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Prevalence of diabetes in people with intellectual disabilities and age‐ and gender‐matched controls: A meta‐analysis

Background This meta‐analysis aims to: (i) describe the pooled prevalence of diabetes in people with intellectual disabilities, (ii) investigate the association with demographic, clinical and treatment‐related factors and (iii) compare the prevalence versus age‐ and gender‐matched general population...

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Published in:Journal of applied research in intellectual disabilities 2022-03, Vol.35 (2), p.301-311
Main Authors: Vancampfort, Davy, Schuch, Felipe, Van Damme, Tine, Firth, Joseph, Suetani, Shuichi, Stubbs, Brendon, Van Biesen, Debbie
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container_title Journal of applied research in intellectual disabilities
container_volume 35
creator Vancampfort, Davy
Schuch, Felipe
Van Damme, Tine
Firth, Joseph
Suetani, Shuichi
Stubbs, Brendon
Van Biesen, Debbie
description Background This meta‐analysis aims to: (i) describe the pooled prevalence of diabetes in people with intellectual disabilities, (ii) investigate the association with demographic, clinical and treatment‐related factors and (iii) compare the prevalence versus age‐ and gender‐matched general population controls. Methods Pubmed, Embase and CINAHL were searched until 01 May 2021. Random effects meta‐analysis and an odds ratio analysis were conducted to compare rates with controls. Results The trim‐ and fill‐adjusted pooled diabetes prevalence amongst 55,548 individuals with intellectual disabilities (N studies = 33) was 8.5% (95% CI = 7.2%–10.0%). The trim‐ and fill‐adjusted odds for diabetes was 2.46 times higher (95% CI = 1.89–3.21) (n = 42,684) versus controls (n = 4,177,550). Older age (R2 = .83, p 
doi_str_mv 10.1111/jar.12949
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Methods Pubmed, Embase and CINAHL were searched until 01 May 2021. Random effects meta‐analysis and an odds ratio analysis were conducted to compare rates with controls. Results The trim‐ and fill‐adjusted pooled diabetes prevalence amongst 55,548 individuals with intellectual disabilities (N studies = 33) was 8.5% (95% CI = 7.2%–10.0%). The trim‐ and fill‐adjusted odds for diabetes was 2.46 times higher (95% CI = 1.89–3.21) (n = 42,684) versus controls (n = 4,177,550). Older age (R2 = .83, p &lt; .001), smoking (R2 = .30, p = .009) and co‐morbid depression (R2 = .18, p = .04), anxiety (R2 = .97, p &lt; .001), and hypertension (R2 = 0.29, p &lt; .001) were associated with higher diabetes prevalence rates. Conclusions Our findings demonstrate that people with intellectual disabilities are at an increased risk of diabetes, and therefore routine screening and multidisciplinary management of diabetes is needed.</description><identifier>ISSN: 1360-2322</identifier><identifier>EISSN: 1468-3148</identifier><identifier>DOI: 10.1111/jar.12949</identifier><identifier>PMID: 34658096</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Age Differences ; Age groups ; Aged ; Anxiety ; Case-Control Studies ; Comorbidity ; Demographics ; depression ; Diabetes ; Diabetes Mellitus - epidemiology ; Epidemiology ; Female ; Gender Differences ; Humans ; hyperglycaemia ; Hyperglycemia ; Hypertension ; Incidence ; Intellectual disabilities ; Intellectual Disability ; Intellectual Disability - epidemiology ; Male ; Mental depression ; Meta Analysis ; Prevalence</subject><ispartof>Journal of applied research in intellectual disabilities, 2022-03, Vol.35 (2), p.301-311</ispartof><rights>2021 John Wiley &amp; Sons Ltd.