PMID- 25824155
OWN - NLM
STAT- MEDLINE
DCOM- 20151027
LR  - 20191210
IS  - 0167-9228 (Print)
IS  - 0167-9228 (Linking)
VI  - 46
IP  - 2
DP  - 2015 Apr
TI  - [Frailty in people with intellectual disabilities: operationalization, risks and 
      detection].
PG  - 92-103
LID - 10.1007/s12439-015-0126-4 [doi]
AB  - Although the population with intellectual disabilities (ID) is increasingly 
      growing older, there seems to be an early onset of functional decline in this 
      group, which could be explained by frailty. We used data from the Healthy Aging 
      and Intellectual Disability study (HA-ID) to measure frailty in people with ID. 
      Frailty was measured with an adapted version of the frailty index, consisting of 
      50 health and age related deficits. We were the first to measure frailty with a 
      frailty index in this population, and therefore its validity, in terms of 
      predictive value, needed to be established. In the current article we provide an 
      overview of the design of the frailty index and its relation with adverse health 
      outcomes. In a nearly representative study population of 982 50-plus older adults 
      with ID, we studied the prevalence of frailty and its validity over a 3-year 
      follow-up period. Results show that people with ID were earlier and more severely 
      frail than people from the general population. Frailty was related to early 
      mortality, to disabilities in daily functioning and mobility, to increased 
      medication use, and increased care intensity, but not to hospitalization. Using a 
      hypothetical model, we identify possible interventions to increase the healthy 
      life years in people with ID.
FAU - Schoufour, Josje D
AU  - Schoufour JD
AD  - Geneeskunde voor verstandelijk gehandicapten, Huisartsgeneeskunde, Erasmus 
      medisch centrum, P.O. Box 2040, 300 CA, Rotterdam, Nederland, 
      j.schoufour@erasmusmc.nl.
FAU - Echteld, Michael A
AU  - Echteld MA
FAU - Evenhuis, Heleen M
AU  - Evenhuis HM
LA  - dut
PT  - Journal Article
PT  - Validation Study
TT  - Kwetsbaarheid bij ouderen met een verstandelijke beperking: operationalisering, 
      risico en opsporing.
PL  - Netherlands
TA  - Tijdschr Gerontol Geriatr
JT  - Tijdschrift voor gerontologie en geriatrie
JID - 8210346
SB  - IM
MH  - *Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Aging/*physiology/*psychology
MH  - Female
MH  - Follow-Up Studies
MH  - *Frail Elderly
MH  - Health Status
MH  - Humans
MH  - *Intellectual Disability
MH  - Male
MH  - Middle Aged
MH  - Physical Fitness
MH  - Prevalence
EDAT- 2015/04/01 06:00
MHDA- 2015/10/28 06:00
CRDT- 2015/04/01 06:00
PHST- 2015/04/01 06:00 [entrez]
PHST- 2015/04/01 06:00 [pubmed]
PHST- 2015/10/28 06:00 [medline]
AID - 10.1007/s12439-015-0126-4 [doi]
PST - ppublish
SO  - Tijdschr Gerontol Geriatr. 2015 Apr;46(2):92-103. doi: 10.1007/s12439-015-0126-4.