Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study
Background Reduced physical fitness is a cardiovascular disease (CVD) risk factor in the general population. However, generalising these results to older adults with intellectual disabilities (ID) may be inappropriate given their pre‐existing low physical fitness levels and high prevalence of co‐mor...
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| Veröffentlicht in: | Journal of intellectual disability research 2023-06, Vol.67 (6), p.547-559 |
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| container_title | Journal of intellectual disability research |
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| creator | Leeuw, M. J. Oppewal, A. Elbers, R. G. Hilgenkamp, T. I. M. Bindels, P. J. E. Maes‐Festen, D. A. M. |
| description | Background
Reduced physical fitness is a cardiovascular disease (CVD) risk factor in the general population. However, generalising these results to older adults with intellectual disabilities (ID) may be inappropriate given their pre‐existing low physical fitness levels and high prevalence of co‐morbidities. Therefore, the aim of this study is to investigate the difference in physical fitness between older adults with ID with and without CVD.
Method
Baseline data of a cohort of older adults with borderline to profound ID (HA‐ID study) were used (n = 684; 61.6 ± 8.2 years; 51.3% male). CVD status (coronary artery disease, heart failure, stroke) was obtained from medical files. Cardiorespiratory fitness (10‐m incremental shuttle walking test), comfortable and fast gait speed (over 5 m distance) and grip strength (hand dynamometer) were measured. Multivariable linear regression models were used to investigate the association between these physical fitness components and the presence of CVD, adjusted for participant characteristics.
Results
Of the 684 participants 78 (11.4%) had CVD. Participants with CVD scored lower on cardiorespiratory fitness (−81.4 m, P = 0.002), comfortable gait speed (−0.3 km/h, P = 0.04) and fast gait speed (−1.1 km/h, P = 0.04). No significant differences were found for grip strength (−0.2 kg, P = 0.89).
Conclusions
Older adults with CVD had significantly lower physical fitness levels than those without CVD, except for grip strength. Longitudinal research is needed to investigate causality. |
| doi_str_mv | 10.1111/jir.13027 |
| format | Article |
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Reduced physical fitness is a cardiovascular disease (CVD) risk factor in the general population. However, generalising these results to older adults with intellectual disabilities (ID) may be inappropriate given their pre‐existing low physical fitness levels and high prevalence of co‐morbidities. Therefore, the aim of this study is to investigate the difference in physical fitness between older adults with ID with and without CVD.
Method
Baseline data of a cohort of older adults with borderline to profound ID (HA‐ID study) were used (n = 684; 61.6 ± 8.2 years; 51.3% male). CVD status (coronary artery disease, heart failure, stroke) was obtained from medical files. Cardiorespiratory fitness (10‐m incremental shuttle walking test), comfortable and fast gait speed (over 5 m distance) and grip strength (hand dynamometer) were measured. Multivariable linear regression models were used to investigate the association between these physical fitness components and the presence of CVD, adjusted for participant characteristics.
Results
Of the 684 participants 78 (11.4%) had CVD. Participants with CVD scored lower on cardiorespiratory fitness (−81.4 m, P = 0.002), comfortable gait speed (−0.3 km/h, P = 0.04) and fast gait speed (−1.1 km/h, P = 0.04). No significant differences were found for grip strength (−0.2 kg, P = 0.89).
Conclusions
Older adults with CVD had significantly lower physical fitness levels than those without CVD, except for grip strength. Longitudinal research is needed to investigate causality.</description><identifier>ISSN: 0964-2633</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/jir.13027</identifier><identifier>PMID: 36918714</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Activities of Daily Living ; Aged ; Aging ; Aging (Individuals) ; Cardiorespiratory fitness ; Cardiovascular disease ; Cardiovascular Diseases ; Causality ; Coronary artery disease ; Female ; Gait ; Gait speed ; Grip strength ; Healthy Aging ; Heart failure ; Humans ; Inappropriateness ; Intellectual disabilities ; Intellectual Disability ; Intellectual Disability - epidemiology ; Male ; Older people ; Participant Characteristics ; Physical Fitness ; Walking ; Walking speed</subject><ispartof>Journal of intellectual disability research, 2023-06, Vol.67 (6), p.547-559</ispartof><rights>2023 The Authors. Journal of Intellectual Disability Research published by MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3887-585dbb546fe3419e9fbb7a0ba8fb67083d75510aea9034056d099ffbf1454ffe3</citedby><cites>FETCH-LOGICAL-c3887-585dbb546fe3419e9fbb7a0ba8fb67083d75510aea9034056d099ffbf1454ffe3</cites><orcidid>0000-0002-4850-6954 ; 0000-0001-9882-163X ; 0000-0001-5941-4820 ; 0000-0002-7613-0720 ; 0000-0002-6357-6213 ; 0000-0001-6630-8807</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjir.13027$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjir.13027$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36918714$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leeuw, M. J.</creatorcontrib><creatorcontrib>Oppewal, A.</creatorcontrib><creatorcontrib>Elbers, R. G.</creatorcontrib><creatorcontrib>Hilgenkamp, T. I. M.</creatorcontrib><creatorcontrib>Bindels, P. J. E.</creatorcontrib><creatorcontrib>Maes‐Festen, D. A. M.</creatorcontrib><title>Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study</title><title>Journal of intellectual disability research</title><addtitle>J Intellect Disabil Res</addtitle><description>Background
Reduced physical fitness is a cardiovascular disease (CVD) risk factor in the general population. However, generalising these results to older adults with intellectual disabilities (ID) may be inappropriate given their pre‐existing low physical fitness levels and high prevalence of co‐morbidities. Therefore, the aim of this study is to investigate the difference in physical fitness between older adults with ID with and without CVD.
