View in EDS HTML Full Text PDF Full Text

Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors.

Saved in:
Bibliographic Details
Title: Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors.
Authors: Tyrer, F., Ling, S., Bhaumik, S., Gangadharan, S. K., Khunti, K., Gray, L. J., Dunkley, A. J.
Source: Journal of Intellectual Disability Research. Apr2020, Vol. 64 Issue 4, p287-295. 9p. 2 Charts, 1 Graph.
Subjects: Diabetes risk factors, Behavior modification, Confidence intervals, Demography, Ethnic groups, Health behavior, Life skills, People with intellectual disabilities, Comorbidity, Logistic regression analysis, Secondary analysis, Lifestyles, Disease prevalence, Cross-sectional method
Abstract: Background: As people with intellectual disabilities (ID) are now living longer, they are more at risk of developing non‐communicable diseases, including type 2 diabetes mellitus. However, understanding of factors associated with diabetes for targeted management and prevention strategies is limited. This study aimed to investigate prevalence of diabetes in adults (aged ≥18 years) with ID and its relationship with demographic, lifestyle, independence and health factors. Method: This was a cross‐sectional analysis of interview data from 1091 adults with ID from the Leicestershire Learning Disability Register from 1 January 2010 to 31 December 2016. Logistic regression models were used to identify factors associated with diabetes in the study population. Results: The study population did not have healthy lifestyles: just under half reported having lower physical activity levels than people without ID of a similar age; one‐quarter consumed fizzy drinks daily; and 20% consumed five or more fruit and/or vegetables per day. Prevalence of carer/self‐reported diabetes was 7.3% (95% confidence interval 5.9–9.0). After adjustment, diabetes was positively associated with South Asian ethnicity (P = 0.03) and older age groups (P < 0.001). Diabetes was less common in people living with family members (P = 0.02). We did not find a relationship between any of the lifestyle, independence and health factors investigated. Conclusions: A significant proportion of people with ID are living with diabetes. Diabetes management and prevention strategies should be tailored to individuals' complex needs and include consideration of lifestyle choices. Such strategies may want to focus on adults of South Asian ethnicity and people living in residential homes where prevalence appears to be higher. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 141998026
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tyrer%2C+F%2E%22&quot;&gt;Tyrer, F.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ling%2C+S%2E%22&quot;&gt;Ling, S.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bhaumik%2C+S%2E%22&quot;&gt;Bhaumik, S.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gangadharan%2C+S%2E+K%2E%22&quot;&gt;Gangadharan, S. K.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Khunti%2C+K%2E%22&quot;&gt;Khunti, K.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gray%2C+L%2E+J%2E%22&quot;&gt;Gray, L. J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dunkley%2C+A%2E+J%2E%22&quot;&gt;Dunkley, A. J.&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Intellectual+Disability+Research%22&quot;&gt;Journal of Intellectual Disability Research&lt;/searchLink&gt;. Apr2020, Vol. 64 Issue 4, p287-295. 9p. 2 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Diabetes+risk+factors%22&quot;&gt;Diabetes risk factors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Behavior+modification%22&quot;&gt;Behavior modification&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Confidence+intervals%22&quot;&gt;Confidence intervals&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Demography%22&quot;&gt;Demography&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Ethnic+groups%22&quot;&gt;Ethnic groups&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+behavior%22&quot;&gt;Health behavior&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Life+skills%22&quot;&gt;Life skills&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22People+with+intellectual+disabilities%22&quot;&gt;People with intellectual disabilities&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Comorbidity%22&quot;&gt;Comorbidity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Logistic+regression+analysis%22&quot;&gt;Logistic regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Secondary+analysis%22&quot;&gt;Secondary analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Lifestyles%22&quot;&gt;Lifestyles&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disease+prevalence%22&quot;&gt;Disease prevalence&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cross-sectional+method%22&quot;&gt;Cross-sectional method&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: As people with intellectual disabilities (ID) are now living longer, they are more at risk of developing non‐communicable diseases, including type 2 diabetes mellitus. However, understanding of factors associated with diabetes for targeted management and prevention strategies is limited. This study aimed to investigate prevalence of diabetes in adults (aged ≥18 years) with ID and its relationship with demographic, lifestyle, independence and health factors. Method: This was a cross‐sectional analysis of interview data from 1091 adults with ID from the Leicestershire Learning Disability Register from 1 January 2010 to 31 December 2016. Logistic regression models were used to identify factors associated with diabetes in the study population. Results: The study population did not have healthy lifestyles: just under half reported having lower physical activity levels than people without ID of a similar age; one‐quarter consumed fizzy drinks daily; and 20% consumed five or more fruit and/or vegetables per day. Prevalence of carer/self‐reported diabetes was 7.3% (95% confidence interval 5.9–9.0). After adjustment, diabetes was positively associated with South Asian ethnicity (P = 0.03) and older age groups (P &lt; 0.001). Diabetes was less common in people living with family members (P = 0.02). We did not find a relationship between any of the lifestyle, independence and health factors investigated. Conclusions: A significant proportion of people with ID are living with diabetes. Diabetes management and prevention strategies should be tailored to individuals&#39; complex needs and include consideration of lifestyle choices. Such strategies may want to focus on adults of South Asian ethnicity and people living in residential homes where prevalence appears to be higher. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=141998026
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jir.12718
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 287
    Subjects:
      – SubjectFull: Diabetes risk factors
        Type: general
      – SubjectFull: Behavior modification
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Demography
        Type: general
      – SubjectFull: Ethnic groups
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Life skills
        Type: general
      – SubjectFull: People with intellectual disabilities
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Lifestyles
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
    Titles:
      – TitleFull: Diabetes in adults with intellectual disability: prevalence and associated demographic, lifestyle, independence and health factors.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Tyrer, F.
      – PersonEntity:
          Name:
            NameFull: Ling, S.
      – PersonEntity:
          Name:
            NameFull: Bhaumik, S.
      – PersonEntity:
          Name:
            NameFull: Gangadharan, S. K.
      – PersonEntity:
          Name:
            NameFull: Khunti, K.
      – PersonEntity:
          Name:
            NameFull: Gray, L. J.
      – PersonEntity:
          Name:
            NameFull: Dunkley, A. J.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2020
              Type: published
              Y: 2020
          Identifiers:
            – Type: issn-print
              Value: 09642633
          Numbering:
            – Type: volume
              Value: 64
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Journal of Intellectual Disability Research
              Type: main
ResultId 1