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PubMed1989

Nutritional status of institutionalized children and adolescents with developmental disabilities.

The relationship was explored between anomalies associated with developmental disabilities and nutritional status of institutionalized children and adolescents who received comprehensive interdisciplinary services. Variables included dietary intake, serum laboratory values, anthropometric measurements, feeding skills assessment, and clinical assessment. Mean intakes of nutrients were greater than 67% of Recommended Daily Allowances. Laboratory values were within normal ranges with the exceptions of serum ferritin, which was borderline or below normal in 46% of the males and 55% of the females, and alkaline phosphatase, which was elevated in 70% of residents receiving anticonvulsants. Energy intake was highest in residents with adequate feeding skills, followed by nonfeeders and feeders requiring behavior management. Subjects had greater triceps skinfold and lower mid-arm muscle circumference and weight measurements as compared to reference data. Findings of this study suggest that these developmentally disabled children and adolescents who received comprehensive interdisciplinary nutritional services, in general, are adequately nourished and have nutrient intakes that meet the RDA requirements.

Activities of Daily Living↗
PubMed2004

Bone quantitative ultrasound and nutritional status in severely handicapped institutionalized children and adolescents.

BACKGROUND & AIMS: Children with cerebral palsy (CP) have a high prevalence of pathologic fractures. Bone quantitative ultrasonography (QUS) has emerged as a radiation-free method for the assessment of bone quality and fracture risk. In this study, we applied QUS technique in order to investigate bone status in handicapped institutionalized children and adolescents. METHODS: This cross-sectional study included 87 handicapped institutionalized patients. Measurements of the velocity of ultrasound wave, speed of sound (SOS), at distal radius and midshaft tibia, were performed using Omnisense 7000S analyser (Sunlight Ltd., Tel Aviv, Israel). In addition, all the participants had a thorough evaluation of nutritional status, demographic and clinical characteristics. RESULTS: Forty-five of patients had either radius or tibia bone SOS lower than -1 SD, and 21% had either radius or tibia bone SOS lower than -2.5 SD. Using step-wise regression analysis, female gender (P=0.003) and stature (P=0.008) were correlated with radius SOS. Age (P=0.03) and fracture history (P=0.04) were negatively correlated with tibia SOS. CONCLUSION: In this group of children and adolescents with CP one-fifth had poor bone status as suggested by low tibia/radius SOS assessed by QUS. Female gender, stature, age and fracture history were significantly correlated with poor bone status.

Adolescent↗
PubMed1977

Self-perception of intrinsic and extrinsic motivation: effects on institutionalized mentally retarded adolescents.

Self-perception theory predicts that the introduction of extrinsic rewards for behavior that was intrinsically rewarding may decrease rather than enhance overall motivation. This hypothesis was tested on a group of institutionalized mentally retarded adolescents (34 boys, 10 girls). Intrinsic (high and low task interest) and extrinsic (high- and low-incentive objects) motivation were both manipulated as independent variables, and the dependent variable was task persistence during a free-play period. Results indicated that for a high intrinsically interesting task, the task persistence was greater under the external reward of low- rather than high-incentive value conditions. The opposite trend was revealed for the low intrinsically interesting task. The results provided some evidence that the greater the amount of the reward for an interesting activity, the greater the degree to which the intrinsic interest is undermined.

Adolescent↗
PubMed1976

Sexual knowledge and attitudes of institutionalized and noninstitutionalized retarded adolescents.

Sixty-one noninstitutionalized and 60 institutionalized mentally retarded adolescents were psychometrically assessed on three measures: sexual knowledge, sexual attitudes, and self-concept. The two groups differed on total score on sex knowledge only, with the non institutionalized group being more knowledgeable. With regard to sexual attitudes and self-concept, the two groups did not differ in terms of total correct statements. Internal consistency demonstrated on all the measures ranged from .50 to .90. Intercorrelations of relevant variables for each group (10 for the noninstitutionalized, 13 for the institutionalized) produced several significant correlations. Results were discussed with reference to the development of a standardized instrument for assessing sex-education programs for mentally retarded persons.

Age Factors↗
PubMed1993

Epidemiology of hepatitis B virus in non-institutionalized children and adolescents affected by handicap.

The aim of the study is to evaluate the prevalence of hepatitis B virus (HBV) markers in a population of non-institutionalized handicapped 1-19-year-old patients. Thirty-six out of 70 patients lived in southern Italy and 19 were affected by Down's syndrome. Only three (4.2%) were positive for anti-HBc (one of these also for anti-HBs) and none for HBsAg. Low prevalence seems to indicate that no particular anti-HBV vaccination strategy is to be considered on this subset of population and on their contacts. Serum prevalence of HBV among nurses and other members of personnel was 11.3%.

Adolescent↗
PubMed1979

Speed of retrieving information from the lexicon of mentally retarded adolescents.

Thirty-six institutionalized retarded adolescents named 48 colored pictures of objects. Winters, Winter, and Burger (1978) had previously established that for nonretarded adults the estimated age-of-acquisition of the names of these 48 objects ranged from 2 years, 6 months to 7 years of age. We found that pictures whose names had been estimated by nonretarded adults to have been acquired earlier were named more accurately and faster by retarded adolescents than were pictures whose names were estimated to have been acquired later. The implications of these results were discussed.

Adolescent↗
PubMed1977

Adolescent day treatment: a community alternative to institutionalization of the emotionally disturbed adolescent.

This paper describes the need, the formation, and the structure of a partial day treatment program for severely disturbed adolescents, which uses local resources to maintain clients in the community. Components of the program, including family therapy in the home, are outlined and case illustrations are offered. Applications to other community settings are discussed.

