang; Lim, Esther; Tan, Serene X.Y.; Sundaramurthy, Sridevi; Koh, Chu Wen; Ramakrishnan, Prabha; Aariyapillai-Rajagopal, Reena; Vaidynathan-Selvamuthu, H.; Mama, Khanya

doi:10.1111/jir.12006

Cited by 10 publications

(11 citation statements)

References 31 publications

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“…Despite finding a lower rate of type 2 diabetes, the high levels of overweight and obesity we found (a combined 68%) were broadly the same as those reported by the HA‐ID study (~64%) and Wee et al (~65%), (de Winter et al , Wee et al ). The proportion of participants who were immobile and/or wheelchair bound across all three studies was also very similar [10%, our study; 9% (Wee et al ); 11% (de Winter et al )].…”

Section: Discussionsupporting

confidence: 89%

“…This is substantially higher than the prevalence (1.3%) that we identified, but may reflect the relatively older age of the HA‐ID cohort (age ≥ 50 years, mean 61) in comparison to our study (≥18 years, mean 43). A smaller study ( n = 227) conducted in Singapore (Wee et al ), which explored health screening for people with ID and cardiovascular risks factors, found an overall prevalence of type 2 diabetes of 10.6% but only 3.1% for new screen‐detected cases (based on fasting blood glucose). Similarly, the population was older than for our study (age ≥ 40 years, median 46).…”

Section: Discussionmentioning

confidence: 99%

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Type 2 diabetes and glucose intolerance in a population with intellectual disabilities: the STOP diabetes cross‐sectional screening study

Dunkley

Tyrer

Gray

et al. 2017

J intellect Disabil Res

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Type 2 diabetes and glucose intolerance in a population with intellectual disabilities: the STOP diabetes cross‐sectional screening study

Dunkley

Tyrer

Gray

et al. 2017

J intellect Disabil Res

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“…Increased risk of obesity among people with intellectual disabilities is associated with female gender, Down’s syndrome, less severe intellectual disability, living in less restrictive care environments and living in more deprived neighbourhoods [ 17 , 18 , 20 , 21 , 27 , 29 , 30 ]. Over 80% of adults with intellectual disabilities engage in levels of physical activity below the minimum recommended level [ 16 - 18 , 28 , 31 , 32 ], with people with more severe intellectual disabilities and people living in more restrictive care environments being at increased risk of inactivity [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Obesity and health behaviours of British adults with self-reported intellectual impairments: cross sectional survey

et al. 2014

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BackgroundPeople with intellectual disability have significantly higher age-adjusted rates of mortality and morbidity (including obesity) than their non-disabled peers. They are also significantly less likely to be physically active.MethodsSecondary analysis of de-identified cross-sectional data from the first two waves of Understanding Society, a new longitudinal study focusing on the life experiences of UK citizens. Interviews were undertaken with 50,994 individuals aged 16 and over in Wave 1 and 54,585 in Wave 2. Of these, 520 participants age 16–49 (1.8% of the unweighted age-restricted sample) were identified at either Wave 1 or Wave 2 as having self-reported intellectual impairments.ResultsBritish adults with self-reported intellectual impairments have higher rates of obesity, inactivity, tobacco and alcohol use and poorer nutrition than their non-disabled peers. Adjusting risk estimates for between group differences in age, gender and exposure to material hardship indicated that a significant proportion of their increased risk of obesity, tobacco use and poorer nutrition may be attributable to their poorer living conditions (rather than their self-reported intellectual impairments per se).ConclusionsPeople with intellectual disabilities should begin to be regarded as a ‘vulnerable’ group in the context of public health policy and practice.

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“…7) In a study conducted in Singapore, the prevalences of obesity, hypertension, and dyslipidemia were found to be higher in people with ID than in the general age-equivalent population. 8) A study conducted in Taiwan had similar findings of higher prevalence of hypertension and dyslipidemia in adolescents with ID. 9) …”

Section: Introductionmentioning

confidence: 71%

General Practitioners' Perceptions on Clinical Management and Training Needs regarding the Healthcare of Community-Dwelling People with Intellectual Disability: A Preliminary Survey in Singapore

2017

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BackgroundStudies worldwide indicate that people with intellectual disability have high risks of physical and mental morbidities, and poor quality of health care. This study was aimed at determining general practitioners' perceptions on barriers in clinical assessment and training needs with regard to the healthcare of community-dwelling people with intellectual disability.MethodsA survey questionnaire was developed specifically for the study through focus group discussions and a literature review. The study was conducted as a cross-sectional anonymous survey of private general practitioners practicing in Singapore. The survey contained questions on their experience and training needs in assessing and treating patients with intellectual disability.ResultsForty-nine of the 272 questionnaires sent out were returned. The respondents were predominantly male general practitioners working in “solo” practices. For most general practitioners, the proportion of patients with intellectual disability ranged from 1% to 5%. Nearly 90% of general practitioners identified problems in communicating with such patients as an important barrier that affected the quality of assessment of their health conditions. Other barriers identified were behavioral issues and sensory impairments. Only one-third of the general practitioners were confident that they had sufficient knowledge of physical and mental health conditions related to patients with intellectual disability. Three-fourths of the general practitioners believed that further training in this area would be beneficial.ConclusionAppropriate interventions to address barriers in assessment and management of patients with intellectual disability with further training for general practitioners may improve the standard of healthcare provided to this population group.

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Screening for cardiovascular disease risk factors at baseline and post intervention among adults with intellectual disabilities in an urbanised Asian society

Abstract: Cardiovascular disease risk factors are common among adults with ID and clinicians should proactively screen such populations. Provision of free and convenient screening for cardiovascular disease risk improved screening participation.

Cited by 10 publications

References 31 publications

Type 2 diabetes and glucose intolerance in a population with intellectual disabilities: the STOP diabetes cross‐sectional screening study

Type 2 diabetes and glucose intolerance in a population with intellectual disabilities: the STOP diabetes cross‐sectional screening study

Obesity and health behaviours of British adults with self-reported intellectual impairments: cross sectional survey

General Practitioners' Perceptions on Clinical Management and Training Needs regarding the Healthcare of Community-Dwelling People with Intellectual Disability: A Preliminary Survey in Singapore

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