Cut-off points for isometric handgrip and low limb explosive strength in relation to indicators of overweight/obesity in people with intellectual disabilities: analysis by age groups.

countermovement jump functional capacity handgrip strength intellectual disability muscle strength obesity overweight

Journal

Journal of intellectual disability research : JIDR
ISSN: 1365-2788
Titre abrégé: J Intellect Disabil Res
Pays: England
ID NLM: 9206090

Informations de publication

Date de publication:
Nov 2023
Historique:
revised: 19 04 2023
received: 03 08 2022
accepted: 09 07 2023
pubmed: 14 8 2023
medline: 14 8 2023
entrez: 14 8 2023
Statut: ppublish

Résumé

The prevalence of overweight/obesity has been increasing globally and in people with Intellectual Disabilities (IDs), this problem is exacerbated even more, which added to a low physical condition that contributes to the deterioration of functionality and increases the risk of developing chronic diseases in the course of life. Therefore, the aim of this study was to establish cut-off points for levels of isometric handgrip and low limb explosive strength in children, adolescents and adults, which identify overweight/obesity in people with IDs and their respective associations. The sample was made up of 131 individuals with IDs, belonging to four special and community educational centres in the city of Santiago, Chile. Body mass index (BMI) and waist-to-height ratio (WHR) were used as indicators of overweight/obesity. Handgrip strength was used as a measure of isometric strength, and countermovement jump was used as a measure of low limb explosive strength. For the comparison of variables by age group, the analysis of Ancova, Kruskal-Wallis and chi-square tests were used. The total area under the receiver operating characteristic curve of isometric handgrip and low limb explosive strength was identified as an indicator of overweight/obesity according to age groups. A logistic regression model was used to quantify the effect that strength categories below the cut-off point have on the risk of overweight and obesity. Significant differences were observed between the age groups for body weight, height, BMI and WHR, as well as in the levels of absolute handgrip strength and vertical jump with countermovement (P ≤ 0.05). Children showed the lowest cut-off points for absolute and relative strength. The adolescent group showed the highest cut-off points for relative strength and countermovement jump and adults showed the highest value for absolute strength as indicators of overweight/obesity. Different associations between cut-off points with BMI and WHR were found. Adolescents showed the highest cut-off point for relative strength and countermovement jump, and adults showed the highest value for absolute strength, according to overweight/obesity indicators (BMI and WHR). It is suggested to adjust resistance training programmes according to age categories for the prevention of overweight/obesity in people with IDs.

Sections du résumé

BACKGROUND BACKGROUND
The prevalence of overweight/obesity has been increasing globally and in people with Intellectual Disabilities (IDs), this problem is exacerbated even more, which added to a low physical condition that contributes to the deterioration of functionality and increases the risk of developing chronic diseases in the course of life. Therefore, the aim of this study was to establish cut-off points for levels of isometric handgrip and low limb explosive strength in children, adolescents and adults, which identify overweight/obesity in people with IDs and their respective associations.
METHODS METHODS
The sample was made up of 131 individuals with IDs, belonging to four special and community educational centres in the city of Santiago, Chile. Body mass index (BMI) and waist-to-height ratio (WHR) were used as indicators of overweight/obesity. Handgrip strength was used as a measure of isometric strength, and countermovement jump was used as a measure of low limb explosive strength. For the comparison of variables by age group, the analysis of Ancova, Kruskal-Wallis and chi-square tests were used. The total area under the receiver operating characteristic curve of isometric handgrip and low limb explosive strength was identified as an indicator of overweight/obesity according to age groups. A logistic regression model was used to quantify the effect that strength categories below the cut-off point have on the risk of overweight and obesity.
RESULTS RESULTS
Significant differences were observed between the age groups for body weight, height, BMI and WHR, as well as in the levels of absolute handgrip strength and vertical jump with countermovement (P ≤ 0.05). Children showed the lowest cut-off points for absolute and relative strength. The adolescent group showed the highest cut-off points for relative strength and countermovement jump and adults showed the highest value for absolute strength as indicators of overweight/obesity. Different associations between cut-off points with BMI and WHR were found.
CONCLUSIONS CONCLUSIONS
Adolescents showed the highest cut-off point for relative strength and countermovement jump, and adults showed the highest value for absolute strength, according to overweight/obesity indicators (BMI and WHR). It is suggested to adjust resistance training programmes according to age categories for the prevention of overweight/obesity in people with IDs.

Identifiants

pubmed: 37574777
doi: 10.1111/jir.13069
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1124-1135

Informations de 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.

