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首页> 外文期刊>Developmental disabilities research reviews. >Frailty and Intellectual Disability: A Different Operationalization?
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Frailty and Intellectual Disability: A Different Operationalization?

机译：身体虚弱和智力残疾：不同的运作方式？

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摘要

Frailty is increasingly being recognized as a relevant health measure in older populations, associated with an increased risk of adverse health outcomes and care dependency. Because it is generally perceived that people with intellectual disabilities are "old" from age 50 onwards, frailty research in this group might lead to an understanding of factors, contributing to this perception. The development since the 1990s of conceptual and operational definitions of frailty has resulted in different approaches: biological (pheno-type), multidimensional, and non-specific deficit accumulation. All approaches consider disability a consequence rather than a cause of frailty. This may be different for long-disabled populations, which would have consequences for validity of frailty measures. First research shows that the different approaches are applicable to study populations with intellectual disabilities as well. Frailty as defined by both the phenotypic and deficit accumulation approach appears to develop considerably earlier and is more severe in people with intellectual disabilities than in the general older population, supporting the notion of early aging. Before any clinical implications can be outlined, health outcomes (validity), causes, and prevention of frailty should be investigated.
机译：在老年人群中，越来越多的人认为脆弱是一种相关的健康措施，其不利健康结果和医疗依赖性的风险增加。因为通常认为智障人士从50岁开始就“老”了，所以该组的脆弱研究可能会导致对因素的理解，从而助长了这种感觉。自1990年代以来，对脆弱性的概念和操作定义的发展导致了不同的方法：生物学（表型），多维和非特异性赤字积累。所有方法都将残疾视为后果而不是虚弱的原因。对于长期残疾的人群而言可能有所不同，这将对脆弱措施的有效性产生影响。初步研究表明，不同的方法也适用于研究智障人群。由表型和赤字积累方法定义的虚弱似乎在较早发展，并且在智障人士中比在一般老年人中更为严重，这支持了早期衰老的概念。在概述任何临床意义之前，应调查健康结局（有效性），病因和预防体弱。

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