Premium
Frailty and Disability in Older Adults with Intellectual Disabilities: Results from the Healthy Ageing and Intellectual Disability Study
Author(s) -
Evenhuis Heleen M.,
Hermans Heidi,
Hilgenkamp Thessa I. M.,
Bastiaanse Luc P.,
Echteld Michael A.
Publication year - 2012
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2012.03925.x
Subject(s) - medicine , gerontology , dementia , logistic regression , intellectual disability , population , population ageing , disease , psychiatry , environmental health , pathology
Objectives To obtain first insight into prevalence and correlates of frailty in older people with intellectual disability ( ID ). Design Population‐based cross‐sectional study in persons using formal ID services. Setting Three D utch care provider services. Participants Eight hundred forty‐eight individuals with borderline to profound ID aged 50 and older participating in the Healthy Ageing and Intellectual Disability ( HA ‐ ID ) Study. Measurements All participants underwent an extensive health examination. Frailty was diagnosed according to C ardiovascular Health Study criteria. Associations between frailty and participant characteristics were investigated using multivariate logistic regression analysis. Results Prevalence of frailty was 11% at age 50 to 64 and 18% at age 65 and older. Age, D own syndrome, dementia, motor disability, and severe ID were significantly associated with frailty, but only motor disability had a unique association with frailty. In a regression model with these variables, 25% of the variance of frailty was explained. Conclusion At age 50 to 64, prevalence of frailty is as high as in the general population aged 65 and older (7–9%), with a further increase after the age of 65. Motor disability only partially explains frailty. Future studies should address health outcomes, causes, and prevention of frailty in this population.