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Aging and Physical Health

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Physical Health of Adults with Intellectual and Developmental Disabilities

Abstract

Aging is a complex concept with many layers. Life expectancy at birth is rising in all parts of the world. People reaching old age with intellectual disability can expect a greater burden of illness than most people without intellectual disability. This health differential may be considered in two ways: health inequalities and health disparities. For older people with intellectual disability marked disparities are found in health and access to health services caused by genetic predispositions to certain health conditions, less favorable social circumstances, reluctance or inability to utilize generic health services, omission from public health awareness campaigns, and residential circumstances that foster inactivity and poor lifestyle choices. As in the general population, multi-morbidity and polypharmacy is reported high in older adults with intellectual disability.

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References

  1. Haveman MJ, Stöppler R. Altern mit geistiger Behinderung. Grundlagen und Perspektiven für Begleitung, Bildung und Rehabilitation. Stuttgart: Verlag W.Kohlhammer; 2010.

    Google Scholar 

  2. United Nations. Convention on the rights of persons with disabilities. New York, NY: United Nations; 2006. Available from: www.un.org/disabilities

    Google Scholar 

  3. Haub C. World population data sheet; 2006. ftp://eos.atmos.washington.edu/pub/breth/PCC/SI2006/readings/PopRefBureau_2006.pdf. 30 Jan 2018.

  4. Evenhuis H, Henderson CM, Beange H, Lennox N, Chicoine B. Healthy ageing—adults with intellectual disabilities: physical health issues. Geneva, Switzerland: World Health Organization; 2001.

    Google Scholar 

  5. Haveman MJ, Heller T, Lee LA, Maaskant MA, Shooshtari S, Strydom A. Report on the state of science on health risks and ageing in people with intellectual disabilities. IASSID special interest research group on ageing and intellectual disabilities/faculty rehabilitation sciences, University of Dortmund; 2009. Available at: http://www.iassid.org.

  6. Bowers B, Bigby C, Webber R. Intellectual disability and ageing. In: Nay R, Garratt S, editors. Interdisciplinary care of older people: issues and innovations. Sydney, Australia: Elsevier; 2009. p. 60–77.

    Google Scholar 

  7. Janicki MP, Dalton AJ, McCallion P, Baxley DD, Zendell A. Group home care for adults with intellectual disabilities and Alzheimer’s disease. Dementia. 2005;4:361–85.

    Article  Google Scholar 

  8. Whitehead M. The concepts and principles of equity and health. Int J Health Serv. 1990;22:429–45.

    Article  Google Scholar 

  9. DOH. Valuing people: a new strategy for learning disability for the 21st century. London: HMSO; 2001.

    Google Scholar 

  10. Michael J. Healthcare for all: independent inquiry into access to healthcare for people with learning disabilities. London: HMSO; 2008.

    Google Scholar 

  11. Haveman M, Heller T, Lee L, et al. Major health risks in aging persons with intellectual disabilities: an overview of recent studies. J Policy Pract Intellect Disabil. 2010;7:59–69.

    Article  Google Scholar 

  12. Fisher K, Kettl P. Aging with mental retardation: increasing population of older adults with MR require health interventions and prevention strategies. Geriatrics. 2005;60:26–9.

    PubMed  Google Scholar 

  13. Ouellette-Kuntz H, Garcin N, Lewis S, Minnes P, Freeman C, Holden J. Addressing health disparities through promoting equity for individuals with intellectual disabilities. Can J Public Health. 2005;96(2):8–S22.

    Google Scholar 

  14. Bittles A, Glasson E. Clinical, social, and ethical implications of changing life expectancy in Down syndrome. Dev Med Child Neurol. 2004;46:282–6.

    Article  CAS  PubMed  Google Scholar 

  15. Heslop P, Glover G. Mortality of people with intellectual disabilities in England: a comparison of data from existing sources. J Appl Res Intellect Disabil. 2015;28:414–22.

    Article  PubMed  Google Scholar 

  16. Day SM, Strauss DJ, Shavelle RM, Reynolds RJ. Mortality and causes of death in persons with Down syndrome in California. Dev Med Child Neurol. 2005;47:171–6.

    Article  PubMed  Google Scholar 

  17. Strauss D, Shavelle R. Life expectancy of persons with chronic disabilities. J Insur Med. 1998;30:96–108.

    CAS  PubMed  Google Scholar 

  18. Bittles AH, Bower C, Hussain R, Glasson EJ. The four ages of Down syndrome. Eur J Pub Health. 2007;17:221–5.

    Article  Google Scholar 

  19. Keene J, Hope T, Fairburn CG, Jacoby R. Death and dementia. Int J Geriatr Psychiatry. 2001;16:969–74.

    Article  CAS  PubMed  Google Scholar 

  20. Coppus A, Evenhuis H, Verbene GJ, Visser F, Oostra BA, Eikelenboom P, Van Duijin C. Survival in elderly persons with Down syndrome. J Am Geriatr Soc. 2008;56:2311–6.

