Low bone mineral density risk factors and testing patterns in institutionalized adults with intellectual and developmental disabilities.

Autor: Hess M; Department of Internal Medicine, UCLA-Harbor Medical Center, Torrance, CA, USA., Campagna EJ; Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado, Aurora, CO, USA., Jensen KM; Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado, Aurora, CO, USA.; Departments of Pediatrics and Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Jazyk: angličtina
Zdroj: Journal of applied research in intellectual disabilities : JARID [J Appl Res Intellect Disabil] 2018 Jan; Vol. 31 Suppl 1, pp. 157-164. Date of Electronic Publication: 2017 Mar 01.
DOI: 10.1111/jar.12341
Abstrakt: Background: Adults with intellectual or developmental disability (ID/DD) have multiple risks for low bone mineral density (BMD) without formal guidelines to guide testing. We sought to identify risk factors and patterns of BMD testing among institutionalized adults with ID/DD.
Methods: We evaluated risk factors for low BMD (Z-/T-score < -1) and patterns of BMD testing among adults with ID/DD receiving care at a state-run residential facility. Kruskal-Wallis, Fisher's exact and Pearson's chi-squared tests were used as appropriate.
Results: Of the 140 eligible patients, only 44% ever had BMD testing of which 89% had low BMD. Median age at diagnosis was 42 years old. Individuals with low BMD were more likely to be older, non-weight bearing, Caucasian and have severe cognitive delay.
Conclusions: Adults with ID/DD in this facility had a high prevalence of low BMD. Further studies are needed to better characterize risk factors and inform screening within this high-risk population.
(© 2017 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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