Frailty and disability in older adults with intellectual disabilities: results from the healthy ageing and intellectual disability study

Heleen M Evenhuis; Heidi Hermans; Thessa I M Hilgenkamp; Luc P Bastiaanse; Michael A Echteld

doi:10.1111/j.1532-5415.2012.03925.x

Frailty and disability in older adults with intellectual disabilities: results from the healthy ageing and intellectual disability study

Heleen M Evenhuis, Heidi Hermans, Thessa I M Hilgenkamp, Luc P Bastiaanse, Michael A Echteld

Research output: Contribution to journal › Article › Scientific › peer-review

Abstract

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 Dutch 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 Cardiovascular 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, Down 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.

Original language	English
Pages (from-to)	934-8
Number of pages	5
Journal	Journal of the American Geriatrics Society
Volume	60
Issue number	5
DOIs	https://doi.org/10.1111/j.1532-5415.2012.03925.x
Publication status	Published - May 2012
Externally published	Yes

Keywords

Aged
Cross-Sectional Studies
Disabled Persons/statistics & numerical data
Female
Frail Elderly/statistics & numerical data
Humans
Intellectual Disability/epidemiology
Male
Middle Aged
Prevalence

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10.1111/j.1532-5415.2012.03925.x

Cite this

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title = "Frailty and disability in older adults with intellectual disabilities: results from the healthy ageing and intellectual disability study",

abstract = "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 Dutch 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 Cardiovascular 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, Down 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.",

keywords = "Aged, Cross-Sectional Studies, Disabled Persons/statistics \& numerical data, Female, Frail Elderly/statistics \& numerical data, Humans, Intellectual Disability/epidemiology, Male, Middle Aged, Prevalence",

author = "Evenhuis, \{Heleen M\} and Heidi Hermans and Hilgenkamp, \{Thessa I M\} and Bastiaanse, \{Luc P\} and Echteld, \{Michael A\}",

note = "{\textcopyright} 2012, Copyright the Authors Journal compilation {\textcopyright} 2012, The American Geriatrics Society.",

year = "2012",

month = may,

doi = "10.1111/j.1532-5415.2012.03925.x",

language = "English",

volume = "60",

pages = "934--8",

journal = "Journal of the American Geriatrics Society",

issn = "0002-8614",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "5",

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Frailty and disability in older adults with intellectual disabilities: results from the healthy ageing and intellectual disability study. / Evenhuis, Heleen M; Hermans, Heidi; Hilgenkamp, Thessa I M et al.
In: Journal of the American Geriatrics Society, Vol. 60, No. 5, 05.2012, p. 934-8.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Frailty and disability in older adults with intellectual disabilities

T2 - results from the healthy ageing and intellectual disability study

AU - Evenhuis, Heleen M

AU - Hermans, Heidi

AU - Hilgenkamp, Thessa I M

AU - Bastiaanse, Luc P

AU - Echteld, Michael A

PY - 2012/5

Y1 - 2012/5

N2 - 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 Dutch 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 Cardiovascular 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, Down 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.

AB - 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 Dutch 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 Cardiovascular 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, Down 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.

KW - Aged

KW - Cross-Sectional Studies

KW - Disabled Persons/statistics & numerical data

KW - Female

KW - Frail Elderly/statistics & numerical data

KW - Humans

KW - Intellectual Disability/epidemiology

KW - Male

KW - Middle Aged

KW - Prevalence

U2 - 10.1111/j.1532-5415.2012.03925.x

DO - 10.1111/j.1532-5415.2012.03925.x

M3 - Article

C2 - 22587856

SN - 0002-8614

VL - 60

SP - 934

EP - 938

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

IS - 5

ER -

Frailty and disability in older adults with intellectual disabilities: results from the healthy ageing and intellectual disability study

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