    Article  PubMed  Google Scholar 

  21. Elder GH, Giele JZ. The craft of life course research. New York: The Guilford Press; 2009.

    Google Scholar 

  22. Humphries K, Traci MA, Seekins T. Nutrition and adults with intellectual or developmental disabilities: systematic literature review results. Intellect Dev Disabil. 2009;47:163–85.

    Article  PubMed  Google Scholar 

  23. Willgoss TG, Yohannes AM, Mitchell D. Review of risk factors and preventative strategies for fall-related injuries in people with intellectual disabilities. J Clin Nurs. 2010;19:2100–9.

    PubMed  Google Scholar 

  24. Emerson E, Hatton C. Contribution of socioeconomic position to health inequalities of British children and adolescents with intellectualdisabilities. Am J Ment Retard. 2007;112:140–50.

    Article  PubMed  Google Scholar 

  25. Heller T, Sorensen A. Promoting healthy aging in adults with developmental disabilities. Dev Disabil Res Rev. 2013;18:22–30.

    Article  PubMed  Google Scholar 

  26. Wilkinson J, Culpepper L, Cerreto M. Screening tests for adults with intellectual disabilities. J Am Board Fam Med. 2007;20(4):399–407.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Haveman M, Perry J, Salvador-Carulla L, et al. Ageing and health status in adults with intellectual disabilities: results of the European POMONA II study. J Intellect Develop Disabil. 2011;36:49–60.

    Article  Google Scholar 

  28. Gale L, Naqvi H, Russ L. Asthma, smoking and BMI in adults with intellectual disabilities: a community-based survey. J Intellect Disabil Res. 2009;53:787–96.

    Article  CAS  PubMed  Google Scholar 

  29. Steinberg ML, Heimlich L, Williams JM. Tobacco use among individuals with intellectual or developmental disabilities: a brief review. Intellect Dev Disabil. 2009;47:197–207.

    Article  PubMed  PubMed Central  Google Scholar 

  30. North Dakota Disability Health Project. Tobacco cessation resource materials for people with intellectual disabilities; n.d.. http://www.ndcpd.org/health/files/publications/tob%20cess%20info%201-09.pdf. Retrieved 08 Nov 2009

  31. Doody CM. Health promotion for people with intellectual disability and obesity. Br J Nurs. 2012;21(460):2–5.

    Google Scholar 

  32. World Health Organization (WHO). Global strategy on diet, physical activity and health. Geneva: Author; 2003.

    Google Scholar 

  33. Haslam D, Sattar N, Lean M. ABC of obesity.Obesity—time to wake up. Br Med J. 2006;333:640–2.

    Article  Google Scholar 

  34. Draheim CC, Williams DP, McCubbin JA. Prevalence of physical inactivity and recommended physical activity in community-based adults with mental retardation. Ment Retard. 2002;40:436–44.

    Article  PubMed  Google Scholar 

  35. Stanish H, Draheim C. Physical activity assessment using pedometer and questionnaire in adults with mental retardation. Adapt Phys Act Q. 2005;22:136–45.

    Google Scholar 

  36. de Winter CF, Bastiaanse LP, Hilgenkamp TI, Evenhuis HM, Echteld MA. Overweight and obesity in older people with intellectual disability. Res Dev Disabil. 2012;33:398–405.

    Article  PubMed  Google Scholar 

  37. Bhaumik S, Watson J, Thorp C, Tyrer F, McGrother C. Body mass index in adults with intellectual disability: distribution, associations and service implications: a population-based prevalence study. J Intellect Disabil Res. 2008;52:287–98.

    Article  CAS  PubMed  Google Scholar 

  38. Braunschweig C, Gomez S, Sheean P, Tomey K, Rimmer J, Heller T. Nutritional status and risk factors for chronic disease in urban-dwelling adults with Down syndrome. Am J Ment Retard. 2004;109:186–93.

    Article  PubMed  Google Scholar 

  39. Draheim CC, Stanish HI, Williams DP, McCubbin JA. Dietary intake of adults with mental retardation who reside in community settings. Am J Ment Retard. 2007;112:392–400.

    Article  PubMed  Google Scholar 

  40. Fujiura GT, Yamaki K. Analysis of ethnic variations in developmental disability prevalence and household economic status. Ment Retard. 1997;35:268–94.

