Merrick Joav, Kandel Isack, Morad Mohammed
1National Institute of Child Health and Human Development, Office of the Medical Director, Division for Mental Retardation, Ministry of Social Affairs, Box 1260, IL-91012, USA.
ScientificWorldJournal. 2003 Oct 5;3:937-45. doi: 10.1100/tsw.2003.91.
People with developmental disability, mental retardation, or intellectual disability are living longer and becoming prone to age-related health problems and diseases of old age much like the general population. This worldwide trend is also seen in Israel, where today 39.8% of persons with intellectual disability in residential care are 40 years old and above. There is a need for service and staff providers to receive training; a need for more research and better service for this aging population. This review presents health concerns for older persons with different levels of intellectual disability, health concerns in persons with Down syndrome, and persons with epileptic seizures and cerebral palsy in relation to general practice and family medicine. The review is concluded with recommendations on health and aging in adults with intellectual disabilities and the call for formalized training in the topic for specialists in family medicine.
患有发育障碍、智力迟钝或智力残疾的人群寿命越来越长,并且和普通人群一样,越来越容易出现与年龄相关的健康问题和老年疾病。这种全球趋势在以色列也有体现,如今在接受机构照料的智力残疾者中,39.8% 的人年龄在40岁及以上。服务和工作人员提供者需要接受培训;对于这一老龄化人群,需要开展更多研究并提供更好的服务。本综述介绍了不同智力残疾水平的老年人的健康问题、唐氏综合征患者的健康问题,以及癫痫发作和脑瘫患者在全科医疗和家庭医学方面的健康问题。综述最后针对智力残疾成年人的健康与老龄化提出了建议,并呼吁为家庭医学专家开展该主题的正规培训。