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Res Dev Disabil. 2014 Apr;35(4):776-83. doi: 10.1016/j.ridd.2014.01.022. Epub 2014 Feb 14.

Multimorbidity in older adults with intellectual disabilities.

Author information

1
Intellectual Disability Medicine, Department of General Practice, Erasmus University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands; Amarant Groep, P.O. Box 715, 5000 AS Tilburg, The Netherlands. Electronic address: h.hermans.1@erasmusmc.nl.
2
Intellectual Disability Medicine, Department of General Practice, Erasmus University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.

Abstract

Multimorbidity may be related to the supposed early aging of people with intellectual disabilities (ID). This group may suffer more often from multimorbidity, because of ID-related physical health conditions, unhealthy lifestyle and metabolic effects of antipsychotic drug use. Multimorbidity has been defined as two or more chronic conditions. Data on chronic conditions have been collected through physical assessment, questionnaires, and medical files. Prevalence, associated factors and clusters of multimorbidity have been studied in 1047 older adults (≥ 50 years) with ID. Multimorbidity was prevalent in 79.8% and associated with age and severe/profound ID. Four or more conditions were prevalent in 46.8% and associated with age, severe/profound ID and Down syndrome. Factor analyses did not reveal a model for disease-clusters with good fit. Multimorbidity is highly prevalent in older adults with ID. Multimorbidity should receive more attention in research and clinical practice for targeted pro-active prevention and treatment.

KEYWORDS:

Frailty; Intellectual disability; Mental health; Multimorbidity

PMID:
24529858
DOI:
10.1016/j.ridd.2014.01.022
[Indexed for MEDLINE]

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