    Article  Google Scholar 

  41. Yamaki K, Fujiura GT. Employment and oncome status of adults with developmental disabilities living in the community. Ment Retard. 2002;40:132–41.

    Article  PubMed  Google Scholar 

  42. Sutherland G, Couch MA, Iacono T. Health issues for adults with developmental disability. Res Dev Disabil. 2002;23:422–45.

    Article  PubMed  Google Scholar 

  43. Robertson J, Emerson E, Gregory N, Hatto C, Turner S, Kessissoglou S, et al. Lifestyle related risk factors for poor health in residential settings for people with intellectual disabilities. Res Dev Disabil. 2000;21:469–86.

    Article  CAS  PubMed  Google Scholar 

  44. Emerson E. Underweight, obesity and exercise among adults with intellectual disabilities in supported accommodation in Northern England. J Intellect Disabil Res. 2005;49:134–43.

    Article  CAS  PubMed  Google Scholar 

  45. Bodde AE, Seo D-C. A review of social and environmental barriers to physical activity for adults with intellectual disabilities. Disabil Health J. 2009;2:57–66.

    Article  PubMed  Google Scholar 

  46. Hamilton S, Hankey CR, Miller S, Boyle S, Melville CA. A review of weight loss interventions for adults with intellectual disabilities. Obes Rev. 2007;8(4):339–45.

    Article  CAS  PubMed  Google Scholar 

  47. Stanish H, Temple V, Frey G. Health-promoting physical activity of adults with mental retardation. Ment Retard Dev Disabil Res Rev. 2006;12:13–21.

    Article  PubMed  Google Scholar 

  48. Podgorsky C, Kessler K, Cacia B, Peterson D, Henderson M. Physical activity intervention for older adults with intellectual disability: report on a pilot project. Ment Retard. 2004;42:272–83.

    Article  Google Scholar 

  49. van den Broek E, Janssen C, van Ramshorst T, Deen L. Visual impairments in people with severe and profound multiple disabilities: an inventory of visual functioning. J Intellect Disabil Res. 2006;50(6):470–5.

    Article  PubMed  Google Scholar 

  50. Janicki MP, Davidson PW, Henderson CM, McCallion P, Taets JD, Force LT, et al. Health characteristics and health services utilization in older adults with intellectual disability living in community residences. J Intellect Disabil Res. 2002;46:287–98.

    Article  CAS  PubMed  Google Scholar 

  51. Merrick J, Davidson PW, Morad M, Janicki MP, Wexler O, Henderson CM. Older adults with intellectual disability in residential care centers in Israel: health status and service utilization. Am J Ment Retard. 2004;109:413–20.

    Article  PubMed  Google Scholar 

  52. Kerr AM, McCulloch D, Oliver K, McLean B, Coleman E, Law T, et al. Medical needs of people with intellectual disability require regular assessment, and the provision of client- and carer-held reports. J Intellect Disabil Res. 2003;47:134–45.

    Article  CAS  PubMed  Google Scholar 

  53. van Splunder J, Stilma J, Bernsen R, Evenhuis H. Prevalence of visual impairment in adults with intellectual disabilities in the Netherlands: cross-sectional study. Eye. 2006;20(9):1004–10.

    Article  PubMed  Google Scholar 

  54. Evenhuis H, Theunissen M, Denkers I, Verschuure H, Kemme H. Prevalence of visual and hearing impairment in a Dutch institutionalized population with intellectual disability. J Intellect Disabil Res. 2001;45:457–64.

    Article  CAS  PubMed  Google Scholar 

  55. Meuwese-Jongejeugd A, Vink M, Van ZB, Verschuure H, Eichhorn E, Koopman D, et al. Prevalence of hearing loss in 1598 adults with an intellectual disability: crosssectional population based study. Int J Audiol. 2006;45:660–9.

    Article  PubMed  Google Scholar 

  56. Aerts-Neggers TMA, Schoonbrood-Lenssen AMJ, Maaskant MA. Gehoorverlies bij mensen met een verstandelijke handicap, resultaten van een screeningsonderzoek in drie activiteitencentra. Nederlands Tijdschrift voor de Zorg aan verstandelijk gehandicapten. 2003;29(4):238–50.

    Google Scholar 

  57. Evenhuis HM, Nagtzaam LMD, editors. Early identification of hearing and visual impairment in children and adults with an intellectual disability. IASSID International Consensus Statement. SIRG Health Issues; 1998.

    Google Scholar 

  58. Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE, Engel J, Forsgren L, French JA, Glynn M, Hesdorffer DC. ILAE official report: a practical clinical definition of epilepsy. Epilepsia. 2014;55:475–82.

