{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T08:04:36Z","timestamp":1778313876770,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Internal Medicine Residency Program"},{"name":"Adult and Child Consortium for Health Outcomes Research and Delivery Science"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2018,1]]},"abstract":"Background<\/jats:title>Adults with intellectual or developmental disability (ID<\/jats:styled-content>\/DD<\/jats:styled-content>) have multiple risks for low bone mineral density (BMD<\/jats:styled-content>) without formal guidelines to guide testing. We sought to identify risk factors and patterns of BMD<\/jats:styled-content> testing among institutionalized adults with ID<\/jats:styled-content>\/DD<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>We evaluated risk factors for low BMD<\/jats:styled-content> (Z\u2010\/T\u2010score\u00a0<\u00a0\u22121) and patterns of BMD<\/jats:styled-content> testing among adults with ID<\/jats:styled-content>\/DD<\/jats:styled-content> receiving care at a state\u2010run residential facility. Kruskal\u2013Wallis, Fisher's exact and Pearson's chi\u2010squared tests were used as appropriate.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 140 eligible patients, only 44% ever had BMD<\/jats:styled-content> testing of which 89% had low BMD<\/jats:styled-content>. Median age at diagnosis was 42\u00a0years old. Individuals with low BMD<\/jats:styled-content> were more likely to be older, non\u2010weight bearing, Caucasian and have severe cognitive delay.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Adults with ID<\/jats:styled-content>\/DD<\/jats:styled-content> in this facility had a high prevalence of low BMD<\/jats:styled-content>. Further studies are needed to better characterize risk factors and inform screening within this high\u2010risk population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.12341","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T07:58:16Z","timestamp":1488355096000},"page":"157-164","source":"Crossref","is-referenced-by-count":9,"title":["Low bone mineral density risk factors and testing patterns in institutionalized adults with intellectual and developmental disabilities"],"prefix":"10.1111","volume":"31","author":[{"given":"Mailee","family":"Hess","sequence":"first","affiliation":[{"name":"Department of Internal Medicine UCLA\u2010Harbor Medical Center Torrance CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth J","family":"Campagna","sequence":"additional","affiliation":[{"name":"Adult and Child Consortium for Health Outcomes Research and Delivery Science University of Colorado Aurora CO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin M","family":"Jensen","sequence":"additional","affiliation":[{"name":"Adult and Child Consortium for Health Outcomes Research and Delivery Science University of Colorado Aurora CO USA"},{"name":"Departments of Pediatrics and Internal Medicine University of Colorado School of Medicine Aurora CO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2013.813081"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2006.04.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1059-1311(98)80005-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1687-9856-2013-14"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.143511"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.085670"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4530(02)00112-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2009.80"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/469235"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3104\/reports.2009"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2008.00900.x"},{"key":"e_1_2_8_14_1","unstructured":"Klibanski A. 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