263552 Prevalence and associated factors of obesity in adults with intellectual disabilities living in the community

Sunday, October 28, 2012

Kelly Hsieh, PhD , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
James Rimmer, PhD , School of Health Professions, University of Alabama at Birmingham, Birmingham, AL
Sumithra Murthy, MBBS, MPH , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Introduction. Obesity has become an epidemic and an important public health concern. This study examined the prevalence of obesity in adults with intellectual disabilities (ID) in comparison with the general population, and investigated the factors associated with obesity. Methods. This study used baseline data (N=1620) from an ongoing 4-year Longitudinal Health and Intellectual Disabilities Study. Measures included body mass index (BMI), demographics, level of ID, health behaviors (physical activity, dietary habits, smoking, alcohol consumption, and oral health), life events in the past year, and various health parameters (e.g., chronic conditions, medications). Results. Overall, 38.4% of adults (≥18 years) with ID were obese (BMI≥30 kg/m2); women were more obese than men (43.7% vs. 34.1%, p=0.001). This was especially true for women over age 20 (43.9% for women with ID vs. 35.5% of women without ID); while comparable for men (34.3% vs. 32.2%). Logistic regressions indicated that being female (OR=1.48, 95% CI= 1.16-1.90), having Down syndrome (OR=2.78, 95% CI= 2.06-3.76), taking medications causing weight gain (OR=1.68, 95% CI= 1.28-2.19), watching TV (≥ 3 hours per day) (OR=1.07, 95% CI= 1.01-1.14), drinking regular soda (≥ 2 cans per day) (OR=1.19, 95% CI= 1.01-1.40), living in an urban area (OR=1.46, 95% CI= 1.02-2.07), and having at least one life event in the past year (OR=1.30, 95% CI= 1.01-1.69) were associated with obesity. Conclusion. Health promotion programs tailored toward healthy diet choices, coping skills for life events, and being active are needed to lower obesity and improve quality of life in adults with ID.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. Compare the prevalence of obesity between adults with intellectual disabilities and their counterparts in the general population. 2. List at least 4 associated factors of obesity for adults with intellectual disabilities.

Keywords: Obesity, Disability Studies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in research focusing on health, health promotion, fall prevention and developmental disability over 15 years. All my works aim to promote healthy lifestyle and quality of life for adults with developmental disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.