    Article  PubMed  Google Scholar 

  59. Prasher VP, Kerr MP. Epilepsy and intellectual disabilities. 2nd ed. New York: Springer; 2016.

    Book  Google Scholar 

  60. Amiet C, Gourfinkel-An I, Bouzamondo A, Tordjman S, Baulac M, Lechat P, et al. Epilepsy in autism is associated with intellectual disability and gender: evidence from a meta-analysis. Biol Psychiatry. 2008;64:577–82.

    Article  PubMed  Google Scholar 

  61. Matthews T, Weston N, Baxter H, Felce D, Kerr M. A general practice-based prevalence study of epilepsy among adults with intellectual disabilities and of its association with psychiatric disorder, behaviour disturbance and carer stress. J Intellect Disabil Res. 2008;52:163–73.

    Article  CAS  PubMed  Google Scholar 

  62. Kerr M, Bowley C. Evidence-based prescribing in adults with learning disability and epilepsy. Epilepsia. 2001;42(Suppl 1):44–5.

    Article  PubMed  Google Scholar 

  63. Baxter H, Lowe K, Houston H, Jones G, Felce D, Kerr M. Previously unidentified morbidity in patients with intellectual disability. Br J Gen Pract. 2006;56:93–8.

    PubMed  PubMed Central  Google Scholar 

  64. McGrother C, Bhaumik S, Thorp C, Hauck A, Branford D, Watson J. Epilepsy in adults with intellectual disabilities: prevalence, associations and service implications. Seizure. 2006;15:376–86.

    Article  PubMed  Google Scholar 

  65. Wilson R. Carer burden in learning disability with coexistent epilipsy. Unpublished M.Sc. thesis. University of Wales College of Medicine, Cardiff; 1998.

    Google Scholar 

  66. van SchrojensteinLantman-de Valk HM. Health in people with intellectual disa-bilities: current knowledge and gaps in knowledge. J Appl Res Intellect Disabil. 2005;18:325–33.

    Article  Google Scholar 

  67. Jancar J, Jancar MP. Age-related fractures in people with intellectual disability and epilepsy. J Intellect Disabil Res. 1998;42. ( Pt 5:429–33.

    Article  PubMed  Google Scholar 

  68. Wagemans AM, Fiolet JF, van der Linde ES, Menheere PP. Osteoporosis and intellectual disability: is there any relation. J Intellect Disabil Res. 1998;42(5):370–4.

    Article  PubMed  Google Scholar 

  69. Collacott R. Epilepsy, dementia and adaptive behaviour in Down’s syndrome. J Intellect Disabil Res. 1993;37(2):153–60.

    Article  PubMed  Google Scholar 

  70. Holland AJ, Hon J, Huppert FA, Stevens F. Incidence and course of dementia in people with Down’s syndrome: findings from a population-based study. J Intellect Disabil Res. 2000;44:138–46.

    Article  PubMed  Google Scholar 

  71. Prasher VP. Alzheimer’s disease and dementia in Down syndrome and Inteilectual disabilities. Oxon, UK: Radcliffe Publishing; 2005.

    Google Scholar 

  72. Zigman WB, Schupf N, Sersen E, Silverman W. Prevalence of dementia in adults with and without Down syndrome. Am J Ment Retard. 1996;100:403–12.

    CAS  PubMed  Google Scholar 

  73. Cooper SA. Psychiatry of elderly compared to younger adults with intellectual disabilities. J Appl Res Intellect Disabil. 1997;10:303–11.

    Article  Google Scholar 

  74. Strydom A, Livingston G, King M, et al. Prevalence of dementia in intellectual disability using different diagnostic criteria. Br J Psychiatry. 2007;191(2):150–7.

    Article  CAS  PubMed  Google Scholar 

  75. British Psychological Society. Dementia and people with learning disabiliites. Guidance on the assessment, diagnosis, treatment and support of people with learning disabilities who develop dementia. Cr 155; 2009

    Google Scholar 

  76. Sullivan WF, Berg JM, Bradley E, Cheetham T, Denton R, Heng J, Hennen B, Joyce D, et al. Primary care of adults with developmental disabilities; Canadian consensus guidelines. Can Fam Physician. 2011;2011(57):541–53.

    Google Scholar 

  77. Draheim CC, Williams DP, McCubbin JA. Physical activity, dietary intake, and the insulin resistance syndrome in nondiabetic adults with mental retardation. Am J Ment Retard. 2002;107:361–75.

    Article  PubMed  Google Scholar 

  78. McDermott S, Platt T, Krishnaswami S. Are individuals with mental retardation at high risk for chronic disease? Fam Med. 1997;29:429–34.

    CAS  PubMed  Google Scholar 

  79. Cooper SA. Clinical study of the effects of age on the physical health of adults with mental retardation. Am J Ment Retard. 1998;102:582–9.