</rights><rights>2022 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4109-9994c93e13d4dde19b655d171942f485cd66612b463c0eac91180991aa3c8a863</citedby><cites>FETCH-LOGICAL-c4109-9994c93e13d4dde19b655d171942f485cd66612b463c0eac91180991aa3c8a863</cites><orcidid>0000-0002-2754-4679 ; 0000-0002-4592-8625</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1326773$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34658096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vancampfort, Davy</creatorcontrib><creatorcontrib>Schuch, Felipe</creatorcontrib><creatorcontrib>Van Damme, Tine</creatorcontrib><creatorcontrib>Firth, Joseph</creatorcontrib><creatorcontrib>Suetani, Shuichi</creatorcontrib><creatorcontrib>Stubbs, Brendon</creatorcontrib><creatorcontrib>Van Biesen, Debbie</creatorcontrib><title>Prevalence of diabetes in people with intellectual disabilities and age‐ and gender‐matched controls: A meta‐analysis</title><title>Journal of applied research in intellectual disabilities</title><addtitle>J Appl Res Intellect Disabil</addtitle><description>Background This meta‐analysis aims to: (i) describe the pooled prevalence of diabetes in people with intellectual disabilities, (ii) investigate the association with demographic, clinical and treatment‐related factors and (iii) compare the prevalence versus age‐ and gender‐matched general population controls. Methods Pubmed, Embase and CINAHL were searched until 01 May 2021. Random effects meta‐analysis and an odds ratio analysis were conducted to compare rates with controls. Results The trim‐ and fill‐adjusted pooled diabetes prevalence amongst 55,548 individuals with intellectual disabilities (N studies = 33) was 8.5% (95% CI = 7.2%–10.0%). The trim‐ and fill‐adjusted odds for diabetes was 2.46 times higher (95% CI = 1.89–3.21) (n = 42,684) versus controls (n = 4,177,550). Older age (R2 = .83, p &lt; .001), smoking (R2 = .30, p = .009) and co‐morbid depression (R2 = .18, p = .04), anxiety (R2 = .97, p &lt; .001), and hypertension (R2 = 0.29, p &lt; .001) were associated with higher diabetes prevalence rates. Conclusions Our findings demonstrate that people with intellectual disabilities are at an increased risk of diabetes, and therefore routine screening and multidisciplinary management of diabetes is needed.</description><subject>Age Differences</subject><subject>Age groups</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Case-Control Studies</subject><subject>Comorbidity</subject><subject>Demographics</subject><subject>depression</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gender Differences</subject><subject>Humans</subject><subject>hyperglycaemia</subject><subject>Hyperglycemia</subject><subject>Hypertension</subject><subject>Incidence</subject><subject>Intellectual disabilities</subject><subject>Intellectual Disability</subject><subject>Intellectual Disability - epidemiology</subject><subject>Male</subject><subject>Mental depression</subject><subject>Meta Analysis</subject><subject>Prevalence</subject><issn>1360-2322</issn><issn>1468-3148</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><recordid>eNp1kc1u1DAQxy0Eoh9w4AFAlrjAIa3Hdrxxb6uq0FaVQAjOkWPPtl45yWI7VCsufQSesU9Styk9IDGXmdH_p_nQn5A3wA6gxOHaxAPgWupnZBekaioBsnleaqFYxQXnO2QvpTVjrIF68ZLsCKnqhmm1S35_jfjLBBws0nFFnTcdZkzUD3SD4yYgvfb5qrQZQ0CbJxMKlEzng8--gGZw1Fzi7c2fh_ISB4exdL3J9godteOQ4xjSEV3SHrMpkhlM2CafXpEXKxMSvn7M--THp5Pvx6fVxZfPZ8fLi8pKYLrSWkurBYJw0jkE3am6drAALflKNrV1SingnVTCMjRWA5TfNBgjbGMaJfbJh3nuJo4_J0y57X2y5R8z4DillteNEBwY3KPv_0HX4xTLvYVSXIOqQdSF-jhTNo4pRVy1m-h7E7ctsPbekbY40j44Uth3jxOnrkf3RP61oABvZwCjt0_yyTkIrhYLUfTDWb_2Abf_39SeL7_NK-8ANsahCg</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Vancampfort, Davy</creator><creator>Schuch, Felipe</creator><creator>Van Damme, Tine</creator><creator>Firth, Joseph</creator><creator>Suetani, Shuichi</creator><creator>Stubbs, Brendon</creator><creator>Van Biesen, Debbie</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</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>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2754-4679</orcidid><orcidid>https://orcid.org/0000-0002-4592-8625</orcidid></search><sort><creationdate>202203</creationdate><title>Prevalence of diabetes in people with intellectual disabilities and age‐ and gender‐matched controls: A meta‐analysis</title><author>Vancampfort, Davy ; Schuch, Felipe ; Van Damme, Tine ; Firth, Joseph ; Suetani, Shuichi ; Stubbs, Brendon ; Van Biesen, Debbie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4109-9994c93e13d4dde19b655d171942f485cd66612b463c0eac91180991aa3c8a863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age