Assessment & Research

Are early onset aging conditions correlated to daily activity functions in youth and adults with Down syndrome?

Lin et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

Early aging signs like poor vision and memory slips sharply predict lower daily living skills in teens and adults with Down syndrome.

✓ Read this if BCBAs writing adult ISP goals or doing annual assessments.
✗ Skip if Clinicians who only serve autistic clients without Down syndrome.

01Research in Context

01

What this study did

The team asked 216 teens and adults with Down syndrome about early aging signs.

They looked at frailty, vision loss, memory slips, and other aging-like problems.

Then they scored how well each person cooked, dressed, and handled money.

02

What they found

More aging signs meant lower daily-living scores.

Vision trouble and memory slips were the strongest red flags.

Even mild frailty cut independence scores by a clear margin.

03

How this fits with other research

Ghaziuddin et al. (1996) already warned that Down syndrome brings extra health risks.

Jin-Ding et al. now show these risks show up early and hurt daily life.

Byiers et al. (2025) adds that childhood stress makes adult mental-health worse.

Together the three papers paint a timeline: early risks stack up and shrink skills later.

04

Why it matters

You can spot trouble before skills crash. Add quick vision, memory, and frailty checks to your yearly assessment. Flag clients with two or more aging signs and boost ADL teaching right away.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a one-page vision, memory, and frailty checklist to your intake packet.

02At a glance

Intervention
not applicable
Design
survey
Sample size
216
Population
down syndrome
Finding
negative
Magnitude
medium

03Original abstract

This study aims to answer the research question of "Are early onset aging conditions correlated to daily activity functions in youth and adults with Down syndrome (DS)?" A cross-sectional survey was employed to recruit 216 individuals with DS over 15 years of age in the analyses. A structured questionnaire included demographic data, brief self-reported aging conditions, Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) and activity of daily living (ADL) scales were completed by the primary caregivers who were well-suited for providing information on the functioning conditions of the DS individuals. Results showed that the most five frequent aging conditions (sometimes, usually and always) included frailty (20.2%), vision problem (15.8%), loss of language ability (15.3%), sleep problem (14.9%) and memory impairment (14.5%). Other onset aging conditions included more chronic diseases (13.9%), hearing loss (13%), chewing ability and tooth loss (12.5%), incontinence (11.1%), depressive syndrome (7.7%), falls and gait disorder (7.2%), loss of taste and smell (7.2%). The data also showed scores of DSQIID, onset aging conditions and ADL has significant relationships each other in Pearson's correlation tests. Finally, multiple linear regression analyses indicated onset aging conditions (β=-0.735, p<0.001) can significantly predicted the variation in ADL scores after adjusting other factors (R2=0.381). This study suggests that the authority should initiate early intervention programs aim to improve healthy aging and ADL functions for people with DS.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2014.10.051