Overweight/obesity and chronic health conditions in older people with intellectual disability in Ireland.
Background: This study examines overweight/obesity and chronic health conditions (CHCs) in older people with intellectual disability (ID). Methods: Data for this cross‐sectional observational study emanated from Wave 2 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Agei...
| Publicado en: | Journal of Intellectual Disability Research Vol. 65; no. 12; pp. 1097 - 1110 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153816895&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153816895 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Dec2021 vid: 65 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 153816895 153447423 153816895 153816895 10.1111/jir.12900 153816895 ppf: 1097 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Overweight/obesity and chronic health conditions in older people with intellectual disability in Ireland. aug: au: Ryan, J. McCallion, P. McCarron, M. Luus, R. Burke, E. A. affil: Trinity Center for Ageing and Intellectual Disability, School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, Dublin 2, Ireland sug: subj: Intellectual Disability Epidemiology Obesity Epidemiology Chronic Disease Epidemiology Human Ireland Female Male Aged Cross Sectional Studies Nonexperimental Studies Prospective Studies Health Status Psychological Well-Being Interviews Body Mass Index Prevalence Variable Univariate Statistics Logistic Regression Pearson's Correlation Coefficient Chi Square Test Waist Circumference Descriptive Statistics Confidence Intervals Odds Ratio Aged: 65+ years Female Male ab: Background: This study examines overweight/obesity and chronic health conditions (CHCs) in older people with intellectual disability (ID). Methods: Data for this cross‐sectional observational study emanated from Wave 2 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing, a longitudinal study assessing the health and well‐being of older Irish adults with ID aged ≥40 years across all levels of ID. Participation involves an interview process and collation of objective health measures. In this study, body mass index (BMI) (n = 572), used as a measure of weight status, was examined with clustered doctor's diagnosed CHCs. Descriptive analysis was conducted where counts (n) and proportions (%) were used to summarise the variables univariately, while cross‐tabulations were used for bivariate summary into counts and proportions. With overweight/obesity prevalence established and patterns described using logistical regression, Pearson's chi‐squared test was used to test for significant associations. Results: Overweight/obesity identified in 69% of participants occurred with greater frequency in women (72%). A higher percentage of participants aged <50 years (72.5%) were overweight/obese than those aged 50–64 (70%) and 65+ (61.4%). Level of ID and residence type were significantly associated with weight status (P < 0.001), with overweight/obesity more prevalent in mild (85.7%) than moderate (72%) or severe/profound ID (51.4%). Of those who lived independently/with family, 78.4% were overweight/obese, as were 74% living in a community group home (P < 0.001). Almost all overweight/obese participants' waist measurements were in the substantially increased risk of metabolic disease waist measurement category (92%, P < 0.001). Logistical regression used to model CHCs on BMI showed significant association between BMI and gastrointestinal tract [odds ratio (OR) = 0.57, P < 0.008, 95% confidence interval (CI) = (0.37; 0.86)], respiratory condition [OR = 8.95, P < 0.004, 95% CI = (2.57; 56.72)] and musculoskeletal disorders [OR = 0.40, P < 0.001, 95% CI = (0.25; 0.63)]. Conclusions: The findings illustrate the strong cross‐sectional association between overweight/obesity and CHCs. These findings suggest a need to prioritise weight status as a health risk to people with ID as they age. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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