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Nutrient intakes in long-stay mentally handicapped persons
K Cunningham1, M J Gibney, A Kelly
1Stewarts Hospital, Palmerstown, Dublin, Irish Republic.
The British Journal of Nutrition
|July 1, 1990
Summary
This study on mentally handicapped individuals found significant variations in nutrient intake and body weight classifications, with males more often underweight and females more often obese. Energy intake did not correlate with physical or cognitive status but varied by institution and sex.
Area of Science:
- Nutrition Science
- Public Health
- Disability Studies
Background:
- Dietary intake and nutritional status are critical for individuals with intellectual disabilities.
- Long-stay institutions may present unique challenges for maintaining optimal nutrition.
- Understanding the nutritional profiles of this population is essential for targeted interventions.
Purpose of the Study:
- To assess the dietary intake and nutritional status of mentally handicapped individuals in long-stay institutions.
- To identify potential nutritional deficiencies or excesses.
- To explore factors influencing energy intake within this population.
Main Methods:
- A dietary intake study was conducted over 4 days using a semi-weighed technique.
- Participants included 115 males and 217 females aged 15-64 years in five long-stay institutions.
- Nutrient intake, body mass index (BMI), ambulatory status, and drug usage were assessed.
Main Results:
- 19% of males and 5% of females were underweight; 15% of males and 27% of females were obese.
- Average daily nutrient intakes included energy (8.8 MJ), protein (92g), carbohydrate (218g), fat (101g), and key micronutrients.
- Energy intake showed significant variation between institutions and sexes, but not with ambulatory status, cognitive level, drug use, or BMI.
Conclusions:
- Significant disparities in weight status (underweight and obesity) exist among mentally handicapped individuals in institutional settings.
- Dietary patterns and energy consumption vary considerably, highlighting the need for individualized nutritional assessments.
- Further research is warranted to understand the determinants of these variations and to optimize nutritional care for this vulnerable group.