Health Promot Perspect. 2015;5(2): 147-152.
doi: 10.15171/hpp.2015.017
PMID: 26290830
PMCID: PMC4539054
  Abstract View: 1326
  PDF Download: 553

Short Communication

Risk Factors for Low Bone Mineral Density in Institutionalized Individuals with Developmental Disabilities

Michael A. Vice 1, Vinayak K. Nahar 1*, M. Allison Ford 1, Martha A. Bass 1, Andrea K. Johnson 2, Ashton B. Davis 3, Rizwana Biviji-Sharma 4

1 Department of Health, Exercise Science & Recreation Management, The University of Mississippi, USA
2 Department of Health and Human Performance, Health, and Behavioral Sciences, College of Education, The University of Tennessee at Martin, USA
3 School of Medicine, University of Mississippi, Jackson, USA
4 Department of Health Policy and Management, Richard M. Fairbanks School of Public Health, Indiana University, USA


Background: Persons with intellectual/developmental disabilities (IDD) are exposed to several factors, which have been determined as risks for osteoporosis. Many of these individuals are non-ambulatory, resulting in lack of weight bearing activity, which is well established as a major contributor to bone loss. The purpose of this study was to investigate risk factors for low bone mineral density (BMD) in persons with IDD residing in residential facilities.

Methods: This cross-sectional study was conducted at an Intermediate Care Facility for individuals with Intellectual and Developmental Disabilities (ICF/IDD). Medical records data were used from 69 individuals, including heal scan T-scores, nutritional, pharmacologic and other risk factors. Chi-Square analysis was used to determine relationships between the variables.

Results: BMD measures were not significantly associated with age, gender, height, weight, or BMI for this population (P > 0.05). The association between BMD diagnoses and DSM-IV classification of mental retardation approached significance (P = 0.063). A significant association was found with anti-seizure medication (P = 0.009).

Conclusion: Follow-up studies should focus on how supplementation and medication changes may or may not alter BMD. Persons with IDD are experiencing longer life expectancies, and therefore, studies ascertaining information on diseases associated with this aging population are warranted.

Keywords: Intellectual/developmental disabilities, Mental Retardation, Osteoporosis, Anti-seizure medication
Citation: Vice MA, Nahar VK, Ford MA, Bass MA, Johnson AK, Davis AB, Biviji-Sharma R. Risk Factors for Low Bone Mineral Density in Institutionalized Individuals with Developmental Disabilities. Health Promot Perspect 2015; 5(2): 147-152.
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Submitted: 25 Dec 2014
Accepted: 28 Feb 2015
ePublished: 07 Jul 2015
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