    Article  CAS  PubMed  Google Scholar 

  80. Henderson CM, Robinson LM, Davidson P, Haveman M, Janicki MP, Albertini G. Overweight status, obesity and risk factors for coronary heart disease in adults with intellectual disability. J Policy Pract Intellect Disabil. 2008;5:174–7.

    Article  Google Scholar 

  81. Kapell D, Nightingale B, Rodriguez A, Lee J, Zigman W, Schupf N. Prevalence of chronic medical conditions in adults with mental retardation: comparison with the general population. Ment Retard. 1998;36:269–79.

    Article  CAS  PubMed  Google Scholar 

  82. Patja K, Molsa P, Iivanainen M. Cause-specific mortality of people with intellectual disability in a population-based, 35-year follow-up study. J Intellect Disabil Res. 2001;45:30–40.

    Article  CAS  PubMed  Google Scholar 

  83. Esbensen A, Seltzer M, Greenberg J. Factors predicting mortality in midlife adults with and without Down syndrome living with family. J Intellect Disabil Res. 2007;51:1039–50.

    Article  CAS  PubMed  Google Scholar 

  84. Janicki MP, Dalton AJ, Henderson C, Davidson P. Mortality and morbidity among older adults with intellectual disability: health services considerations. Disabil Rehabil. 1999;21:284–94.

    Article  CAS  PubMed  Google Scholar 

  85. Strauss D, Kastner T, Shavelle R. Mortality of adults with developmental disabilities living in California institutions and community care, 1985–1994. Ment Retard. 1998;36:360–71.

    Article  CAS  PubMed  Google Scholar 

  86. McGillycuddy NB. A review of substance use research among those with mental retardation. Men Retard Dev Disabil Res Rev. 2006;12:41–7.

    Article  Google Scholar 

  87. Frey G. Comparison of physical activity levels between adults with and without mental retardation. J Phys Act Health. 2004;1:235–45.

    Article  Google Scholar 

  88. de Winter CF, Bastiaanse LP, Hilgenkamp TI, Evenhuis HM, Echteld MA. Cardiovascular risk factors (diabetes, hypertension, hypercholesterolemia and metabolic syndrome) in older people with intellectual disability: results of the HA-ID study. Res Dev Disabil. 2012;33:1722–31.

    Article  CAS  PubMed  Google Scholar 

  89. Kennedy C. Screening for Helicobacter pylori in adults with developmental disabilities—prevalence of infection and testing considerations for urea breath test, serology and whole-blood methods. M.Sc. thesis. Department of CommunityHealth & Epidemiology, Queen’s University, Kingston, Ontario; 2002.

    Google Scholar 

  90. Morad M, Merrick J, Nasri Y. Prevalence of Helicobacter pylori infection in people with intellectual disabilities in a residential care center in Israel. J Intellect Disabil Res. 2002;46:141–3.

    Article  CAS  PubMed  Google Scholar 

  91. Wallace R, Schluter P, Webb P. Environmental, medical behavioural and disability factors associated with Helicobacter pylori infection in adults with intellectual disability. J Intellect Disabil Res. 2002;46:51–60.

    Article  CAS  PubMed  Google Scholar 

  92. Böhmer CJ, Klinkenberg-Knol EC, Kuipers EJ, Niezen-De Boer MC, Schreuder H, Schuckink-Kool F, et al. The prevalence of Helicobacter pylori infection among inhabitants and healthy employees of institutes for the intellectually disabled. Am J Gastroenterol. 1997;92:1000–4.

    PubMed  Google Scholar 

  93. Clarke D, Vermuri M, Gunatilake D, Tewari S. Brief report. Helicobacter pylori infection in five inpatient units for people with intellectual disability and psychiatric disorder. J f Appl Res Intellect Disabil. 2008;21:95–8.

    Article  Google Scholar 

  94. Beange H, Lennox N. Physical aspects of health in the learning disabled. Curr Opin Psychiatry. 1998;11:531–4.

    Article  Google Scholar 

  95. Duff M, Scheepers M, Cooper M, Hoghton M, Baddeley P. Helicobacter pylori: has the killer escaped from the institution? A possible cause of increased stomach cancer in a population with intellectual disability. J Intellect Disabil Res. 2001;45:219–25.

    Article  CAS  PubMed  Google Scholar 

  96. Wallace R, Schluter P, Webb P. Recurrence of Helicobacter pylori infection in adults with intellectual disability. Intern Med J. 2004;34:132–3.

