Physical health conditions in young children with profound intellectual and multiple disabilities: The prevalence and associations between these conditions.

Background: It is thought that physical health conditions start at a young age in people with profound intellectual and multiple disabilities (PIMD). Knowledge regarding the prevalence, associations and development of these physical health conditions could be used for purposes of prevention as well...

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Publicado en:Child: Care, Health & Development Vol. 50; no. 2; pp. 1 - 13
Autores principales: Mol‐Bakker, Anouk, Van der Putten, Annette A. J., Krijnen, Wim P., Waninge, Aly
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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        atl: Physical health conditions in young children with profound intellectual and multiple disabilities: The prevalence and associations between these conditions.
      aug:
        au:
          Mol‐Bakker, Anouk
          Van der Putten, Annette A. J.
          Krijnen, Wim P.
          Waninge, Aly
        affil: Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences Groningen, Groningen, The Netherlands
      sug:
        subj:
          Intellectual Disability In Infancy and Childhood
          Children with Disabilities
          Health Status In Infancy and Childhood
          Human
          Male
          Female
          Infant
          Child, Preschool
          Prevalence
          Cross Sectional Studies
          Checklists
          Odds Ratio
          Descriptive Statistics
          International Classification of Diseases
          Data Analysis Software
          Confidence Intervals
          Exploratory Research
          Quality of Life
          Funding Source
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Male
          Female
      ab: Background: It is thought that physical health conditions start at a young age in people with profound intellectual and multiple disabilities (PIMD). Knowledge regarding the prevalence, associations and development of these physical health conditions could be used for purposes of prevention as well as appropriate care and support but is currently lacking. Objective: The aim of this study is to gain insight into the prevalence of physical health conditions and associations between these conditions in young children with PIMD. Methods: The study used cross‐sectional data related to the physical health conditions of children with PIMD (n = 51, aged between 12 and 61 months). Data were collected in Belgium and in the Netherlands through a checklist filled in by primary caregiver(s). Physical health conditions were classified into categories by the 10th revision of the International Classification of Diseases and Related Health Problems (ICD‐10) system. The number of physical health conditions and associations between them were analysed. The analysis focused on prevalence rates and associations represented by odds ratios (p < 0.05). A graphical model was estimated to represent dependencies and conditional dependencies between physical health conditions. Results: We found a mean of 3.8 (range 1–8, SD 1.9) physical health conditions per child. Most of the physical health conditions were found in the ICD‐10 chapter 'Nervous System', with hypotonia as the most frequent at 70.6%. Five significant large associations were found between spasticity–contractures (OR 9.54); circulatory system–contractures (OR 7.50); scoliosis–contractures (OR 10.25); hearing impairments–skin problems (OR 58.20) and obstipation–hypotonia (OR 19.98). Conclusion: This study shows that at a young age, multiple physical health conditions are present in children with PIMD. In addition, we found five associations between physical health conditions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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