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J Am Geriatr Soc. 2012 May;60(5):934-8. 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.

Author information

1
Department of General Practice, Intellectual Disability Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands. h.evenhuis@erasmusmc.nl

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.

[Indexed for MEDLINE]

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