Références

Alcántara-Cordero F. J., Gómez-Píriz P. T., Sánchez-López A. M. & Cabeza-Ruiz R. (2020) Feasibility and reliability of a physical fitness tests battery for adults with intellectual disabilities: the SAMU DIS-FIT battery. Disability and Health Journal 13, 100886.
American College of Sports Medicine (ed.) (2013) ACSM's Health-Related Physical Fitness Assessment Manual. Lippincott Williams & Wilkins.(Ed.)
Bertapelli F., Pitetti K., Agiovlasitis S. & Guerra-Junior G. (2016) Overweight and obesity in children and adolescents with Down syndrome-prevalence, determinants, consequences, and interventions: a literature review. Research in Developmental Disabilities 57, 181-192.
Bishop C., Read P., Lake J., Chavda S. & Turner A. (2018) Interlimb asymmetries: understanding how to calculate differences from bilateral and unilateral tests. Strength and Conditioning Journal 40, 1-6.
Borland R. L., Hu N., Tonge B., Einfeld S. & Gray K. M. (2020) Participation in sport and physical activity in adults with intellectual disabilities. Journal of intellectual disability research: JIDR 64, 908-922.
Carmeli E., Imam B. & Merrick J. (2012) The relationship of pre-sarcopenia (low muscle mass) and sarcopenia (loss of muscle strength) with functional decline in individuals with intellectual disability (ID). Archives of Gerontology and Geriatrics 55, 181-185.
Coelho-Junior H. J., Villani E. R., Calvani R., Carfì A., Picca A., Landi F. et al. (2019) Sarcopenia-related parameters in adults with Down syndrome: a cross-sectional exploratory study. Experimental Gerontology 119, 93-99.
De Lima T. R., Martins P. C., Guerra P. H. & Santos Silva D. A. (2021) Muscular strength and cardiovascular risk factors in adults: a systematic review. The Physician and Sportsmedicine 49, 18-30.
Diets I. J., van der Donk R., Baltrunaite K., Waanders E., Reijnders M. R. F., Dingemans A. J. M. et al. (2019) De novo and inherited pathogenic variants in KDM3B cause intellectual disability, short stature, and facial dysmorphism. The American Journal of Human Genetics 104, 758-766.
Doody C. M. & Doody O. (2012) Health promotion for people with intellectual disability and obesity. British Journal of Nursing 21, 460-465.
Engin A. (2017) The definition and prevalence of obesity and metabolic syndrome. Obesity and lipotoxicity 960, 1-17.
Farías-Valenzuela C., Arenas-Sánchez G., Cofré-Bolados C., Espinoza-Salinas A., Alvarez-Arangua S. & Espoz-Lazo S. (2019) Pruebas dinamométricas y desempeño funcional en adolescentes con discapacidad intelectual moderada. Journal of Sport and Health Research 11, 229-238.
Farías-Valenzuela C., Ferrero-Hernández P., Ferrari G., Espoz-Lazo S., Castillo-Paredes A., Álvarez-Arangua S. et al. (2022) Reference values of absolute and relative handgrip strength in Chilean schoolchildren with intellectual disabilities. Children 9, 1912.
Foley J. T., Lloyd M., Turner L. & Temple V. A. (2017) Body mass index and waist circumference of Latin American adult athletes with intellectual disability. Salud Pública de México 59, 416-422.
García-Hermoso A., Cavero-Redondo I., Ramírez-Vélez R., Ruiz J. R., Ortega F. B., Lee D. C. et al. (2018) Muscular strength as a predictor of all-cause mortality in an apparently healthy population: a systematic review and meta-analysis of data from approximately 2 million men and women. Archives of Physical Medicine and Rehabilitation 99, 2100-2113.e2105.
Garcia-Hermoso A., Tordecilla-Sanders A., Correa-Bautista J. E., Peterson M. D., Izquierdo M., Quino-Ávila A. C. et al. (2020) Muscle strength cut-offs for the detection of metabolic syndrome in a nonrepresentative sample of collegiate students from Colombia. Journal of Sport and Health Science 9, 283-290.
Gawlik K., Zwierzchowska A. & Celebańska D. (2018) Impact of physical activity on obesity and lipid profile of adults with intellectual disability. Journal of Applied Research in Intellectual Disabilities 31, 308-311.
Gómez-Campos R., Vidal-Espinoza R., Castelli-Correia de Campos L. F., Marques de Moraes A., Lázari E., Cossio Bolaños W. et al. (2021) Estimation of fat mass by anthropometric indicators in young people with Down syndrome. Nutrición Hospitalaria 38, 1040-1046.
Hackett D. A., He W., Orr R. & Sanders R. (2021) Effects of age and sex on field-based measures of muscle strength and power of the upper and lower body in adolescents. Journal of Sports Sciences 39, 955-960.
Hartman E., Smith J., Westendorp M. & Visscher C. (2015) Development of physical fitness in children with intellectual disabilities. Journal of Intellectual Disability Research 59, 439-449.