Method
Baseline data of a cohort of older adults with borderline to profound ID (HA‐ID study) were used (n = 684; 61.6 ± 8.2 years; 51.3% male). CVD status (coronary artery disease, heart failure, stroke) was obtained from medical files. Cardiorespiratory fitness (10‐m incremental shuttle walking test), comfortable and fast gait speed (over 5 m distance) and grip strength (hand dynamometer) were measured. Multivariable linear regression models were used to investigate the association between these physical fitness components and the presence of CVD, adjusted for participant characteristics.
Results
Of the 684 participants 78 (11.4%) had CVD. Participants with CVD scored lower on cardiorespiratory fitness (−81.4 m, P = 0.002), comfortable gait speed (−0.3 km/h, P = 0.04) and fast gait speed (−1.1 km/h, P = 0.04). No significant differences were found for grip strength (−0.2 kg, P = 0.89).
Conclusions
Older adults with CVD had significantly lower physical fitness levels than those without CVD, except for grip strength. Longitudinal research is needed to investigate causality.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aging</subject><subject>Aging (Individuals)</subject><subject>Cardiorespiratory fitness</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases</subject><subject>Causality</subject><subject>Coronary artery disease</subject><subject>Female</subject><subject>Gait</subject><subject>Gait speed</subject><subject>Grip strength</subject><subject>Healthy Aging</subject><subject>Heart failure</subject><subject>Humans</subject><subject>Inappropriateness</subject><subject>Intellectual disabilities</subject><subject>Intellectual Disability</subject><subject>Intellectual Disability - epidemiology</subject><subject>Male</subject><subject>Older people</subject><subject>Participant Characteristics</subject><subject>Physical Fitness</subject><subject>Walking</subject><subject>Walking speed</subject><issn>0964-2633</issn><issn>1365-2788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kV1rFDEUhoNY7Fq98A9IwBu9mDaZJPPh3VI_uqUgFL0ekslJN0t2Zs3JuMy_8icad1spQnMTCM_75HBeQt5wds7zudj4eM4FK-tnZMFFpYqybprnZMHaShZlJcQpeYm4YYxVXFYvyKmoWt7UXC7I7yXi2Hud_DggNZD2AAPdrWf0vQ7U-TQAItWDpb2O1o-_NPZT0JFaj6ARqB_oGCxEqu0UEtK9T-v8mCAE6NOUJZnUxgefPOBHegt44EZH0xroFeiQ1jNd3oEf7g4frR6HPz2EZ4ppsvMrcuJ0QHh9f5-RH18-f7-8Km6-fV1dLm-KXjRNXahGWWOUrBwIyVtonTG1ZkY3zlQ1a4StleJMg26ZkExVlrWtc8ZxqaTLoTPy_ujdxfHnBJi6rcc-z6UHGCfs8orrknMlRUbf_YduxikOebqubJgSTArVZurDkerjiBjBdbvotzrOHWfd3xq7XGN3qDGzb--Nk9mC_Uc-9JaBiyOw9wHmp03d9er2qPwDkhCrHQ</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Leeuw, M. J.</creator><creator>Oppewal, A.</creator><creator>Elbers, R. G.</creator><creator>Hilgenkamp, T. I. M.</creator><creator>Bindels, P. J. E.</creator><creator>Maes‐Festen, D. A. M.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4850-6954</orcidid><orcidid>https://orcid.org/0000-0001-9882-163X</orcidid><orcidid>https://orcid.org/0000-0001-5941-4820</orcidid><orcidid>https://orcid.org/0000-0002-7613-0720</orcidid><orcidid>https://orcid.org/0000-0002-6357-6213</orcidid><orcidid>https://orcid.org/0000-0001-6630-8807</orcidid></search><sort><creationdate>202306</creationdate><title>Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study</title><author>Leeuw, M. J. ; Oppewal, A. ; Elbers, R. G. ; Hilgenkamp, T. I. M. ; Bindels, P. J. E. ; Maes‐Festen, D. A. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-585dbb546fe3419e9fbb7a0ba8fb67083d75510aea9034056d099ffbf1454ffe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aging</topic><topic>Aging (Individuals)</topic><topic>Cardiorespiratory fitness</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases</topic><topic>Causality</topic><topic>Coronary artery disease</topic><topic>Female</topic><topic>Gait</topic><topic>Gait speed</topic><topic>Grip strength</topic><topic>Healthy Aging</topic><topic>Heart failure</topic><topic>Humans</topic><topic>Inappropriateness</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability</topic><topic>Intellectual Disability - epidemiology</topic><topic>Male</topic><topic>Older people</topic><topic>Participant Characteristics</topic><topic>Physical Fitness</topic><topic>Walking</topic><topic>Walking speed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leeuw, M. J.