Lifestyle interventions targeting changes in body weight and composition among youth with an intellectual disability: A systematic review

Maïano, Christophe; Normand, Claude; Aimé, Annie; Bégarie, Jérôme

doi:10.1016/j.ridd.2014.04.014

Cited by 52 publications

(52 citation statements)

References 41 publications

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“…These characteristics suggest a potential increased risk for colorectal cancer which might be prevented by modifying and reducing obesity and increasing physical exercise. However more research is needed to clarify these findings [12,16].…”

Section: Introductionmentioning

confidence: 99%

Colorectal Cancer in People with Intellectual Disabilities

Willis

Samalin

Satge³

2018

Oncology

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People with intellectual disabilities (PWIDs) are now living longer; thus, the incidence of cancer within this population is increasing. Available data indicate an excess of digestive tract cancers in PWIDs, but colorectal cancer has rarely been specifically studied and has not been extensively reviewed. This is despite risk factors such as being overweight, obesity, and lack of exercise being more frequent in PWIDs. In this article, we examine the literature on the frequency, screening, and treatment of colorectal cancer in PWIDs by as sessing 4 databases, Medline, EBSCO-CINHL, ASSIA, and PsychLIT, from 1970 to February 2017. Findings indicate that the frequency trends slightly higher than that found in the general population. Screening presents a unique opportunity to discover early colorectal cancer, but is underused in PWIDs compared to the general population. Furthermore, the clinical presentation is frequently masked, particularly by challenging behaviours, and colorectal cancer is therefore often diagnosed late, making treatment difficult due to the advanced stage of these tumours. To improve the care of PWIDs, we need more resources to support them and their caregivers, and to increase awareness of the risk factors and signs and symptoms of colorectal cancer.

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Section: Introductionmentioning

confidence: 99%

Colorectal Cancer in People with Intellectual Disabilities

Willis

Samalin

Satge³

2018

Oncology

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“…Une faible activité physique en est partiellement responsable [20]. Les interventions visant à réduire le surpoids [21] peuvent réduire la prévalence du cancer colorectal chez les personnes déficientes intellectuelles.…”

Section: Discussionunclassified

Le cancer colorectal et son dépistage chez les personnes déficientes intellectuelles vivant en institution en France

et al. 2015

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Reçu le 16 mars 2015 ; accepté le 1 juillet 2015 © Lavoisier SAS 2015Résumé Notre objectif est d'évaluer la fréquence du cancer colorectal et la participation au dépistage de ce cancer chez les personnes ayant une déficience intellectuelle vivant en institution en France. Les données proviennent de l'enquête Handicap-Santé de l'Institut national de la statistique et des études économiques portant sur 9 104 personnes dans 1 519 institutions. Trois cancers colorectaux ont été signalés. Dans ces institutions, 24 % des adultes âgés de 50 à 74 ans ont participé au dépistage du cancer colorectal contre 34 % dans la population générale française. La part des coloscopies réalisées à la suite d'un test de dépistage positif était de 2,4 % proche de celle observée en population générale en 2009-2010 (2,7 %). Ces données sont à prendre en compte pour une prise en charge optimale de ces cancers chez les personnes déficientes intellectuelles. Mots clés Cancer colorectal · Déficience intellectuelle · DépistageAbstract The aim of this study is to evaluate the frequency of colorectal cancer and the screening participation rate of adults with intellectual disability living in institutions in France. To date, these data for this specific vulnerable population are lacking. The study population concerned 9,104 persons living in 1,519 institutions who were invited to participate in the Handicap-Santé Survey of the French National Institute for Statistics and Economic Studies in 2009. Three colorectal cancers were reported. The participation rate of adults aged 50-74 years to colorectal cancer screening was 24% in these institutions versus 34% in the French general population. Following positive fecal occult blood test, 2.4% of the study population underwent colonoscopy, a percentage very close to the 2.7% rate reported in the general population in 2009-2010. These data should be taken into account for an optimal cure and care of colorectal cancer in people with intellectual disability.

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“…Small sample sizes and an over-representation of boys are common limitations in health-related research involving children with ID [27]. The over-representation of boys within this study could be partially attributed to the higher prevalence of ID in boys compared to girls [28].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a laboratory-based accelerometer calibration protocol for children with intellectual disabilities

McGarty

Penpraze

Melville

2015

Pilot Feasibility Stud

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BackgroundAccelerometry has not been calibrated for the estimation of physical activity in children with intellectual disabilities (ID), raising questions regarding the validity of interpreting accelerometer data in this population. Various protocols and criterion measures have been used in calibration studies involving typically developing (TD) children; however, the suitability of these activities and measures for children with ID is unknown. Therefore, this study aimed to test the feasibility of a laboratory-based calibration protocol for children with ID. Specifically, the feasibility of activities, measurements, and recruitment was investigated.MethodsFive children with mild to moderate ID (10.20 ± .98 years) and a comparative sample of five TD children (12.40 ± .01 years) participated in this study. Participants performed a free-living and treadmill-based activity protocol during two laboratory-based sessions. Activities were performed for 5 min and ranged from sedentary to vigorous intensity. Treadmill activities ranged from 3 to 8 km/h, and free-living activities included watching a DVD, passing a football, and jumping jacks. Resting energy expenditure was measured, and a graded exercise test was used to assess cardiorespiratory fitness. Breath-by-breath respiratory gas exchange and accelerometry were continually measured during all activities. Feasibility was assessed using observations, activity completion rates, and respiratory data.ResultsAll TD participants and one participant with ID completed the protocol. The physical demands of the treadmill activities affected the completion rate for participants with ID. No participant met the maximal criteria for the graded exercise test or attained a steady state during the resting measurements. Limitations were identified with the usability of respiratory gas exchange equipment and the validity of measurements. The school-based recruitment strategy was not effective, with a participation rate of 6 %. A significant (z = 13.21, p < .0001) difference in the relationship of and accelerometry was identified between ID and TD participants.ConclusionsDue to issues with the usability and validity of breath-by-breath respiratory gas exchange and recruitment, a laboratory-based calibration protocol is currently not feasible for children with ID. An alternative field-based protocol with a non-invasive criterion measure should be considered for future studies.

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Lifestyle interventions targeting changes in body weight and composition among youth with an intellectual disability: A systematic review

Cited by 52 publications

References 41 publications

Colorectal Cancer in People with Intellectual Disabilities

Colorectal Cancer in People with Intellectual Disabilities

Le cancer colorectal et son dépistage chez les personnes déficientes intellectuelles vivant en institution en France

Feasibility of a laboratory-based accelerometer calibration protocol for children with intellectual disabilities

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