    Article  CAS  PubMed  Google Scholar 

  97. International Foundation for Functional Gastrointestinal Disorders, Inc. (IFFGD). GI disorders in adults: gastroesophageal reflux disease; 2003. http://www.iffgd.org/GIDisorders/GIAdults.htm. Retrieved 27 Oct 2009

  98. Böhmer C, Niezen-De Boer M, Klinkenberg-Knol E, Deville W, Nadorp J, Meuwissen S. The prevalence of gastrooesophageal reflux disease in institutionalised intellectually disabled individuals. Am J Gastroenterol. 1999;94:804–10.

    Article  PubMed  Google Scholar 

  99. Böhmer C, Niezen-De Boer M, Klinkenberg-Knol E, Meuwissen S. Review article. Gastroesophageal reflux disease in intellectually disabled individuals: how often, how serious, how manageable? Am J Gastroenterol. 2000;95:1868–72.

    Article  PubMed  Google Scholar 

  100. Evenhuis H, Henderson CM, Beange H, Lennox N, Chicoine B. Healthy ageing—adults with intellectual disabilities: physical health issues. Geneva, Switzedand: World Health Organization; 2000. Available at http://www.who.int/mental_health/media/en/21.pdf

    Google Scholar 

  101. Tracy JM, Wallace R. Presentations of physical illness in people with developmental disability: the example of gastrooesophageal reflux. Med J Aust. 2001;175:109–11.

    Google Scholar 

  102. Kronhead A, Moller M. Effects of physical exercise on bone mass, balance skill and aerobic capacity in women and men with low bone mineral density, after one year of training a prospective study. Scand J Med Sci Sports. 1998;8:290–8.

    Article  Google Scholar 

  103. Heinonen A, Kannus P, Sievnan H, Pasanen M, Oja P, Vuori I. Good maintenance of high-impact activity-induced bone gain by voluntary, unsupervised exercises: an 8-month follow-up of a randomized controlled trial. J Bone Miner Res. 1999;14:25–8.

    Article  Google Scholar 

  104. van Schrojenstein Lantman- de Valk H, Metsemakers J, Haveman M, Crebolder H. Health problems in people with intellectual disability in general practice: a comparative study. Fam Pract. 2000;17:405–7.

    Article  CAS  PubMed  Google Scholar 

  105. Angelopoulou N, Matziari C, Tsimaras V, Sakadamis A, Souftas V, Mandroukas K. Bone mineral density andmuscle strength in young men with mental retardation (with and without Down syndrome). Calcif Tissue Int. 2000;66:176–80.

    Article  CAS  PubMed  Google Scholar 

  106. Center J, Nguyen T, Pocock N, Eisman J. Volumetric bone density at the femoral neck as a common measure of hip fracture risk for men and women. J Clin Endocrinol Metab. 2004;89:2776–82.

    Article  CAS  PubMed  Google Scholar 

  107. Schrager S. Osteoporosis in women with disabilities. J Women’s Health. 2004;13:431–7.

    Article  Google Scholar 

  108. Tyler C, Snyder C, Zyzansky S. Screening for osteoporosis in community-dwelling adults with mental retardation. Ment Retard. 2000;38:316–21.

    Article  PubMed  Google Scholar 

  109. Lohiya GS, Crinella FM, Tan-Figueroa L, Caires S, Lohiya S. Fracture epidemiology and control in a developmental center. West J Med. 1999;170:203–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  110. Glick NR, Fischer HM, Heisey MD, Leverson EG, Mann CD. Epidemiology of fractures in people with severe and profound developmental disabilities. Osteoporos Int. 2005;16:389–96.

    Article  PubMed  Google Scholar 

  111. Vonken MTH, Maaskant MA, van den Akker M. Aandoeningen van het bewegingsapparaat bij mensen met een verstandelijke handicap [Disorders of the movement system of people with intellectual disability]. Nederlands Tijdschrift voor de Zorg aan verstandelijk gehandicapten (Dutch Journal for Care to Persons with Intellectual Disabilities). 2006;32:98–111.

    Google Scholar 

  112. Burkle A, Caselli G, Franceschi C, Mariani E, Sansoni P, Santoni A, Witkowski W, Caruso I. Pathophysiology of ageing, longevity and age related diseases. Immun Ageing. 2007;4:4–11.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  113. Effros R. Roy Walford and the immunologic theory of aging. Immun Ageing. 2005;2:7–10.

    Article  PubMed  PubMed Central  Google Scholar 

  114. Cohen WI. Current dilemmas in Down syndrome clinical care: celiac disease, thyroid disorders and atlanto-axial instability. Am J Med Genet. 2006;142(3):141–8.

