The risk of metabolic syndrome among institutionalized adults with intellectual disabilities

Shang Wei Hsu, Chia Feng Yen, Wen Jui Hung, Lam Ping Lin, Chia Ling Wu, Jin Ding Lin

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

People with metabolic syndrome (MS) are at increased risk of coronary heart disease and other health problems, such as diabetes and stroke. However, there is little previous information on the prevalence and determinants of MS among people with intellectual disabilities (IDs). The present study aimed to examine the prevalence of MS risk factors among institutionalized adults with IDs. We analyzed the annual health check data of 164 institutionalized adults with IDs whose age was ≧20 years in 2009. The measure of MS in the study was the presence of three or more of the following five components: central obesity, elevated blood pressure (BP), elevated fasting glucose (FG), elevated triglycerides (TG), and reduced high-density lipoprotein (HDL-C). The prevalence of MS was 11.6% in the study participants (8% in males and 17.2% in females), which is lower than that in the general population of Taiwan. In the logistic regression analysis of the occurrence of MS, we found that gender, TG and HDL-C were variables that could significantly predict MS after controlling for other potential factors. Adults with IDs who were female (OR = 38.354, 95% CI = 1.985-741.029) and who had higher TG levels (OR = 1.043, 95% CI = 1.008-1.079) and reduced HDL-C levels (OR = 0.696, 95% CI = 0.549-0.883) had a statistically higher risk of MS. This study was one of the first to provide information on the prevalence of MS and its risk factors among institutionalized adults with IDs. We suggest that further study should focus on the specifics of MS, such as incidence, age-specific risk factors and further prevention or treatment in people with ID.

Original languageEnglish
Pages (from-to)615-620
Number of pages6
JournalResearch in Developmental Disabilities
Volume33
Issue number2
DOIs
Publication statusPublished - Mar 1 2012
Externally publishedYes

Fingerprint

Intellectual Disability
Triglycerides
Disabled Persons
Abdominal Obesity
Health
HDL Lipoproteins
Taiwan
Coronary Disease
Fasting
Logistic Models
Stroke
Regression Analysis
Blood Pressure
Glucose
Incidence

Keywords

  • Body mass index
  • Intellectual disabilities
  • Metabolic syndrome
  • Obesity

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

The risk of metabolic syndrome among institutionalized adults with intellectual disabilities. / Hsu, Shang Wei; Yen, Chia Feng; Hung, Wen Jui; Lin, Lam Ping; Wu, Chia Ling; Lin, Jin Ding.

In: Research in Developmental Disabilities, Vol. 33, No. 2, 01.03.2012, p. 615-620.

Research output: Contribution to journalArticle

Hsu, Shang Wei ; Yen, Chia Feng ; Hung, Wen Jui ; Lin, Lam Ping ; Wu, Chia Ling ; Lin, Jin Ding. / The risk of metabolic syndrome among institutionalized adults with intellectual disabilities. In: Research in Developmental Disabilities. 2012 ; Vol. 33, No. 2. pp. 615-620.
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abstract = "People with metabolic syndrome (MS) are at increased risk of coronary heart disease and other health problems, such as diabetes and stroke. However, there is little previous information on the prevalence and determinants of MS among people with intellectual disabilities (IDs). The present study aimed to examine the prevalence of MS risk factors among institutionalized adults with IDs. We analyzed the annual health check data of 164 institutionalized adults with IDs whose age was ≧20 years in 2009. The measure of MS in the study was the presence of three or more of the following five components: central obesity, elevated blood pressure (BP), elevated fasting glucose (FG), elevated triglycerides (TG), and reduced high-density lipoprotein (HDL-C). The prevalence of MS was 11.6{\%} in the study participants (8{\%} in males and 17.2{\%} in females), which is lower than that in the general population of Taiwan. In the logistic regression analysis of the occurrence of MS, we found that gender, TG and HDL-C were variables that could significantly predict MS after controlling for other potential factors. Adults with IDs who were female (OR = 38.354, 95{\%} CI = 1.985-741.029) and who had higher TG levels (OR = 1.043, 95{\%} CI = 1.008-1.079) and reduced HDL-C levels (OR = 0.696, 95{\%} CI = 0.549-0.883) had a statistically higher risk of MS. This study was one of the first to provide information on the prevalence of MS and its risk factors among institutionalized adults with IDs. We suggest that further study should focus on the specifics of MS, such as incidence, age-specific risk factors and further prevention or treatment in people with ID.",
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