Hassani A., Kotzamanidou M. C., Tsimaras V., Lazaridis S., Kotzamanidis C. & Patikas D. (2014) Differences in counter-movement jump between boys with and without intellectual disability. Research in Developmental Disabilities 35, 1433-1438.
Haynes E. M. K., Neubauer N. A., Cornett K. M. D., O'Connor B. P., Jones G. R. & Jakobi J. M. (2020) Age and sex-related decline of muscle strength across the adult lifespan: a scoping review of aggregated data. Applied Physiology, Nutrition, and Metabolism 45, 1185-1196.
Heffernan K. S., Sosnoff J. J., Ofori E., Jae S. Y., Baynard T., Collier S. R. et al. (2009) Complexity of force output during static exercise in individuals with Down syndrome. Journal of Applied Physiology 106, 1227-1233.
Hosmer D. W., Jr., Lemeshow S. & Sturdivant R. X. (2013) Applied Logistic Regression, vol. 398. John Wiley & Sons.
Hsieh K., Rimmer J. H. & Heller T. (2014) Obesity and associated factors in adults with intellectual disability. Journal of Intellectual Disability Research 58, 851-863.
Ialongo C. (2019) Confidence interval for quantiles and percentiles. Biochemia medica 29, 5-17.
Jabłonowska-Lietz B., Wrzosek M., Włodarczyk M. & Nowicka G. (2017) New indexes of body fat distribution, visceral adiposity index, body adiposity index, waist-to-height ratio, and metabolic disturbances in the obese. Kardiologia Polska 75, 1185-1191.
Jacinto M., Oliveira R., Brito J. P., Martins A. D., Matos R. & Ferreira J. P. (2021) Prescription and effects of strength training in individuals with intellectual disability - a systematic review. Sports 9, 125.
Kasagi K. (2021) Evaluating obesity index among children with developmental disorders. Open Journal of Nursing 11, 57-64.
Kelly R., Hatzikiriakidis K. & Kuswara K. (2022) Inequities in obesity: Indigenous, culturally and linguistically diverse, and disability perspectives. Public Health Research and Practice 32, 3232225.
Kinnear D., Morrison J., Allan L., Henderson A., Smiley E. & Cooper S. A. (2018) Prevalence of physical conditions and multimorbidity in a cohort of adults with intellectual disabilities with and without Down syndrome: cross-sectional study. BMJ Open 8, e018292.
Krause S., Ware R., McPherson L., Lennox N. & O'Callaghan M. (2016) Obesity in adolescents with intellectual disability: prevalence and associated characteristics. Obesity Research and Clinical Practice 10, 520-530.
López-Gil J. F., Weisstaub G., Ramírez-Vélez R. & García-Hermoso A. (2021) Handgrip strength cut-off points for early detection of cardiometabolic risk in Chilean children. European Journal of Pediatrics 180, 3483-3489.
Martínez-Espinosa R. M., Molina Vila M. D. & Reig García-Galbis M. (2020) Evidences from clinical trials in Down syndrome: diet, exercise and body composition. International Journal of Environmental Research and Public Health 17, 4294.
Merchán-Baeza J. A., Pérez-Cruzado D., González-Sánchez M. & Cuesta-Vargas A. (2020) Development of a new index of strength in adults with intellectual and developmental disabilities. Disability and Rehabilitation 42, 1918-1922.
Obrusnikova I., Firkin C. J., Cavalier A. R. & Suminski R. R. (2022) Effects of resistance training interventions on muscular strength in adults with intellectual disability: a systematic review and meta-analysis. Disability and Rehabilitation 44, 4549-4562.
Oviedo G. R., Javierre C., Font-Farré M., Tamulevicius N., Carbó-Carreté M., Figueroa A. et al. (2020) Intellectual disability, exercise and aging: the IDEA study: study protocol for a randomized controlled trial. BMC Public Health 20, 1266.
Peirats E. & Burgos E. (2010) Discapacidad intelectual y envejecimiento: Un problema social del siglo XXI. Colección FEAPS 12.
Peterson M. D., Gordon P. M., Smeding S. & Visich P. (2018) Grip strength is associated with longitudinal health maintenance and improvement in adolescents. The Journal of Pediatrics 202, 226-230.
Ramírez V. & Rosas R. (2007) Estandarización del WISC-III en Chile: Descripción del Test, Estructura Factorial y Consistencia Interna de las Escalas. Psykhe 16, 91-109.
Ranjan S., Nasser J. A. & Fisher K. (2018) Prevalence and potential factors associated with overweight and obesity status in adults with intellectual developmental disorders. Journal of Applied Research in Intellectual Disabilities 31, 29-38.
Real de Asua D., Parra P., Costa R., Moldenhauer F. & Suarez C. (2014) A cross-sectional study of the phenotypes of obesity and insulin resistance in adults with down syndrome. Diabetes and Metabolism Journal 38, 464-471.
