Weight, nutrition, food choice, and physical activity in adults with intellectual disability

Koritsas, Stella; Iacono, Teresa

doi:10.1111/jir.12254

Cited by 45 publications

(48 citation statements)

References 54 publications

(114 reference statements)

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“…The prevalence of intellectual disabilities is generally estimated between 1% and 2% of the general population (Harris, ; Maulik, Mascarenhas, Mathers, Dua, & Saxena, ) making individuals with intellectual disabilities a substantial interest group for public health. It is well documented that persons with intellectual disabilities have poorer heath status and lower physical activity than the general population (Dixon‐Ibarra, Lee, & Dugala, ; Draheim, ; Haveman et al., ; Koritsas & Iacono, ; Krahn & Fox, ; Naaldenberg et al., ; Peterson et al., ; Stanish, Temple, & Frey, ; Sundahl, Zetterberg, Wester, Rehn, & Blomqvist, ). In fact, the documented differences in health played a role in the recent identification of disability as a health disparity population (Krahn, Walker, & Correa‐De‐Araujo, ).…”

Section: Introductionmentioning

confidence: 99%

Qualitative evaluation of a physical activity health promotion programme for people with intellectual disabilities in a group home setting

Dixon-Ibarra

Driver

Nery-Hurwit

et al. 2017

Research Intellect Disabil

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Background There is a lack of health promotion programming designed to change the physical activity environment of the group home setting. The Menu‐Choice programme assists staff in creating physical activity goals alongside residents with intellectual disabilities and provides strategies to incorporate activity into the group home schedule. The purpose of this study was to complete a process evaluation of Menu‐Choice utilizing qualitative methods. Methods Twelve participants, who completed a 10‐week pilot intervention (n = 7 staff, mean age 42; n = 5 residents, mean age 52), participated in face‐to‐face interviews. Participants represented five group home sites involved in the intervention. Results Meta‐themes included: (i) Programme training, (ii) Programme implementation, (iii) Programme physical activity, (iv) Programme barriers, (v) Programme facilitators and (vi) Programme feedback. Conclusions Changes in programme training and simplified programme materials are needed to accommodate identified barriers for implementation. The importance of obtaining increased agency support and policy change is highlighted.

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Section: Introductionmentioning

confidence: 99%

Qualitative evaluation of a physical activity health promotion programme for people with intellectual disabilities in a group home setting

Dixon-Ibarra

Driver

Nery-Hurwit

et al. 2017

Research Intellect Disabil

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“…Researchers across the world have reported the prevalence of being overweight and obese among adults with intellectual disability to be 28% -71% and 17% -43%, respectively (Barnes, & Echteld, 2012& Echteld, , 2009Emerson, Hatton, Baines, & Robertson, 2016;Haider, Ansari, Vaughan, Matters, & Emerson, 2013;Hsieh, Rimmer, & Heller, 2014;Koritsas & Lacono, 2016;Martínez-Leal et al, 2011;Melville et al, 2008;Mikulovic et al, 2014;Sohler, Lubetkin, Levy, Soghomonian, & Rimmerman, 2009;Stedman & Leland, 2010;Temple, Foley, & Lloyd, 2014;Wallace & Schluter, 2008; Table 1). The evidence is mixed on whether the prevalence of being overweight and/or obese is similar or proportionally higher or lower for individuals with intellectual disability versus the general population.…”

Section: Prevalence Of Being Overweight and Obesementioning

confidence: 99%

“…Koritsas and Lacono (2016) • 60.3% of the study participants with intellectual disability had little choice in the type of food they ate.…”

Section: Hsieh Et Al (2014)mentioning

confidence: 99%

Prevalence and potential factors associated with overweight and obesity status in adults with intellectual developmental disorders