    Article  Google Scholar 

  115. Hansson T, Dahlbom I, Rogberg S, Nyberg B, Dahlstrom J, Anneren G, Klareskog L, Dannaeus A. Antitissue transglutaminase and antithyroid autoantibodies in children with Down syndrome and celiac disease. J Pediatr Gastroenterol Nutr. 2005;40:170–4.

    Article  CAS  PubMed  Google Scholar 

  116. Kinik ST, Ozcay F, Varan B. Type 1 diabetes mellitus, Hashimotos’ thyroiditis and celiac disease in an adolescent with Down syndrome. Pediatr Int. 2006;48:433–5.

    Article  PubMed  Google Scholar 

  117. Prada N, Nasi M, Troiani L, Roat E, Pinti M, Nemes E, et al. Direct analysis of thymic function in children with Down’s syndrome. Immun Ageing. 2005;2:4–10.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  118. Ugazio AG, Maccario R, Notarangelo LD, Burgio GR. Immunology of Down syndrome: a review. Am J Med Genet. 1990;7:204–12.

    CAS  Google Scholar 

  119. Boker LK, Merrick J. Cancer incidence in persons with Down syndrome in Israel. Downs Syndr Res Pract. 2002;8(1):31–6.

    Article  PubMed  Google Scholar 

  120. Sullivan SG, Hussain R, Threlfall T, Bittles AH. The incidence of cancer in people with intellectual disabilities. Cancer Causes Control. 2004;15:1021–5.

    Article  PubMed  Google Scholar 

  121. Hollins S, Attard MT, von Fraunhofer N, McGuigan S, Sedgwick P. Mortality in people with learning disability: risks, causes and death certificate findings in London. Dev Med Child Neurol. 1998;40:50–6.

    CAS  PubMed  Google Scholar 

  122. Hogg J, Tuffrey-Wijne I. Cancer and intellectual disability: a review of some key contextual issues. J Appl Res Intellect Disabil. 2008;21(6):509–18.

    Article  Google Scholar 

  123. Maaskant M, Gevers J, Wierda H. Mortality and life expectancy in Dutch residential centres for individuals with intellectual disability, 1991–1995. J Appl Res Intellect Disabil. 2002;15:200–12.

    Article  Google Scholar 

  124. Satgé D, Vekemans M. Down syndrome patients are less likely to develop some (but not all) malignant solid tumours. Clin Genet. 2011;79(3):289–90.

    Article  PubMed  Google Scholar 

  125. European Association for Palliative Care. EAPC Definition of palliative care; 2014. http://www.eapcnet.eu/Corporate/AbouttheEAPC/Definitionandaims.aspx. Accessed 04 Dec 2017.

  126. McCallion P, Hogan M, Santos FH, McCarron M, Service K, Stemp S, Keller S, Fortea J, Watchman K, Janicki MP, The Working Group of the International Summit on Intellectual Disability and Dementia. Consensus statement of the international summit on intellectual disability and dementia related to advanced dementia and end-of-life care. J Appl Res Intellect Disabil. 2017;30(6):977–1164. https://doi.org/10.1111/jar.12349.

    Article  PubMed  Google Scholar 

  127. Kadam UT, Croft PR; North Staffordshire GP Consortium Group. Clinical multimorbidity and physical function in older adults: a record and health status linkage study in general practice, Family Practice; 2007.

    Google Scholar 

  128. Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005;3:223–8.

    Article  PubMed  PubMed Central  Google Scholar 

  129. Kirchberger I, Meisinger C, Heier M, Zimmermann AK, Thorand B, Autenrieth CS, et al. Patterns of multimorbidity in the aged population. Results from the KORA-age study. PLoS One. 2012;7:e30556.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  130. van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol. 1998;51:367–75.

    Article  PubMed  Google Scholar 

  131. Britt HC, Harrison CM, Miller GC, Knox SA. Prevalence and pattern of multimorbidity in Australia. Med J Aust. 2008;189(2):72–7.

    PubMed  Google Scholar 

  132. Marengoni A, Winblad B, Karp A, Fratiglioni L. Prevalence of chronic diseases and multimorbidity among the elderly population in Sweden. Am J Public Health. 2008;98:1198–200.

    Article  PubMed  PubMed Central  Google Scholar 

  133. Hermans H, Evenhuis HM. multimorbidity in older adults with intellectual disabilities. Res Dev Disabil. 2014;35(4):776–83.

    Article  PubMed  Google Scholar 

  134. Axmon A, Björne P, Nylander L, Ahlström G. Psychiatric diagnoses in older people with intellectual disability in comparison with the general population: a register study. Epidemiol Psychiatr Sci. 2017:1–13. https://doi.org/10.1017/S2045796017000051.