Rosas R., Tenorio M., Pizarro M., Cumsille P., Bosch A., Arancibia S. et al. (2014) Estandarización de la Escala Wechsler de Inteligencia Para Adultos: Cuarta Edición en Chile. Psykhe 23, 1-18.
Ryan J., McCallion P., McCarron M., Luus R. & Burke E. A. (2021) Overweight/obesity and chronic health conditions in older people with intellectual disability in Ireland. Journal of Intellectual Disability Research 65, 1097-1109.
Segal M., Eliasziw M., Phillips S., Bandini L., Curtin C., Kral T. V. E. et al. (2016) Intellectual disability is associated with increased risk for obesity in a nationally representative sample of U.S. children. Disability and Health Journal 9, 392-398.
Sénéchal M., McGavock J. M., Church T. S., Lee D. C., Earnest C. P., Sui X. et al. (2014) Cut points of muscle strength associated with metabolic syndrome in men. Medicine and Science in Sports and Exercise 46, 1475-1481.
Silva V., Campos C., Sá A., Cavadas M., Pinto J., Simões P. et al. (2017) Wii-based exercise program to improve physical fitness, motor proficiency and functional mobility in adults with Down syndrome. Journal of Intellectual Disability Research 61, 755-765.
Simón-Siles S., Font-Farré M., Guerra-Balic M., Nishishinya-Aquino M. B. & Oviedo G. R. (2022) Effects of exercise on fitness in adults with intellectual disability: a protocol of an overview of systematic reviews. BMJ Open 12, e058053.
Smail K. M. & Horvat M. (2006) Relationship of muscular strength on work performance in high school students with mental retardation. Education and Training in Developmental Disabilities 414, 410-419.
Soheilipour F., Hatami M., Salehiniya H. & Alaei M. (2022) Indicators of obesity and cardio-metabolic risks: important consideration in adults and children. Current Diabetes Reviews 18, e160721194839.
Sugarman M. A. & Axelrod B. N. (2015) Embedded measures of performance validity using verbal fluency tests in a clinical sample. Applied Neuropsychology. Adult 22, 141-146.
Sugimoto D., Bowen S. L., Meehan W. P., 3rd & Stracciolini A. (2016) Effects of neuromuscular training on children and young adults with Down syndrome: systematic review and meta-analysis. Research in Developmental Disabilities 55, 197-206.
Tejero-Gonzalez C. M., Martinez-Gomez D., Bayon-Serna J., Izquierdo-Gomez R., Castro-Piñero J. & Veiga O. L. (2013) Reliability of the ALPHA health-related fitness test battery in adolescents with Down syndrome. The Journal of Strength and Conditioning Research 27, 3221-3224.
Villa J. G. & Garcia-Lopez J. (2005) Tests de salto vertical (I): Aspectos funcionales. Revista Digital: Rendimiento Deportivo. com 6, 1-14.
Virtuoso Júnior J. S., Tribess S., Paulo T. R. S. D., Martins C. A. & Romo-Perez V. (2012) Physical activity as an indicator of predictive functional disability in elderly. Revista Latino-Americana de Enfermagem 20, 259-265.
Wouters M., Evenhuis H. M. & Hilgenkamp T. I. (2020) Physical fitness of children and adolescents with moderate to severe intellectual disabilities. Disability and Rehabilitation 42, 2542-2552.
Wyszyńska J., Podgórska-Bednarz J., Dereń K., Baran J., Czenczek-Lewandowska E., Leszczak J. et al. (2020) Associations between adiposity indicators and hypertension among children and adolescents with intellectual disability - a case-control study. Journal of applied research in intellectual disabilities: JARID 33, 1133-1140.
Zghal F., Borji R., Colson S. S., Sahli S. & Rebai H. (2019) Neuromuscular characteristics in trained vs. sedentary male adults with intellectual disability. Journal of Intellectual Disability Research 63, 1334-1345.

Auteurs

P Ferrero-Hernández (P)

Escuela de Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Santiago, Chile.

C Farías-Valenzuela (C)

Instituto del Deporte, Universidad de Las Américas, Santiago, Chile.
Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education, University of Granada, Granada, Spain.

G Ferrari (G)

Sciences of Physical Activity, Sports and Health School, University of Santiago of Chile (USACH), Santiago, Chile.

S Espoz-Lazo (S)

Facultad de Educación y Ciencias Sociales, Instituto del Deporte y Bienestar, Universidad Andres Bello, Las Condes, Santiago, Chile.

S Álvarez-Arangua (S)

Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Science, Universidad Andres Bello, Santiago, Chile.

P Valdivia-Moral (P)

Department of Didactics of Musical, Plastic and Corporal Expression, Faculty of Education, University of Granada, Granada, Spain.

Classifications MeSH