Differences</topic><topic>Age groups</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Case-Control Studies</topic><topic>Comorbidity</topic><topic>Demographics</topic><topic>depression</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gender Differences</topic><topic>Humans</topic><topic>hyperglycaemia</topic><topic>Hyperglycemia</topic><topic>Hypertension</topic><topic>Incidence</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability</topic><topic>Intellectual Disability - epidemiology</topic><topic>Male</topic><topic>Mental depression</topic><topic>Meta Analysis</topic><topic>Prevalence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vancampfort, Davy</creatorcontrib><creatorcontrib>Schuch, Felipe</creatorcontrib><creatorcontrib>Van Damme, Tine</creatorcontrib><creatorcontrib>Firth, Joseph</creatorcontrib><creatorcontrib>Suetani, Shuichi</creatorcontrib><creatorcontrib>Stubbs, Brendon</creatorcontrib><creatorcontrib>Van Biesen, Debbie</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied research in intellectual disabilities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vancampfort, Davy</au><au>Schuch, Felipe</au><au>Van Damme, Tine</au><au>Firth, Joseph</au><au>Suetani, Shuichi</au><au>Stubbs, Brendon</au><au>Van Biesen, Debbie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1326773</ericid><atitle>Prevalence of diabetes in people with intellectual disabilities and age‐ and gender‐matched controls: A meta‐analysis</atitle><jtitle>Journal of applied research in intellectual disabilities</jtitle><addtitle>J Appl Res Intellect Disabil</addtitle><date>2022-03</date><risdate>2022</risdate><volume>35</volume><issue>2</issue><spage>301</spage><epage>311</epage><pages>301-311</pages><issn>1360-2322</issn><eissn>1468-3148</eissn><abstract>Background This meta‐analysis aims to: (i) describe the pooled prevalence of diabetes in people with intellectual disabilities, (ii) investigate the association with demographic, clinical and treatment‐related factors and (iii) compare the prevalence versus age‐ and gender‐matched general population controls. Methods Pubmed, Embase and CINAHL were searched until 01 May 2021. Random effects meta‐analysis and an odds ratio analysis were conducted to compare rates with controls. Results The trim‐ and fill‐adjusted pooled diabetes prevalence amongst 55,548 individuals with intellectual disabilities (N studies = 33) was 8.5% (95% CI = 7.2%–10.0%). The trim‐ and fill‐adjusted odds for diabetes was 2.46 times higher (95% CI = 1.89–3.21) (n = 42,684) versus controls (n = 4,177,550). Older age (R2 = .83, p &lt; .001), smoking (R2 = .30, p = .009) and co‐morbid depression (R2 = .18, p = .04), anxiety (R2 = .97, p &lt; .001), and hypertension (R2 = 0.29, p &lt; .001) were associated with higher diabetes prevalence rates. Conclusions Our findings demonstrate that people with intellectual disabilities are at an increased risk of diabetes, and therefore routine screening and multidisciplinary management of diabetes is needed.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>34658096</pmid><doi>10.1111/jar.12949</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2754-4679</orcidid><orcidid>https://orcid.org/0000-0002-4592-8625</orcidid><oa>free_for_read</oa></addata></record>
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ispartof Journal of applied research in intellectual disabilities, 2022-03, Vol.35 (2), p.301-311
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1468-3148
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source Wiley-Blackwell Read & Publish Collection; ERIC
subjects Age Differences
Age groups
Aged
Anxiety
Case-Control Studies
Comorbidity
Demographics
depression
Diabetes
Diabetes Mellitus - epidemiology
Epidemiology
Female
Gender Differences
Humans
hyperglycaemia
Hyperglycemia
Hypertension
Incidence
Intellectual disabilities
Intellectual Disability
Intellectual Disability - epidemiology
Male
Mental depression
Meta Analysis
Prevalence
title Prevalence of diabetes in people with intellectual disabilities and age‐ and gender‐matched controls: A meta‐analysis
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