    Article  PubMed  PubMed Central  Google Scholar 

  135. Janicki MP, Henderson CM, Rubin L. Neurodevelopmental conditions and aging: report on the Atlanta study group charrette on neurodevelopmental conditions and aging. Disabil Health J. 2008;1:116–24.

    Article  PubMed  Google Scholar 

  136. Trinity College Dublin. IDS TILDA. The intellectual disability supplement to the Irish longitudinal study on ageing; 2016. Available at: http://www.idstilda.tcd.ie/. Accessed 05 Dec 5 2017.

  137. McCarron M, Swinburne J, Burke E, McGlinchey E, Carroll R, McCallion P. Patterns of multimorbidity in an older population of persons with an intellectual disability: results from the intellectual disability supplement to the Irish longitudinal study on aging (IDS-TILDA). Res Dev Disabil. 2013;34(1):521–7.

    Article  PubMed  Google Scholar 

  138. van Timmerena EA, Waningea A, van Schrojenstein Lantman-De Valk HMJA, van der Putten AJ, van der Schansade CP. Patterns of multimorbidity in people with severe or profound intellectual and motor disabilities. Res Dev Disabil. 2017;67:28–33.

    Article  Google Scholar 

  139. Doos L, Roberts EO, Corp N, Kadam UT. Multi-drug therapy in chronic condition multimorbidity: a systematic review. Fam Pract. 2014;31:654–63.

    Article  PubMed  PubMed Central  Google Scholar 

  140. Robertson J, Emerson E, Gregory N, et al. Receipt of psychotropic medication by people with intellectual disability in residential settings. J Intellect Disabil Res. 2000;44:666–76.

    Article  PubMed  Google Scholar 

  141. Stortz JN, Lake JK, Cobigo V, et al. Lessons learned from our elders: how to study polypharmacy in populations with intellectual and developmental disabilities. Intellect Dev Disabil. 2014;52:60–77.

    Article  PubMed  Google Scholar 

  142. O’Dwyer M, Peklar J, McCallion P, McCarron M, Henman MC. Factors associated with polypharmacy and excessive polypharmacy in older people with intellectual disability differ from the general population: a cross-sectional observational nationwide study. BMJ Open. 2016;6:e010505. https://doi.org/10.1136/bmjopen-2015-010505.

    Article  PubMed  PubMed Central  Google Scholar 

  143. Doan TN, Lennox NG, Taylor-Gomez M, et al. Medication use among Australian adults with intellectual disability in primary healthcare settings: a cross-sectional study. J Intellect Dev Disabil. 2013;38:177–81.

    Article  PubMed  Google Scholar 

  144. Lunsky Y, Klein-Geltink JE, Yates EA, Cobigo V, Ouellette-Kuntz H, Lake JK, et al. Medication use. In: Lunsky Y, Klein-Geltink JE, Yates EA, editors. Atlas on the primary care of adults with developmental disabilities in Ontario. Toronto, Canada: Institute for Clinical Evaluative Sciences and Centre for Addiction and Mental Health; 2013. http://www.ices.on.ca/~/media/Files/Atlases-Reports/2013/Atlas-on-developmental-disabilities/Full-Report.ashx.

    Chapter  Google Scholar 

  145. Haveman M, Stöppler R. Gesundheit und Krankheit bei Menschen mit geistiger Behinderung. Stuttgart: Verlag W. Kohlhammer; 2014.

    Google Scholar 

  146. Lennox N, Bain C, Rey-Conde T, Purdie D, Bush R, Pandeya N. Effects of a comprehensive health assessment programme for Australian adults with intellectual disability: a cluster randomized trial. Int J Epidemiol. 2007;36:139–46.

    Article  PubMed  Google Scholar 

  147. Felce D, Baxter H, Lowe K, Dunstan F, Houston H, Jones G, et al. The impact of repeated health checks for adults with intellectual disabilities. J Appl Res Intellect Disabil. 2008;21:585–96.

    Article  Google Scholar 

  148. Strydom A, Lee LA, Jokinen N, Shooshtari S, Raykar V, Torr J, Tsiouris JA, Courtenay K, Bass N, Sinnema M, Maaskant MA. Report on the state of science on dementia in people with intellectual disabilities. IASSID special interest research group on ageing and intellectual disabilities; 2009.

    Google Scholar 

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  1. Department of Rehabilitation Sciences, University of Dortmund, Dortmund, Germany

    Meindert Haveman

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    Vee P. Prasher

  2. University of Illinois at Chicago, Chicago, IL, USA

    Matthew P. Janicki

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Haveman, M. (2019). Aging and Physical Health. In: Prasher, V., Janicki, M. (eds) Physical Health of Adults with Intellectual and Developmental Disabilities. Springer, Cham. https://doi.org/10.1007/978-3-319-90083-4_15

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