Grohmann Dominique, Wellsted David, Mengoni Silvana E
Centre for Health Services and Clinical Research, University of Hertfordshire, Hatfield, Hertfordshire, UK.
J Appl Res Intellect Disabil. 2024 May;37(3):e13219. doi: 10.1111/jar.13219.
People with intellectual disabilities may experience frailty earlier than the general population. This scoping review aimed to investigate how frailty is defined, assessed, and managed in adults with an intellectual disability; factors associated with frailty; and the potential impact of COVID-19 on frailty identification and management.
Databases were searched from January 2016 to July 2023 for studies that investigated frailty in individuals with intellectual disabilities.
Twenty studies met the inclusion criteria. Frailty prevalence varied between 9% and 84%. Greater severity of intellectual disability, presence of Down syndrome, older age, polypharmacy, and group home living were associated with frailty. Multiagency working, trusted relationships and provision of evidence-based information may all be beneficial in frailty management.
Frailty is common for people with intellectual disabilities and is best identified with measures specifically designed for this population. Future research should evaluate interventions to manage frailty and improve lives.
智力残疾者可能比一般人群更早出现身体虚弱。本综述旨在调查智力残疾成年人中身体虚弱是如何被定义、评估和管理的；与身体虚弱相关的因素；以及新冠疫情对身体虚弱识别和管理的潜在影响。
检索2016年1月至2023年7月的数据库，查找有关智力残疾个体身体虚弱情况的研究。
20项研究符合纳入标准。身体虚弱患病率在9%至84%之间。智力残疾程度更严重、患有唐氏综合征、年龄较大、多种药物联用以及住在集体之家与身体虚弱有关。多机构合作、信任关系以及提供循证信息可能都有助于身体虚弱的管理。
身体虚弱在智力残疾者中很常见，最好通过专门为此人群设计的措施来识别。未来研究应评估管理身体虚弱和改善生活的干预措施。
