Intellectual Disability Medicine, Department of General Practice, Erasmus University Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
Res Dev Disabil. 2014 Jan;35(1):127-36. doi: 10.1016/j.ridd.2013.10.016. Epub 2013 Nov 16.
The current study focuses on the characteristics of older people with intellectual disabilities with the lowest frailty levels. Frailty is an increased risk of adverse health outcomes and dependency. Older adults with intellectual disabilities (ID) show more signs of early frailty than the general population. Knowledge of the least frail group characteristics may provide insight into possibilities to prevent early frailty in older people with intellectual disabilities. This study was part of the Healthy Aging and Intellectual Disability study (HA-ID) which incorporated 1050 adults aged 50 years and over with all levels of ID. Frailty was measured with a frailty index. The least frail group was selected based on a frailty index score ≤ 0.10. Odds ratios were used to compare the occurrence of health deficits in the least frail group to the remaining group. The least frail group consisted of 65 participants, corresponding with 6.6% of the study population. The least frail group was significantly younger, had less severe levels of ID, and less often Down syndrome than the remaining group. The lack of mobility and physical fitness limitations, dependence, no signs of depression/dementia, and little medical problems characterized the least frail group. The percentage of 50+ adults with intellectual disabilities within the least frail group is very low compared to that in the general aging population (>43%). Interventions to prevent or delay frailty in this population are highly recommended and can focus on health characteristics of the least frail group.
本研究关注的是身体虚弱程度最低的智力障碍老年人的特征。身体虚弱是不良健康后果和依赖的风险增加。智力障碍老年人比一般人群表现出更多的早期虚弱迹象。了解身体最健康的老年人的特征可能有助于了解预防智力障碍老年人早期虚弱的可能性。本研究是“健康老龄化和智力障碍研究（HA-ID）”的一部分，该研究纳入了 1050 名 50 岁及以上、智力障碍程度不同的成年人。身体虚弱程度用虚弱指数来衡量。根据虚弱指数得分≤0.10，选择身体最健康的老年人。使用比值比比较身体最健康的老年人与其余老年人的健康缺陷发生率。身体最健康的老年人组由 65 名参与者组成，占研究人群的 6.6%。与其余组相比，身体最健康的老年人年龄明显较小，智力障碍程度较轻，唐氏综合征发病率较低。缺乏移动能力和身体活动能力受限、依赖、没有抑郁/痴呆迹象以及很少有医疗问题是身体最健康的老年人的特征。与一般老年人口（>43%）相比，身体最健康的老年人中智力障碍成年人的比例非常低。建议对该人群采取干预措施，以预防或延缓虚弱的发生，这些干预措施可以侧重于身体最健康的老年人的健康特征。