</creatorcontrib><creatorcontrib>Oppewal, A.</creatorcontrib><creatorcontrib>Elbers, R. G.</creatorcontrib><creatorcontrib>Hilgenkamp, T. I. M.</creatorcontrib><creatorcontrib>Bindels, P. J. E.</creatorcontrib><creatorcontrib>Maes‐Festen, D. A. M.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of intellectual disability research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leeuw, M. J.</au><au>Oppewal, A.</au><au>Elbers, R. G.</au><au>Hilgenkamp, T. I. M.</au><au>Bindels, P. J. E.</au><au>Maes‐Festen, D. A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study</atitle><jtitle>Journal of intellectual disability research</jtitle><addtitle>J Intellect Disabil Res</addtitle><date>2023-06</date><risdate>2023</risdate><volume>67</volume><issue>6</issue><spage>547</spage><epage>559</epage><pages>547-559</pages><issn>0964-2633</issn><eissn>1365-2788</eissn><abstract>Background
Reduced physical fitness is a cardiovascular disease (CVD) risk factor in the general population. However, generalising these results to older adults with intellectual disabilities (ID) may be inappropriate given their pre‐existing low physical fitness levels and high prevalence of co‐morbidities. Therefore, the aim of this study is to investigate the difference in physical fitness between older adults with ID with and without CVD.
Method
Baseline data of a cohort of older adults with borderline to profound ID (HA‐ID study) were used (n = 684; 61.6 ± 8.2 years; 51.3% male). CVD status (coronary artery disease, heart failure, stroke) was obtained from medical files. Cardiorespiratory fitness (10‐m incremental shuttle walking test), comfortable and fast gait speed (over 5 m distance) and grip strength (hand dynamometer) were measured. Multivariable linear regression models were used to investigate the association between these physical fitness components and the presence of CVD, adjusted for participant characteristics.
Results
Of the 684 participants 78 (11.4%) had CVD. Participants with CVD scored lower on cardiorespiratory fitness (−81.4 m, P = 0.002), comfortable gait speed (−0.3 km/h, P = 0.04) and fast gait speed (−1.1 km/h, P = 0.04). No significant differences were found for grip strength (−0.2 kg, P = 0.89).
Conclusions
Older adults with CVD had significantly lower physical fitness levels than those without CVD, except for grip strength. Longitudinal research is needed to investigate causality.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36918714</pmid><doi>10.1111/jir.13027</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-4850-6954</orcidid><orcidid>https://orcid.org/0000-0001-9882-163X</orcidid><orcidid>https://orcid.org/0000-0001-5941-4820</orcidid><orcidid>https://orcid.org/0000-0002-7613-0720</orcidid><orcidid>https://orcid.org/0000-0002-6357-6213</orcidid><orcidid>https://orcid.org/0000-0001-6630-8807</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of intellectual disability research, 2023-06, Vol.67 (6), p.547-559 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Education Source; Wiley Online Library Journals Frontfile Complete |
| subjects | Activities of Daily Living Aged Aging Aging (Individuals) Cardiorespiratory fitness Cardiovascular disease Cardiovascular Diseases Causality Coronary artery disease Female Gait Gait speed Grip strength Healthy Aging Heart failure Humans Inappropriateness Intellectual disabilities Intellectual Disability Intellectual Disability - epidemiology Male Older people Participant Characteristics Physical Fitness Walking Walking speed |
| title | Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study |
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