A population‐based, cross‐sectional study of the prevalence and correlates of sedentary behaviour of adults with intellectual disabilities

Melville, Craig; McGarty, Arlene; Harris, Leanne; Hughes-McCormack, Laura Anne; Baltzer, M.; McArthur, Laura; Morrison, Jill; Allan, Linda; Cooper, Sally‐Ann

doi:10.1111/jir.12454

Cited by 29 publications

(58 citation statements)

References 45 publications

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“…Eight of the nine included studies used a cross-sectional design, with three studies reporting findings from population-based samples in the UK [ 27 ] and the USA [ 21 , 26 ]. The mean age of participants ranged from 28.5–45.0 years.…”

Section: Resultsmentioning

confidence: 99%

Correlates of Sedentary Behaviour in Adults with Intellectual Disabilities—A Systematic Review

Oppewal

Hilgenkamp

Elinder

et al. 2018

IJERPH

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Individuals with intellectual disabilities (ID) are at high risk for high levels of sedentary behaviour. To inform the development of programmes to reduce sedentary behaviour, insight into the correlates is needed. Therefore, the aim of this study is to review the evidence on correlates of sedentary behaviour in adults with ID. We performed a systematic literature search in Ovid Medline, Ovid Embase, Web of Science and Google Scholar up to 19 January 2018, resulting in nine included studies that were published from 2011 to 2018. Correlates were categorized according to the ecological model. Studies predominantly focused on individual level correlates. Of those correlates studied in more than one study, having epilepsy was associated with less sedentary behaviour and inconsistent results were found for sex, genetic syndromes, weight status, physical health, mobility, level of ID, and mental health. Of the few interpersonal and environmental factors studied, only living arrangements were studied in more than one study, with inconsistent results. To date, we have limited and inconclusive evidence about correlates of sedentary behaviour in adults with ID. Only when future studies unravel correlates and determinants, across all domains of the ecological model, will the potential opportunities to improve health by reducing sedentary behaviour come within reach.

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Section: Resultsmentioning

confidence: 99%

Correlates of Sedentary Behaviour in Adults with Intellectual Disabilities—A Systematic Review

Oppewal

Hilgenkamp

Elinder

et al. 2018

IJERPH

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“…Residential carers may also encounter organisational barriers to enforcing healthy lifestyle behaviours (O'Leary et al 2018). However, it is equally possible that individual-level factors associated with lifestyle, such as knowledge about diabetes, severity of ID and multimorbidity (Caton et al 2012;Melville et al 2018;Tyrer et al 2019), differ by accommodation status. Prior research suggests a selection mechanism whereby healthy adults (as opposed to less healthy) adults with ID are less likely to be moved from family homes to residential accommodation (Woodman et al 2014) which would suggest that people with diabetes are more likely to transfer to residential settings.…”

Section: Discussionmentioning

confidence: 99%

“…Diet and physical activity are known to be key modifiable risk factors that should be integrated into lifestyle interventions to prevent or delay the onset of T2DM (Diabetes Australia Guideline Development Consortium 2009;Paulweber et al 2010;American Diabetes Association 2017). Compared with the general population, people with ID are more likely to have unhealthier diets (Robertson et al 2000;Hoey et al 2017), exercise less (Bartlo and Klein 2011;Dairo et al 2016) and lead more sedentary lifestyles (Haveman et al 2011;Melville et al 2018). They are also more likely to have complex physical health and/or mental health problems (Cooper et al 2015;Hughes-McCormack et al 2017) which further decreases their likelihood of leading healthy lifestyles Tyrer et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors

Tyrer

Ling

Bhaumik

et al. 2020

J intellect Disabil Res

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Background As people with intellectual disabilities (ID) are now living longer, they are more at risk of developing non‐communicable diseases, including type 2 diabetes mellitus. However, understanding of factors associated with diabetes for targeted management and prevention strategies is limited. This study aimed to investigate prevalence of diabetes in adults (aged ≥18 years) with ID and its relationship with demographic, lifestyle, independence and health factors. Method This was a cross‐sectional analysis of interview data from 1091 adults with ID from the Leicestershire Learning Disability Register from 1 January 2010 to 31 December 2016. Logistic regression models were used to identify factors associated with diabetes in the study population. Results The study population did not have healthy lifestyles: just under half reported having lower physical activity levels than people without ID of a similar age; one‐quarter consumed fizzy drinks daily; and 20% consumed five or more fruit and/or vegetables per day. Prevalence of carer/self‐reported diabetes was 7.3% (95% confidence interval 5.9–9.0). After adjustment, diabetes was positively associated with South Asian ethnicity (P = 0.03) and older age groups (P < 0.001). Diabetes was less common in people living with family members (P = 0.02). We did not find a relationship between any of the lifestyle, independence and health factors investigated. Conclusions A significant proportion of people with ID are living with diabetes. Diabetes management and prevention strategies should be tailored to individuals' complex needs and include consideration of lifestyle choices. Such strategies may want to focus on adults of South Asian ethnicity and people living in residential homes where prevalence appears to be higher.

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“…In modern society, sedentary life is one of the most common risks affecting a large part of the population, especially the most vulnerable groups, and in particular people who have been diagnosed with some form of intellectual disability (ID) [ 1 ]. ID is defined as the presence of certain limitations regarding the functioning of the brain and the manifestation of behaviors poorly adaptive to the environment, with subjects having to present these difficulties before the age of 18 to be diagnosed [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…ID is defined as the presence of certain limitations regarding the functioning of the brain and the manifestation of behaviors poorly adaptive to the environment, with subjects having to present these difficulties before the age of 18 to be diagnosed [ 2 ]. There are different studies [ 1 , 3 , 4 , 5 ] that show how lack of movement and physical activity affect mental and physical health and especially in people with ID. Studies generally reveal that sedentary habits and behaviour are positively and significantly associated with high rates of chronic disease in this population, such as diabetes, hypertension, cardiovascular disease, obesity, osteoporosis and even multi-morbidity [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Body Expression-Based Intervention Programs for Persons with Intellectual Disabilities: A Systematic Review

Lirola

Ruíz-Rico

Hernández-Rodríguez

et al. 2020

IJERPH

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The benefits of physical exercise on human health are widely known. However, the level of physical activity in the majority of the population is considered insufficient. People with intellectual disabilities (ID), in particular, show this lack of physical activity to a greater extent. It has been noted that the promotion of activities focused on corporal expression (CE) stimulates the motivation to carry out physical exercise in this population group. The aim of this study was to carry out a systematic review of the last ten years of CE programs carried out in people with ID. The criteria established in the PRISMA statement were followed in the literature search. The databases consulted were Scopus, Web of Science, Pubmed, PsycInfo and Elton B. Stephens Company (EBSCO). Eight exclusion criteria were established for the selection of articles. For the analysis of the selected research, three quality criteria for interventions were established. Subsequently, a summary table with the characteristics of each study was made. In conclusion, it can be stated that CE programs in people with ID report benefits at both physical and psychosocial levels. It is necessary to extend this approach for the promotion of healthy physical activity that advocates social inclusion.

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A population‐based, cross‐sectional study of the prevalence and correlates of sedentary behaviour of adults with intellectual disabilities

Cited by 29 publications

References 45 publications

Correlates of Sedentary Behaviour in Adults with Intellectual Disabilities—A Systematic Review

Correlates of Sedentary Behaviour in Adults with Intellectual Disabilities—A Systematic Review

Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors

Body Expression-Based Intervention Programs for Persons with Intellectual Disabilities: A Systematic Review

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