Assessment of anthropometric indexes of children and adolescents with Down syndrome

Lopes, Taís de S.; Ferreira, Daniele Mendonça; Pereira, Rosângela Alves; Veiga, Glória Valéria da; Marins, Vânia Maria Ramos de

doi:10.2223/jped.1818

Cited by 19 publications

(14 citation statements)

References 20 publications

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“…The majority of the studies reviewed have used BMI to assess the prevalence of overweight/obesity status, which is questionable as to the extent how accurately it reflects body composition or fat distribution in individuals with intellectual disability, who often display unique anthropometry compared to individuals without disabilities (de Lopes, Ferreira, Pereira, da Veiga, & de Marins, 2008).…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…First, the growth curves for DS take into account the smallest increase in weight and height and therefore the value of the BMI should be classified differently than the growth curves for children without DS. 4,6 Even though BMI for gender and age is the method of choice for assessing nutritional status as recommended by the WHO, different studies [14][15][16] only adopt weight/ age and height/age curves as proposed by Cronk et al 6 The prevalence of overweight in these studies varies between 16 and 30%. In people with DS, the basal metabolic rate is significantly lower than that of individuals matched by age and gender without the syndrome.…”

Section: Discussionmentioning

confidence: 99%

Growth curves in Down syndrome with congenital heart disease

Sica

Cesa²,

Pellanda³

2016

Rev. Assoc. Med. Bras.

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Introduction: To assess dietary habits, nutritional status and food frequency in children and adolescents with Down syndrome (DS) and congenital heart disease (CHD). Additionally, we attempted to compare body mass index (BMI) classifications according to the World Health Organization (WHO) curves and curves developed for individuals with DS. Method: Cross-sectional study including individuals with DS and CHD treated at a referral center for cardiology, aged 2 to 18 years. Weight, height, BMI, total energy and food frequency were measured. Nutritional status was assessed using BMI for age and gender, using curves for evaluation of patients with DS and those set by the WHO. Results: 68 subjects with DS and CHD were evaluated. Atrioventricular septal defect (AVSD) was the most common heart disease (52.9%). There were differences in BMI classification between the curves proposed for patients with DS and those proposed by the WHO. There was an association between consumption of vitamin E and polyunsaturated fatty acids. Conclusion: Results showed that individuals with DS are mostly considered normal weight for age, when evaluated using specific curves for DS. Reviews on specific curves for DS would be the recommended practice for health professionals so as to avoid precipitated diagnosis of overweight and/or obesity in this population.

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“…Fortunately, assessment using the Spanish distribution (Pastor et al 1998 ) makes it possible to implement interventions for reducing the body fat of those categorised above P95 for W/A. In any case, the need to use distributions produced specifi cally for individuals with Down syndrome is based on the recognition of their different rates of growth and development (Lopes et al 2008 ) .…”

Section: Fat Mass and Exercise In Individuals With Down Syndromementioning

confidence: 99%

Anthropometry and Exercise in Down Syndrome

Rosety-Rodriguez¹,

Ordóñez

Fornieles-Gonzalez³

et al. 2012

Handbook of Anthropometry

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In recent years, there has been a growing concern as to the importance of exercise in the holistic management of individuals with Down syndrome (DS). In fact, several studies have reported that regular exercise may improve the health of these individuals, since it may help reduce obesity, insulin resistance and oxidative damage, among other problems. Similarly, exercise may improve the quality of life of individuals with DS by promoting their functional independence as well as their social integration in the workplace, since most of their jobs are based on physical tasks. In addition, an increasing number of sport events are being organised all over the world for individuals with DS by national federations and international institutions, such as the Special Olympics and International Paralympics Committee. In this regard, improving the physical performance of high performance athletes with mental retardation also requires specialised attention from a multidisciplinary team.Fortunately, anthropometric assessment, including body composition and somatotype analysis, may help these professionals not only achieve all these goals, but also achieve them safely. It should also be noted that this assessment is inexpensive, easy to perform and non-invasive. However, anthropometric assessment is not widely used by professionals in their daily practice to date, which may be explained, at least in part, by the dearth of available information in the literature.Consequently, this chapter has been written to provide an update on this topic for healthcare providers and sport-related professionals who work with individuals with DS.

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Assessment of anthropometric indexes of children and adolescents with Down syndrome

Cited by 19 publications

References 20 publications

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

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

Growth curves in Down syndrome with congenital heart disease

Anthropometry and Exercise in Down Syndrome

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