Ranjan

Nasser

Fisher

2017

Research Intellect Disabil

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Background:The prevalence of being overweight and obese is increasing not just in the general population but also in individuals with intellectual disability (ID). Therefore, a need to identify factors contributing to overweight/obesity arises as this population is escalating. Materials and Methods:This narrative review article summarizes pertinent research focusing on prevalence and the potential factors associated with overweight and obesity in adults with intellectual disability during the past decade.Results: Prevalence of being overweight and obese among adults with intellectual disability is reportedly 28%-71% and 17%-43%, respectively. Factors increasing the susceptibility of being overweight or obese have been identified as female gender, increasing age, having a certain diagnosis, mild intellectual disability, as well as living independently/with family, consuming certain prescription medications, and non-participation in physical activities. Conclusion:Identification of the potential risk factors associated with being overweight and obese in this population will help tackle the challenges faced by this growing adult population with intellectual disability. K E Y W O R D Sintellectual disability, obesity, overweight, potential factors, prevalence | INTRODUCTIONDuring the past decades, life expectancy of the people with intellectual disabilities (IDs) has increased considerably and follows similar increasing trends to those found in the general population except for those with Down syndrome or epilepsy and or severe and multiple disabilities (Coppus, 2013;Hosking et al., 2016;Patja, Iivanainen, Vesala, Oksanen, & Ruoppila, 2000). Data from the United Kingdom, however, report significantly higher mortality among individuals with intellectual disability compared to the general population; the median age at death of male and female individuals with intellectual disability being 65 and 63 years, respectively compared to 78 and 83 years in the general population (Heslop et al., 2014;Hosking et al., 2016).Most common causes of death among individuals with intellectual disability are reportedly cardiovascular diseases, respiratory diseases and neoplasms (Janicki et al., 2002;Patja, Molsa, & Iivanainen, 2001).In their large 35-year follow-up research, Patja et al. (2001) showed that the disease mortality pattern was high up to 40 years of age, but did not increase after that indicating that older people with intellectual disability had a similar mortality pattern to the general population.Health care professionals are therefore posed with new challenges, as lack of good-quality health care is reportedly an important contributory factor to mortality among this population (Heslop et al., 2014;Hosking et al., 2016).With more than one-third of adults (36.9% men & 38.0% women) in the world being overweight or obese (Ng et al., 2014), it is logical to believe that there is a rise or similar increasing trend in the prevalence of being overweight and obese in adults with intellectual disability. Data on US population...

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“…Being overweight is an important risk factor for colorectal cancer, with an estimated increased risk of 41% for a body mass index (BMI) > 30 compared to a BMI < 23 [13]. Additionally, PWIDs are less involved in physical activity; a recent Australian study indicated that 60.3% of 68 adult PWIDs did not reach the national physical activity guidelines [14]. Globally, PWIDs are low consumers of alcohol compared to the general population.…”

Section: Introductionmentioning

confidence: 99%

“…Globally, PWIDs are low consumers of alcohol compared to the general population. However, they have a moderate risk of malnutrition, with 17.6% of them in the high-risk category [14]. Constipation, which is clearly more prevalent in children and adults with IDs [15], is currently not considered a risk factor for colon cancer.…”

Section: Introductionmentioning

confidence: 99%

Colorectal Cancer in People with Intellectual Disabilities

Willis

Samalin

Satge³

2018

Oncology

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People with intellectual disabilities (PWIDs) are now living longer; thus, the incidence of cancer within this population is increasing. Available data indicate an excess of digestive tract cancers in PWIDs, but colorectal cancer has rarely been specifically studied and has not been extensively reviewed. This is despite risk factors such as being overweight, obesity, and lack of exercise being more frequent in PWIDs. In this article, we examine the literature on the frequency, screening, and treatment of colorectal cancer in PWIDs by as sessing 4 databases, Medline, EBSCO-CINHL, ASSIA, and PsychLIT, from 1970 to February 2017. Findings indicate that the frequency trends slightly higher than that found in the general population. Screening presents a unique opportunity to discover early colorectal cancer, but is underused in PWIDs compared to the general population. Furthermore, the clinical presentation is frequently masked, particularly by challenging behaviours, and colorectal cancer is therefore often diagnosed late, making treatment difficult due to the advanced stage of these tumours. To improve the care of PWIDs, we need more resources to support them and their caregivers, and to increase awareness of the risk factors and signs and symptoms of colorectal cancer.

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Weight, nutrition, food choice, and physical activity in adults with intellectual disability

Cited by 45 publications

References 54 publications

Qualitative evaluation of a physical activity health promotion programme for people with intellectual disabilities in a group home setting

Qualitative evaluation of a physical activity health promotion programme for people with intellectual disabilities in a group home setting

Prevalence and potential factors associated with overweight and obesity status in adults with intellectual developmental disorders

Colorectal Cancer in People with Intellectual Disabilities

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