Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study

M. J. de Leeuw; A. Oppewal; R. G. Elbers; T. I.M. Hilgenkamp; P. J.E. Bindels; D. A.M. Maes-Festen

doi:10.1111/jir.13027

Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study

M. J. de Leeuw^*, A. Oppewal, R. G. Elbers, T. I.M. Hilgenkamp, P. J.E. Bindels, D. A.M. Maes-Festen

^*Corresponding author for this work

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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.

Original language	English
Pages (from-to)	547-559
Number of pages	13
Journal	Journal of Intellectual Disability Research
Volume	67
Issue number	6
Early online date	14 Mar 2023
DOIs	https://doi.org/10.1111/jir.13027
Publication status	Published - Jun 2023

Bibliographical note

Funding Information:
The authors thank the Dutch care organisations, Abrona, Amarant and Ipse de Bruggen, involved in the HA-ID consortium for their collaboration and financial support. We would also like to thank the professionals of these organisations as well as all participants, their family members and caregivers for their collaboration. The funding sources had no involvement in the conduct of the research and/or preparation of the manuscript.

Publisher Copyright:
© 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.

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J intellect Disabil Res - 2023 - Leeuw - Associations between physical fitness and cardiovascular disease in older adultsFinal published version, 267 KBLicence: CC BY-NC-ND

Cite this

de Leeuw, M. J., Oppewal, A., Elbers, R. G., Hilgenkamp, T. I. M., Bindels, P. J. E., & Maes-Festen, D. A. M. (2023). Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study. Journal of Intellectual Disability Research, 67(6), 547-559. https://doi.org/10.1111/jir.13027

@article{ddb4299444bd493895fc744582e5c002,

title = "Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study",

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.",

author = "{de Leeuw}, {M. J.} and A. Oppewal and Elbers, {R. G.} and Hilgenkamp, {T. I.M.} and Bindels, {P. J.E.} and Maes-Festen, {D. A.M.}",

note = "Funding Information: The authors thank the Dutch care organisations, Abrona, Amarant and Ipse de Bruggen, involved in the HA-ID consortium for their collaboration and financial support. We would also like to thank the professionals of these organisations as well as all participants, their family members and caregivers for their collaboration. The funding sources had no involvement in the conduct of the research and/or preparation of the manuscript. Publisher Copyright: {\textcopyright} 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.",

year = "2023",

month = jun,

doi = "10.1111/jir.13027",

language = "English",

volume = "67",

pages = "547--559",

journal = "Journal of Intellectual Disability Research",

issn = "0964-2633",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "6",

}

de Leeuw, MJ , Oppewal, A , Elbers, RG , Hilgenkamp, TIM, Bindels, PJE & Maes-Festen, DAM 2023, 'Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study', Journal of Intellectual Disability Research, vol. 67, no. 6, pp. 547-559. https://doi.org/10.1111/jir.13027

Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities: Results of the Healthy Ageing and Intellectual Disability study. / de Leeuw, M. J.; Oppewal, A.; Elbers, R. G. et al.
In: Journal of Intellectual Disability Research, Vol. 67, No. 6, 06.2023, p. 547-559.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Associations between physical fitness and cardiovascular disease in older adults with intellectual disabilities

T2 - Results of the Healthy Ageing and Intellectual Disability study

AU - de Leeuw, M. J.

AU - Oppewal, A.

AU - Elbers, R. G.

AU - Hilgenkamp, T. I.M.

AU - Bindels, P. J.E.

AU - Maes-Festen, D. A.M.

N1 - Funding Information: The authors thank the Dutch care organisations, Abrona, Amarant and Ipse de Bruggen, involved in the HA-ID consortium for their collaboration and financial support. We would also like to thank the professionals of these organisations as well as all participants, their family members and caregivers for their collaboration. The funding sources had no involvement in the conduct of the research and/or preparation of the manuscript. Publisher Copyright: © 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.

PY - 2023/6

Y1 - 2023/6

N2 - 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.

AB - 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.

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U2 - 10.1111/jir.13027

DO - 10.1111/jir.13027

M3 - Article

C2 - 36918714

AN - SCOPUS:85149869257

SN - 0964-2633

VL - 67

SP - 547

EP - 559

JO - Journal of Intellectual Disability Research

JF - Journal of Intellectual Disability Research

IS - 6

ER -

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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