Risk for osteopenia and osteoporosis in institution-dwelling individuals with intellectual and/or developmental disabilities

Lan Ping Lin, Shang Wei Hsu, Chung Hui Yao, Wei Ju Lai, Pei Jung Hsu, Jia Ling Wu, Cordia M. Chu, Jin Ding Lin

研究成果: 雜誌貢獻文章

5 引文 (Scopus)

摘要

The purpose of this study was to investigate the prevalence of and contributing factors to osteopenia and osteoporosis among people with intellectual disabilities (ID) or/and developmental disabilities (DD) residing in a disability institution in Taiwan. The present study was conducted at one disability institution in Taiwan and recruited 184 institutionalized residents with ID and/or DD (115 men and 69 women aged 18-72 years) for analysis. For all residents with ID and/or DD, information was obtained about their age, gender, level of ID, BMI, and bone mineral density (BMD). BMD is a measurement of calcium levels in bones that can estimate the risk of osteoporosis and bone fractures. Bone tests were divided into three outcome categories based on their calcaneal BMD T-scores: Normal BMD, a T-score. <. -1; Osteopenia, -2.5. T-score. <. -1; and Osteoporosis, a T-score. <. -2.5. The results revealed that 46.2% of cases were normal and that 27.7% and 26.1% of cases had osteopenia and osteoporosis, respectively. Multiple logistic regression analyses found that male gender (OR. =. 2.482, 95% CI. =. 1.04-5.93, p<. 0.05), age. <. 40 years (OR. =. 3.051, 95% CI. =. 1.07-8.69, p<. 0.05) and being overweight/obese (OR. =. 0.395, 95% CI. =. 0.17-0.93, p<. 0.05) were more likely to be associated with osteoporosis. Another model indicated that males (OR. =. 2.169, 95% CI. =. 1.12-4.19, p<. 0.05) and those aged. <. 40 years (OR. =. 3.026, 95% CI. =. 1.32-7, p<. 0.01) tended to have an increased risk for osteopenia and osteoporosis. To improve the bone quality of individuals with ID or/and DD and to decrease the occurrence of osteopenia and osteoporosis, this study highlights that we should pay much attention to the potential risk factors for bone quality in these vulnerable populations.

原文英語
頁(從 - 到)108-113
頁數6
期刊Research in Developmental Disabilities
36
DOIs
出版狀態已發佈 - 一月 1 2015

指紋

Developmental Disabilities
Metabolic Bone Diseases
Intellectual Disability
Osteoporosis
Bone Density
Bone and Bones
Taiwan
Bone Fractures
Vulnerable Populations
Disabled Persons
Logistic Models
Regression Analysis
Calcium

Keywords

  • Bone mineral density
  • Developmental disability
  • Institution
  • Intellectual disability
  • Osteopenia
  • Osteoporosis

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

引用此文

Risk for osteopenia and osteoporosis in institution-dwelling individuals with intellectual and/or developmental disabilities. / Lin, Lan Ping; Hsu, Shang Wei; Yao, Chung Hui; Lai, Wei Ju; Hsu, Pei Jung; Wu, Jia Ling; Chu, Cordia M.; Lin, Jin Ding.

於: Research in Developmental Disabilities, 卷 36, 01.01.2015, p. 108-113.

研究成果: 雜誌貢獻文章

Lin, Lan Ping ; Hsu, Shang Wei ; Yao, Chung Hui ; Lai, Wei Ju ; Hsu, Pei Jung ; Wu, Jia Ling ; Chu, Cordia M. ; Lin, Jin Ding. / Risk for osteopenia and osteoporosis in institution-dwelling individuals with intellectual and/or developmental disabilities. 於: Research in Developmental Disabilities. 2015 ; 卷 36. 頁 108-113.
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abstract = "The purpose of this study was to investigate the prevalence of and contributing factors to osteopenia and osteoporosis among people with intellectual disabilities (ID) or/and developmental disabilities (DD) residing in a disability institution in Taiwan. The present study was conducted at one disability institution in Taiwan and recruited 184 institutionalized residents with ID and/or DD (115 men and 69 women aged 18-72 years) for analysis. For all residents with ID and/or DD, information was obtained about their age, gender, level of ID, BMI, and bone mineral density (BMD). BMD is a measurement of calcium levels in bones that can estimate the risk of osteoporosis and bone fractures. Bone tests were divided into three outcome categories based on their calcaneal BMD T-scores: Normal BMD, a T-score. <. -1; Osteopenia, -2.5. T-score. <. -1; and Osteoporosis, a T-score. <. -2.5. The results revealed that 46.2{\%} of cases were normal and that 27.7{\%} and 26.1{\%} of cases had osteopenia and osteoporosis, respectively. Multiple logistic regression analyses found that male gender (OR. =. 2.482, 95{\%} CI. =. 1.04-5.93, p<. 0.05), age. <. 40 years (OR. =. 3.051, 95{\%} CI. =. 1.07-8.69, p<. 0.05) and being overweight/obese (OR. =. 0.395, 95{\%} CI. =. 0.17-0.93, p<. 0.05) were more likely to be associated with osteoporosis. Another model indicated that males (OR. =. 2.169, 95{\%} CI. =. 1.12-4.19, p<. 0.05) and those aged. <. 40 years (OR. =. 3.026, 95{\%} CI. =. 1.32-7, p<. 0.01) tended to have an increased risk for osteopenia and osteoporosis. To improve the bone quality of individuals with ID or/and DD and to decrease the occurrence of osteopenia and osteoporosis, this study highlights that we should pay much attention to the potential risk factors for bone quality in these vulnerable populations.",
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AU - Hsu, Pei Jung

