The triple challenges associated with age-related comorbidities in Down syndrome
Article first published online: 19 MAR 2013
© 2013 The Authors. Journal of Intellectual Disability Research © 2013 John Wiley & Sons Ltd, MENCAP & IASSIDD
Journal of Intellectual Disability Research
Volume 58, Issue 4, pages 393–398, April 2014
How to Cite
Glasson, E. J., Dye, D. E. and Bittles, A. H. (2014), The triple challenges associated with age-related comorbidities in Down syndrome. Journal of Intellectual Disability Research, 58: 393–398. doi: 10.1111/jir.12026
- Issue published online: 5 FEB 2014
- Article first published online: 19 MAR 2013
- Manuscript Accepted: 30 JAN 2013
- Down syndrome;
- intellectual disability
Major increases in the survival of people with Down syndrome during the last two generations have resulted in extended periods of adulthood requiring specialist care, which in turn necessitates greater understanding of the nature, timing and impact of comorbidities associated with the disorder.
The prevalence of five comorbidities reported as common in adults with Down syndrome, visual impairment, hearing impairment, epilepsy, thyroid disorders and dementia was assessed by decade of life.
From early adulthood, people with Down syndrome are at enhanced risk of developing new comorbidities and they may present with multiple conditions. Three specific challenges are identified and discussed: are comorbidities detected in a timely manner, is the clinical progress of the disorder adequately understood, and who is responsible for the provision of care?
Further detailed investigations into the development and treatment of comorbidities across the lifespan are needed for a successful longitudinal approach to healthcare in people with Down syndrome. Implementation of this approach will better inform healthcare providers to ensure continuity of care with advancing age.