PMID- 24252590
OWN - NLM
STAT- MEDLINE
DCOM- 20140812
LR  - 20131202
IS  - 1873-3379 (Electronic)
IS  - 0891-4222 (Linking)
VI  - 35
IP  - 1
DP  - 2014 Jan
TI  - Characteristics of the least frail adults with intellectual disabilities: a 
      positive biology perspective.
PG  - 127-36
LID - S0891-4222(13)00453-8 [pii]
LID - 10.1016/j.ridd.2013.10.016 [doi]
AB  - The current study focuses on the characteristics of older people with 
      intellectual disabilities with the lowest frailty levels. Frailty is an increased 
      risk of adverse health outcomes and dependency. Older adults with intellectual 
      disabilities (ID) show more signs of early frailty than the general population. 
      Knowledge of the least frail group characteristics may provide insight into 
      possibilities to prevent early frailty in older people with intellectual 
      disabilities. This study was part of the Healthy Aging and Intellectual 
      Disability study (HA-ID) which incorporated 1050 adults aged 50 years and over 
      with all levels of ID. Frailty was measured with a frailty index. The least frail 
      group was selected based on a frailty index score </= 0.10. Odds ratios were used 
      to compare the occurrence of health deficits in the least frail group to the 
      remaining group. The least frail group consisted of 65 participants, 
      corresponding with 6.6% of the study population. The least frail group was 
      significantly younger, had less severe levels of ID, and less often Down syndrome 
      than the remaining group. The lack of mobility and physical fitness limitations, 
      dependence, no signs of depression/dementia, and little medical problems 
      characterized the least frail group. The percentage of 50+ adults with 
      intellectual disabilities within the least frail group is very low compared to 
      that in the general aging population (>43%). Interventions to prevent or delay 
      frailty in this population are highly recommended and can focus on health 
      characteristics of the least frail group.
CI  - Copyright (c) 2013 Elsevier Ltd. All rights reserved.
FAU - Schoufour, Josje D
AU  - Schoufour JD
AD  - Intellectual Disability Medicine, Department of General Practice, Erasmus 
      University Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. 
      Electronic address: j.schoufour@erasmusmc.nl.
FAU - van Wijngaarden, Judith
AU  - van Wijngaarden J
FAU - Mitnitski, Arnold
AU  - Mitnitski A
FAU - Rockwood, Kenneth
AU  - Rockwood K
FAU - Evenhuis, Heleen M
AU  - Evenhuis HM
FAU - Echteld, Michael A
AU  - Echteld MA
LA  - eng
PT  - Journal Article
DEP - 20131116
PL  - United States
TA  - Res Dev Disabil
JT  - Research in developmental disabilities
JID - 8709782
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aging/physiology/*psychology
MH  - Dementia/epidemiology/physiopathology/psychology
MH  - Depression/epidemiology/physiopathology/psychology
MH  - Disability Evaluation
MH  - Down Syndrome/epidemiology/physiopathology/psychology
MH  - Female
MH  - Frail Elderly/*psychology/*statistics & numerical data
MH  - Humans
MH  - Intellectual Disability/*epidemiology/physiopathology/*psychology
MH  - Male
MH  - Middle Aged
MH  - Physical Fitness
MH  - Prevalence
MH  - Residence Characteristics
OTO - NOTNLM
OT  - Frailty index
OT  - Healthy aging
OT  - Intellectual disabilities
OT  - Older adults
EDAT- 2013/11/21 06:00
MHDA- 2014/08/13 06:00
CRDT- 2013/11/21 06:00
PHST- 2013/08/09 00:00 [received]
PHST- 2013/10/10 00:00 [revised]
PHST- 2013/10/11 00:00 [accepted]
PHST- 2013/11/21 06:00 [entrez]
PHST- 2013/11/21 06:00 [pubmed]
PHST- 2014/08/13 06:00 [medline]
AID - S0891-4222(13)00453-8 [pii]
AID - 10.1016/j.ridd.2013.10.016 [doi]
PST - ppublish
SO  - Res Dev Disabil. 2014 Jan;35(1):127-36. doi: 10.1016/j.ridd.2013.10.016. Epub 
      2013 Nov 16.