Overweight and obesity amongst Down's syndrome adults.
Nearly every adult with Down syndrome is overweight or obese, with housing setting influencing the numbers, yet standard metabolic risks do not always follow.
01Research in Context
What this study did
The team weighed 201 adults with Down syndrome. They noted who lived in family homes and who lived in staffed houses.
The goal was to see how many people were overweight or obese and if housing mattered.
What they found
Almost half of the men and women were obese. Another quarter were simply overweight.
People in family homes carried more extra pounds than people in supervised settings.
How this fits with other research
Rasing et al. (1992) saw the same high numbers three years earlier, so the problem is not new.
Kovačič et al. (2020) later showed that Down syndrome carries the highest obesity rate of all developmental disabilities, making our group the top priority.
McQuaid et al. (2024) adds a twist: in Down syndrome, extra weight does not raise blood sugar or cholesterol the way it does in other adults. The scale still matters, but metabolic labs may fool you.
Kittler et al. (2004) tracked the same adults as they aged and found weight drops when Alzheimer’s begins, so lifelong monitoring is key.
Why it matters
You now know that obesity is the norm, not the exception, for adults with Down syndrome. Check BMI at every visit and note the living arrangement. If the client lives with family, add nutrition coaching for caregivers. If weight falls later in life, screen for dementia. These simple steps keep you ahead of predictable changes.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Plot each client’s BMI on a wall chart and flag family-home clients for extra mealtime training this week.
02At a glance
03Original abstract
Two hundred and one individuals with Down's syndrome were assessed for evidence of overweight and obesity. Thirty-one per cent of males and 22% of females were overweight, while 48% males and 47% females were obese. Overweight and obesity was significantly associated with living in the family home compared to supervised community units or in hospital. No association with the degree of learning disability was found.
Journal of intellectual disability research : JIDR, 1995 · doi:10.1111/j.1365-2788.1995.tb00548.x