Osteoporosis and intellectual disability: is there any relation?
Bedridden adults with ID can eat enough calcium yet still have weak bones—check vitamin D and bone density.
01Research in Context
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.
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.
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.
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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02At a glance
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