Assessing Secondary Conditions Among Adults With Developmental Disabilities: A Preliminary Study

Traci, Meg Ann; Seekins, Tom; Ph.D., Ann Szalda-Petree; Ravesloot, Craig

doi:10.1352/0047-6765(2002)040<0119:ascaaw>2.0.co;2

Cited by 76 publications

(50 citation statements)

References 12 publications

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“…As a result of this substantial increase, the U.S. Surgeon General declared that obesity has reached epidemic proportions in the nation and called for an immediate action to prevent and reduce its impact on both the individual and society at large [U.S. Department of Health and Human Services, 2001].Researchers have also recognized that obesity is a major health threat in persons with intellectual disability (ID) [Fox and Rotatori, 1982;Kelly et al, 1986;Rimmer et al, 1993;Rubin et al, 1998;Horwitz et al, 2000;Janicki et al, 2002;Traci et al, 2002]. Population-level prevalence data indicate that the obesity levels of adults with ID are either similar to or higher than their non-ID counterparts [Emerson, 2005;Yamaki, 2005].…”

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confidence: 99%

Obesity and intellectual disability

Rimmer

Yamaki

2006

Ment. Retard. Dev. Disabil. Res. Rev.

229

165

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While much of the industrialized world struggles for clues to the growing rise in obesity in their respective countries, researchers and service providers involved in understanding the health characteristics and health behaviors of persons with intellectual disability (ID) struggle with their own issues regarding the increased prevalence of obesity in this segment of the population. What is particularly alarming is that adults with ID residing in the United States in smaller, less supervised settings (e.g., group homes and family households) have a significantly higher rate of obesity compared to other countries and those living in larger and more supervised settings (e.g., institutions). These differences support the theory that the environment appears to exert a powerful influence on obesity in this population. Obesity presents a substantial threat to the livelihood of persons with ID and may have an effect on community participation, independent living, and healthy years of life. The lack of research on successful weight reduction strategies for obese persons with ID makes this an important and greatly needed area of research. Key Words: obesity; intellectual disability; developmental disability; health promotion; health status O besity is a serious health risk among many individuals and groups throughout the industrialized world and often leads to various health conditions including hypertension, diabetes, heart disease, arthritis, stroke, stress, depression, and respiratory diseases [Eckel, 1997; National Institutes of Health, 1998;Must et al., 1999;Pi-Sunyer, 1999; National Task Force on the Prevention and Treatment of Obesity, 2000]. In the United States, obesity has more than doubled from 13.4% in 196013.4% in to 30.9% in 200013.4% in [Flegal et al., 2002. As a result of this substantial increase, the U.S. Surgeon General declared that obesity has reached epidemic proportions in the nation and called for an immediate action to prevent and reduce its impact on both the individual and society at large [U.S. Department of Health and Human Services, 2001].Researchers have also recognized that obesity is a major health threat in persons with intellectual disability (ID) [Fox and Rotatori, 1982;Kelly et al., 1986;Rimmer et al., 1993;Rubin et al., 1998;Horwitz et al., 2000;Janicki et al., 2002;Traci et al., 2002]. Population-level prevalence data indicate that the obesity levels of adults with ID are either similar to or higher than their non-ID counterparts [Emerson, 2005;Yamaki, 2005]. Lack of healthy eating habits and regular physical activity, common factors associated with obesity in the general population [U.S. Department of Health and Human Service, 2001], are also growing problems among persons with ID [Draheim et al., 2002;Braunschweig et al., 2004;Emerson, 2005].Obesity results in significant societal and personal costs [Poston and Foreyt, 1999]. Among persons with ID, it has the potential to reduce or limit opportunities for various types of community participation, including employment and leisu...

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confidence: 99%

Obesity and intellectual disability

Rimmer

Yamaki

2006

Ment. Retard. Dev. Disabil. Res. Rev.

