High prevalence of cardio-metabolic risk factors among adolescents with intellectual disability

Authors

  • Eva Flygare Wallén,

    1. Department of Caring and Public Health Sciences, Mälardalen University, Eskilstuna, Sweden
    2. Department of Clinical Science, Intervention and Technology, Division of Pediatrics, National Childhood Obesity Center, Karolinska Institutet, Stockholm, Sweden
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  • Maria Müllersdorf,

    1. Department of Caring and Public Health Sciences, Mälardalen University, Eskilstuna, Sweden
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  • Kyllike Christensson,

    1. Department of Caring and Public Health Sciences, Mälardalen University, Eskilstuna, Sweden
    2. Department of Women and Child Health, Division of Reproductive and Perinatal Health Care, Karolinska Institutet, Stockholm, Sweden
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  • Gunilla Malm,

    1. Department of Clinical Science, Intervention and Technology, Division of Pediatrics, National Childhood Obesity Center, Karolinska Institutet, Stockholm, Sweden
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  • Örjan Ekblom,

    1. Department of Clinical Science, Intervention and Technology, Division of Pediatrics, National Childhood Obesity Center, Karolinska Institutet, Stockholm, Sweden
    2. Åstrand Laboratory of Work Physiology at the Swedish School of Sport and Health Sciences, Stockholm, Sweden
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  • Claude Marcus

    1. Department of Clinical Science, Intervention and Technology, Division of Pediatrics, National Childhood Obesity Center, Karolinska Institutet, Stockholm, Sweden
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Errata

This article is corrected by:

  1. Errata: Erratum Volume 101, Issue 2, 218, Article first published online: 9 January 2012

Correspondence
Eva Flygare Wallén, Department of Caring and Public Health, Mälardalen University, PO Box 325, S-631 05 Eskilstuna, Sweden.Tel: +46 16153674 |
Fax: +46 16153740 |
Email: eva.flygare.wallen@mdh.se

Abstract

Adults with intellectual disabilities (IDs) have poor lifestyle-related health compared with the general population. Our aim was to study whether such differences are present already in adolescents.

Aim: To compare the prevalence and severity of cardio-metabolic risk factors and cardio-vascular fitness in adolescents with and without IDs.

Methods: Intellectual disability (ID) students (n = 66) and non-intellectual disability (non-ID) students from practical (non-ID-p) (n = 34) and theoretical (non-ID-t) (n = 56) programmes were recruited from three upper secondary schools. Anthropometric data, blood pressure, body composition, fasting-insulin, fasting-glucose, fasting-lipids and cardio-vascular fitness were measured.

Results: Participants with and without ID differed significantly in the prevalence of cardio-metabolic risk factors with participants with ID having a higher percentage of total fat mass, wider waist circumferences (WCs), lower levels of fat-free mass (FFM), lower bone mineral density (BMD) and higher insulin and homeostasis model assessment of insulin resistance (HOMA) levels and poorer cardio-vascular fitness. The healthiest levels were found in the non-ID-t group compared to the group with ID and the group with non-ID-p in between.

Conclusion: The prevalence of cardio-metabolic risk factors and poor cardio-vascular fitness was found to be high in this young population with intellectual disabilities. Measures should be taken to improve the health messages directed towards children and adolescents with intellectual disabilities.

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