AU - Wu, Jia Ling

AU - Chu, Cordia M.

AU - Lin, Jin Ding

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N2 - The purpose of this study was to investigate the prevalence of and contributing factors to osteopenia and osteoporosis among people with intellectual disabilities (ID) or/and developmental disabilities (DD) residing in a disability institution in Taiwan. The present study was conducted at one disability institution in Taiwan and recruited 184 institutionalized residents with ID and/or DD (115 men and 69 women aged 18-72 years) for analysis. For all residents with ID and/or DD, information was obtained about their age, gender, level of ID, BMI, and bone mineral density (BMD). BMD is a measurement of calcium levels in bones that can estimate the risk of osteoporosis and bone fractures. Bone tests were divided into three outcome categories based on their calcaneal BMD T-scores: Normal BMD, a T-score. <. -1; Osteopenia, -2.5. T-score. <. -1; and Osteoporosis, a T-score. <. -2.5. The results revealed that 46.2% of cases were normal and that 27.7% and 26.1% of cases had osteopenia and osteoporosis, respectively. Multiple logistic regression analyses found that male gender (OR. =. 2.482, 95% CI. =. 1.04-5.93, p<. 0.05), age. <. 40 years (OR. =. 3.051, 95% CI. =. 1.07-8.69, p<. 0.05) and being overweight/obese (OR. =. 0.395, 95% CI. =. 0.17-0.93, p<. 0.05) were more likely to be associated with osteoporosis. Another model indicated that males (OR. =. 2.169, 95% CI. =. 1.12-4.19, p<. 0.05) and those aged. <. 40 years (OR. =. 3.026, 95% CI. =. 1.32-7, p<. 0.01) tended to have an increased risk for osteopenia and osteoporosis. To improve the bone quality of individuals with ID or/and DD and to decrease the occurrence of osteopenia and osteoporosis, this study highlights that we should pay much attention to the potential risk factors for bone quality in these vulnerable populations.

AB - The purpose of this study was to investigate the prevalence of and contributing factors to osteopenia and osteoporosis among people with intellectual disabilities (ID) or/and developmental disabilities (DD) residing in a disability institution in Taiwan. The present study was conducted at one disability institution in Taiwan and recruited 184 institutionalized residents with ID and/or DD (115 men and 69 women aged 18-72 years) for analysis. For all residents with ID and/or DD, information was obtained about their age, gender, level of ID, BMI, and bone mineral density (BMD). BMD is a measurement of calcium levels in bones that can estimate the risk of osteoporosis and bone fractures. Bone tests were divided into three outcome categories based on their calcaneal BMD T-scores: Normal BMD, a T-score. <. -1; Osteopenia, -2.5. T-score. <. -1; and Osteoporosis, a T-score. <. -2.5. The results revealed that 46.2% of cases were normal and that 27.7% and 26.1% of cases had osteopenia and osteoporosis, respectively. Multiple logistic regression analyses found that male gender (OR. =. 2.482, 95% CI. =. 1.04-5.93, p<. 0.05), age. <. 40 years (OR. =. 3.051, 95% CI. =. 1.07-8.69, p<. 0.05) and being overweight/obese (OR. =. 0.395, 95% CI. =. 0.17-0.93, p<. 0.05) were more likely to be associated with osteoporosis. Another model indicated that males (OR. =. 2.169, 95% CI. =. 1.12-4.19, p<. 0.05) and those aged. <. 40 years (OR. =. 3.026, 95% CI. =. 1.32-7, p<. 0.01) tended to have an increased risk for osteopenia and osteoporosis. To improve the bone quality of individuals with ID or/and DD and to decrease the occurrence of osteopenia and osteoporosis, this study highlights that we should pay much attention to the potential risk factors for bone quality in these vulnerable populations.

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