229

165

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“…The existing research suggests that, with few exceptions, the prevalences of chronic health conditions (including cardiovascular disease, cancer, lung conditions, and diabetes) in individuals with mental retardation are similar to those in the general population. 3,[7][8][9] Understanding the risk factors for secondary conditions and strategies for their prevention is important to people with disabilities, rehabilitation service providers, and public health agencies. A study of secondary conditions among adults with developmental disabilities in Montana reported limitations due to communication problems, poor physical fitness, low frustration tolerance, and weight problems.…”

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confidence: 99%

“…A study of secondary conditions among adults with developmental disabilities in Montana reported limitations due to communication problems, poor physical fitness, low frustration tolerance, and weight problems. 9 The authors note that the most serious limitations were associated with significant behavioral or lifestyle issues. These data suggest that several secondary conditions might be targeted for interventions that could improve the health and quality of life of individuals with developmental disabilities while reducing medical care costs.…”

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confidence: 99%

Health Disparities among Adults with Developmental Disabilities, Adults with other Disabilities, and Adults Not Reporting Disability in North Carolina

2004

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Objectives. The purposes of this study were ( 1) to identify disparities between adults with developmental disabilities and non-disabled adults in health and medical care, and ( 2) to compare this pattern of disparities to the pattern of disparities between adults with other disabilities and adults without disabilities. Methods. The authors compared data on health status, health risk behaviors, chronic health conditions, and utilization of medical care across three groups of adults: No Disability, Disability, and Developmental Disability. Data sources were the 2001 North Carolina Behavioral Risk Factor Surveillance System and the North Carolina National Core Indicators survey. Results. Adults with developmental disabilities were more likely to lead sedentary lifestyles and seven times as likely to report inadequate emotional support, compared with adults without disabilities. Adults with disabilities and developmental disabilities were significantly more likely to report being in fair or poor health than adults without disabilities. Similar rates of tobacco use and overweight/obesity were reported. Adults with developmental disabilities had a similar or greater risk of having four of five chronic health conditions compared with non-disabled adults. Significant medical care utilization disparities were found for breast and cervical cancer screening as well as for oral health care. Adults with developmental disabilities presented a unique risk for inadequate emotional support and low utilization of breast and cervical cancer screenings. Conclusions. Significant disparities in health and medical care utilization were found for adults with developmental disabilities relative to non-disabled adults. The National Core Indicators protocol offers a sound methodology to gather much-needed surveillance information on the health status, health risk behaviors, and medical care utilization of adults with developmental disabilities. Health promotion efforts must be specifically designed for this population.

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“…Like vision problems, oral health problems (dental caries, gingivitis, and periodontal disease) are among the top ten secondary conditions among individuals with ID that cause limitations in their daily activities [Traci et al, 2002]. According to a recent pilot study of consumers of Montana Developmental Disability services (80% of whom had ID), Traci et al [2002] found that the estimated prevalence rate of oral hygiene problems was 451 per 1,000 individuals with developmental disabilities.…”

Section: Overall Prevalencementioning

confidence: 99%

“…According to a recent pilot study of consumers of Montana Developmental Disability services (80% of whom had ID), Traci et al [2002] found that the estimated prevalence rate of oral hygiene problems was 451 per 1,000 individuals with developmental disabilities. Similar to the general population, one of the most common oral health problems of children and adults with ID is dental caries (Table 2).…”

Section: Overall Prevalencementioning

confidence: 99%

Vision and oral health needs of individuals with intellectual disability

Owens

Kerker

Zigler

et al. 2006

Ment. Retard. Dev. Disabil. Res. Rev.

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Over the past 20 years, there has been an increased emphasis on health promotion, including prevention activities related to vision and oral health, for the general population, but not for individuals with intellectual disability (ID). This review explores what is known about the prevalence of vision problems and oral health conditions among individuals with ID, presents a rationale for the increased prevalence of these conditions in the context of service utilization, and examines the limitations of the available research. Available data reveal a wide range of prevalence estimates for vision problems and oral health conditions, but all suggest that these conditions are more prevalent among individuals with ID compared with the general population, and disparities exist in the receipt of preventive and early treatment for these conditions for individuals with ID. Recommendations for health improvement in these areas include better health planning and monitoring through standardized population-based data collection and reporting and increased emphasis on health promotion activities and early treatment in the healthcare system.

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Assessing Secondary Conditions Among Adults With Developmental Disabilities: A Preliminary Study

Cited by 76 publications

References 12 publications

Obesity and intellectual disability

Obesity and intellectual disability

Health Disparities among Adults with Developmental Disabilities, Adults with other Disabilities, and Adults Not Reporting Disability in North Carolina

Vision and oral health needs of individuals with intellectual disability

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