Assessment & Research

Osteoporosis and intellectual disability: is there any relation?

Wagemans et al. (1998) · Journal of intellectual disability research : JIDR 1998
★ The Verdict

Bedridden adults with ID can eat enough calcium yet still have weak bones—check vitamin D and bone density.

✓ Read this if BCBAs serving non-ambulatory adults or seniors with ID in residential or day programs.
✗ Skip if Clinicians working only with young, fully mobile clients.

01Research in Context

01

What this study did

Wilkinson et al. (1998) looked at bone health in adults with intellectual disability who could not walk.

They checked vitamin D blood levels, calcium intake, and bone density. They also counted past broken bones.

02

What they found

Even though the adults drank plenty of milk, their vitamin D was very low.

Their bones were thin and many had already suffered fractures.

03

How this fits with other research

Silverman et al. (1994) warned that older adults with ID face the same age-related illnesses as other seniors, including brittle bones. The new data confirm that warning.

Beaulieu et al. (2013) found poor diet quality in overweight adults with ID, yet M et al. show adequate calcium intake. The two studies look at different nutrients—Lauren at overall diet, M at vitamin D—so together they flag a full nutrition check, not just calories.

Bartlo et al. (2011) show exercise strengthens adults with ID. M et al. add a reason to move: weight-bearing activity may protect bones when vitamin D is low.

04

Why it matters

If you support non-ambulatory adults with ID, do not trust good calcium intake alone. Ask the doctor for a vitamin D screen and a bone-density scan. Simple additions—safe sunlight exposure, fortified drinks, or a vitamin D supplement—can cut fracture risk and pain.

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Schedule a doctor visit to request vitamin D and DEXA tests for any non-walking adult you serve.

02At a glance

Intervention
not applicable
Design
case series
Sample size
23
Population
intellectual disability
Finding
negative

03Original abstract

One of the causes of osteoporosis is immobility. The present study examined osteoporosis in 23 bedridden adults with intellectual disability. It was found that the bone mineral density of the subjects was low, even though their calcium intake was more than adequate. Vertebral and other fractures were concentrated mainly in the elderly subjects (> 50 years). Very low vitamin D levels were also found in the subjects despite good nutritional levels. It is concluded that people with intellectual disability and mobility disorders are at risk of metabolic bone disease.

Journal of intellectual disability research : JIDR, 1998 · doi:10.1046/j.1365-2788.1998.00152.x