M L Franke1, M Heinrich2,3, M Adam2, U Sünkel4,5, A Diefenbacher2, T Sappok2. 1. Abteilung für Psychiatrie, Psychotherapie und Psychosomatik, Ev. Krankenhaus Königin Elisabeth Herzberge, Herzbergstraße 79, 10405, Berlin, Deutschland. miriam.franke@berlin.de. 2. Abteilung für Psychiatrie, Psychotherapie und Psychosomatik, Ev. Krankenhaus Königin Elisabeth Herzberge, Herzbergstraße 79, 10405, Berlin, Deutschland. 3. Fachbereich Erziehungswissenschaften und Psychologie, Freie Universität Berlin, Berlin, Deutschland. 4. Hertie-Institut für klinische Hirnforschung, Tübingen, Deutschland. 5. Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Tübingen, Deutschland.
Abstract
BACKGROUND: People with intellectual disabilities (ID) have a shorter life expectancy and higher mortality rate and more often suffer from various physical and mental disorders (WHO: 3-4 times more often than the general population). Obesity is an important risk factor for various disorders. This cross-sectional study examined the body weight and its risk factors in a clinical population of adults with ID. METHODS: The prevalence of underweight, normal weight, and overweight was determined using the body mass index (BMI) for 633 patients of an outpatient clinic for people with ID and mental disorders. A multiple logistic regression analysis was used to assess factors for alterations in body weight. RESULTS: Approximately one out of two men and two out of three women with ID and mental disorders were overweight. Adults with mild and moderate ID, female gender, increasing age, Down's syndrome, behavioral disorders, and a less supported living situation were associated with a higher rate of obesity. People with dementia and autism spectrum disorders showed a lower rate of obesity. CONCLUSION: Young women with ID and mental disorders were particularly at risk for obesity. The respective factors may support the development of specific prevention programs to reduce the risk of overweight and thereby lead to better mental and physical health in people with ID.
BACKGROUND:People with intellectual disabilities (ID) have a shorter life expectancy and higher mortality rate and more often suffer from various physical and mental disorders (WHO: 3-4 times more often than the general population). Obesity is an important risk factor for various disorders. This cross-sectional study examined the body weight and its risk factors in a clinical population of adults with ID. METHODS: The prevalence of underweight, normal weight, and overweight was determined using the body mass index (BMI) for 633 patients of an outpatient clinic for people with ID and mental disorders. A multiple logistic regression analysis was used to assess factors for alterations in body weight. RESULTS: Approximately one out of two men and two out of three women with ID and mental disorders were overweight. Adults with mild and moderate ID, female gender, increasing age, Down's syndrome, behavioral disorders, and a less supported living situation were associated with a higher rate of obesity. People with dementia and autism spectrum disorders showed a lower rate of obesity. CONCLUSION: Young women with ID and mental disorders were particularly at risk for obesity. The respective factors may support the development of specific prevention programs to reduce the risk of overweight and thereby lead to better mental and physical health in people with ID.
Authors: Roger J Stancliffe; K Charlie Lakin; Sheryl Larson; Joshua Engler; Julie Bershadsky; Sarah Taub; Jon Fortune; Renata Ticha Journal: Am J Intellect Dev Disabil Date: 2011-11