Stress and social isolation, and its relationship to cardiovascular risk in young adults with intellectual disability

Zwack, Clara C; McDonald, Rachael; Tursunalieva, Ainura; Vasan, Shradha; Lambert, Gavin; Lambert, Elisabeth

doi:10.1080/09638288.2022.2046186

Cited by 2 publications

(2 citation statements)

References 70 publications

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“…First, we found that perceived stress was a risk factor for social isolation in MHD patients of young and middle age, that the risk of social isolation increased as perceived stress increased, which was in line with previous results (C et al., 2022; Tara & D., 2022). Resource conservation theory suggested that the more perceived stress patients received, the more likely they were to adopt self‐protective mechanisms to conceal their condition and changes in body image by reducing communication with others, leading to a range of negative effects (Hobfoll, 1989).…”

Section: Discussionsupporting

confidence: 92%

The effect of perceived stress on social isolation in young and middle‐aged maintenance haemodialysis patients: A polynomial regression and response surface analysis

Mai

Liang

et al. 2023

Stress and Health

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Patients on maintenance haemodialysis (MHD) face social isolation due to the far‐reaching effects of their disease and treatment. Based on the Transactional Model of Stress and Coping, we analysed the relationship between perceived stress and social isolation in patients, and the mediating role of internal health‐related locus of control (IHLC) from the perspective of co‐existence of perceived helplessness (HEL) and perceived self‐efficacy (SEL). We used structured questionnaires to investigate 332 cases of young and middle‐aged MHD patients in four tertiary hospitals in Guangdong, China. Polynomial regression and response surface analysis were conducted, along with tests of mediating effects on the data. The research was based on STROBE guidelines. The results showed that perceived stress is significantly and positively associated with social isolation. When the HEL and SEL of perceived stress were congruent, the joint effect of the two was in a positive curvilinear relationship to social isolation, when the two were incongruent, the risk of social isolation was lower for “low HEL‐high SEL” patients compared to the “high HEL‐low SEL” combination. The more congruent in HEL ‐SEL, the lower the risk of social isolation for the patients, with the IHCL playing a mediating role in this association. This study reveals that the coexistence of perceived stress's HEL and SEL affects social isolation through congruent and incongruent matching mechanism, providing additional explanations for the mechanism of occurrence of patients' social isolation.

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Section: Discussionsupporting

confidence: 92%

The effect of perceived stress on social isolation in young and middle‐aged maintenance haemodialysis patients: A polynomial regression and response surface analysis

Mai

Liang

et al. 2023

Stress and Health

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“…The risk of multimorbidity and obesity is even higher in people with an intellectual disability (ID) compared to the general population [6], leading to poorer health than their peers without disabilities. In addition, people with ID are at an increased risk of cardiometabolic disorders due to high rates of chronic inflammation, high use of psychotropic drugs, and limited access to health care, in addition to modifiable factors such as sedentary lifestyle and unhealthy diets, which contribute to early morbidity and mortality in this population [7,8].…”

Section: Introductionmentioning

confidence: 99%

Primary Validation of the Submandibular Skinfold as an Anthropometric Measurement of Cardiometabolic Risk in People with Intellectual Disabilities

Ferrero-Hernández

Farías‐Valenzuela

Ferrari

et al. 2023

IJERPH

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The accumulation of body fat is an important cardiometabolic risk factor; however, there is no consensus about which measure is more reliable for the assessment of cardiometabolic risk in people with intellectual disabilities. The aim of the present study was to primarily validate the submandibular skinfold as an anthropometric measurement of cardiometabolic risk in children, adolescents, and adults with intellectual disabilities, using a cross-sectional study made up of 131 people (67.2% men) with mild and moderate intellectual disability. The cardiometabolic risk indicators used were: body mass index (kg/m2), neck circumference (cm), waist circumference (cm), calf circumference (cm) and waist-to-height ratio. Moderate correlations were demonstrated between the submandibular skinfold measure and the anthropometric measurements analyzed in the three age categories, showing the highest correlation (r = 0.70) between the submandibular skinfold and BMI in the adolescent group and waist-to-height ratio in adults. The implementation of the submandibular skinfold measurement is suggested as an easy, fast, and minimally invasive anthropometric measurement as part of the physical and nutritional evaluation for the assessment of cardiometabolic risk in people with intellectual disabilities.

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Stress and social isolation, and its relationship to cardiovascular risk in young adults with intellectual disability

Cited by 2 publications

References 70 publications

The effect of perceived stress on social isolation in young and middle‐aged maintenance haemodialysis patients: A polynomial regression and response surface analysis

The effect of perceived stress on social isolation in young and middle‐aged maintenance haemodialysis patients: A polynomial regression and response surface analysis

Primary Validation of the Submandibular Skinfold as an Anthropometric Measurement of Cardiometabolic Risk in People with Intellectual Disabilities

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