Physical health conditions in young children with profound intellectual and multiple disabilities: The prevalence and associations between these conditions

Anouk Mol-Bakker, A. A. J. van der Putten, Wim Krijnen, Aly Waninge

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background
It is thought that physical health conditions start at a young age in people with profound intellectual and multiple disabilities (PIMD). Knowledge regarding the prevalence, associations and development of these physical health conditions could be used for purposes of prevention as well as appropriate care and support but is currently lacking.

Objective
The aim of this study is to gain insight into the prevalence of physical health conditions and associations between these conditions in young children with PIMD.

Methods
The study used cross-sectional data related to the physical health conditions of children with PIMD (n = 51, aged between 12 and 61 months). Data were collected in Belgium and in the Netherlands through a checklist filled in by primary caregiver(s). Physical health conditions were classified into categories by the 10th revision of the International Classification of Diseases and Related Health Problems (ICD-10) system. The number of physical health conditions and associations between them were analysed. The analysis focused on prevalence rates and associations represented by odds ratios (p < 0.05). A graphical model was estimated to represent dependencies and conditional dependencies between physical health conditions.

Results
We found a mean of 3.8 (range 1–8, SD 1.9) physical health conditions per child. Most of the physical health conditions were found in the ICD-10 chapter ‘Nervous System’, with hypotonia as the most frequent at 70.6%. Five significant large associations were found between spasticity–contractures (OR 9.54); circulatory system–contractures (OR 7.50); scoliosis–contractures (OR 10.25); hearing impairments–skin problems (OR 58.20) and obstipation–hypotonia (OR 19.98).

Conclusion
This study shows that at a young age, multiple physical health conditions are present in children with PIMD. In addition, we found five associations between physical health conditions.
Original languageEnglish
JournalChild: Care, Health and Development
Volume50
Issue number2
DOIs
Publication statusPublished - 23 Mar 2024

Keywords

  • association of physical health condition
  • children
  • co-occurrence
  • physical health condition
  • profound intellectual and multiple disabilities

Fingerprint

Dive into the research topics of 'Physical health conditions in young children with profound intellectual and multiple disabilities: The prevalence and associations between these conditions'. Together they form a unique fingerprint.

Cite this