Adolescent↗
PubMed1977

Array properties and conservation of number performance with retarded adolescents and young adults.

A group of 31 institutionalized retarded adolescents responded to 18 conservation of number tasks. Within the range of each row containing 4 to 6 items, there was no significant effect on performance with variations in the total number of items or the numerical difference between rows. Unexpectedly, pre- and posttransformed arrays did not cause significant differences in judgment errors. When significant differences (p less than .01) did appear between transformed and untransformed arrays, it seemed to be due to a one-to-one correspondence existing in one of the arrays and not in the effect of a transformation. The optimal performance under one-to-one correspondence conditions and the observed, orderly decrease in correct responding was explained as a function of the number of contradictions in the stimulus array. The explanation of judgment errors being caused by contradictions between numerosity and length and/or density cues was interpreted within Brainerd's (1973a, 1973b) theory of the development of early number concepts.

Adolescent↗
PubMed1978

Effect of imposed vs. self-generated imagery and sentence mediation on the free recall of retarded adolescents.

The effectiveness of verbal and imaginal elaborations on the free recall of institutionalized EMR adolescents was investigated. Fifty subjects were assigned to one of five conditions: experimenter-imposed verbalization, experimenter-imposed imagery, subject-generated verbalization, subject-generated imagery, and control. The subjects saw 15 pictures, presented in sets of 3, for five trial bloks, and were asked to recall the 15 pictures after each trial block. Over all trials combined, it was found that recall in the experimenter-imposed verbalization and the experimenter-imposed imagery conditions was reliably superior to recall in the control and subject-generated verbalization conditions. Although retarded adolescents were capable of producing verbal or imaginal elaborations, as evidenced by post-experimental inquiry, elaborations facilitated recall only when they were supplied by the experimenter.

Adolescent↗
PubMed2005

[Longitudinal changes in body composition and basal metabolic rate in institutionalized or domiciled obese adolescents].

UNLABELLED: The prevalence of obesity in children has increased dramatically during the past decades, and requires efficient care. OBJECTIVES: To determine changes in anthropometric parameters and basal metabolic rate (BMR) in obese adolescents during and after 2 types of weight-reduction programs. SUBJECTS AND METHODS: Twenty-six adolescents (group I, Z-score of BMI = 4.72) followed a 9-month-weight reduction program including a moderate energy restriction and regular physical activities in a specialized institution. In addition, 39 adolescents (group E, Z-score of BMI = 2.83) followed at home a 9-month-weight reduction program including medical and dietetic advices. Body composition (by impedancemetry) and BMR (by indirect calorimetry) were assessed before the beginning (M0), 4 months after (M4) and at the end (M9) of the programs, then 4 months (M13) and 16 month (M25) after the end of the weight-reduction programs. RESULTS: Twenty-two adolescents in group I and 20 adolescents in group E completed the study. At M0, age, body weight (BW), fat-free mass (FFM) and BMR of subjects of group I were higher (1.0 year, 36 %, 30 % and 23 %, respectively, P < 0.001), than those of group E. Pubertal stage and percentage of fat mass (FM) were not significantly different between the 2 groups. At M9, adolescents of group I showed significant reductions in BW and FM (-19 and -37 %, respectively, P < 0.001), but not significant differences in FFM. In addition, BMR decreased significantly between M0 and M4, both in absolute value (-6.7%, P < 0.001) and after adjustment for FFM (-5.8%, P < 0.001), and the difference was maintained until M9. Between M9 and M13, BW and Z-score of BMI were maintained in 12 adolescents, but increased (+9.7% and 14.8%, respectively, P < 0.001) in 10 adolescents. However, BMR did not change significantly in all adolescents. Between M13 and M25, BW, FM, FFM and BMR increased significantly (+13%, +34%, +6% et +5%, respectively, P < 0.001). During the 25 month period, adolescents of group E showed significant increases in BW, FFM and BMR (+8%, +14% and +10%, respectively, P < 0.001), and maintained their Z-score and FM. CONCLUSION: The reduction in BMR during the weight-reduction program at the institution could contribute to body weight regain in the post-obese adolescents if they do not maintain the lifestyle habits taught during the weight-reduction period. In other respects, Z-score was stabilized in 51% of domiciled obese adolescents.

Adipose Tissue↗
PubMed1976

Inference of word meaning from syntax structure by normal children and retarded adolescents.

Children from five to 12 years of age (N = 136 boys and girls) and institutionalized retarded adolescents (N = 30 boys and girls) were given a task developed by Brown to test ability to infer nonsense word meanings from syntactic clues. Response accuracy for the normal children was consistently low from five years up to eight years of age, after which it increased steeply with increasing age. However, accuracy levels were markedly below those reported by Brown and raise questions concerning his original finding that young children are largely successful in using the grammatical context of new words to guess their meaning. Performance of the retarded adolescents did not parallel that of the nonretarded children, and on two of the three parts of speech their performance fell below mental age expectations, a result attributed to their deficient generalization ability.

Adolescent↗
PubMed2003

Adoption and institutionalization of the Child and Adolescent Trial for Cardiovascular Health (CATCH) in El Paso, Texas.

One goal of national health-promotion research is to disseminate and institutionalize experimentally tested programs in local communities. In 1997, the national Child and Adolescent Trial for Cardiovascular Health (CATCH) was chosen by the Paso del Norte Health Foundation as their first community-wide preventive health initiative for the El Paso, Texas/Juárez, México border region. With help from researchers at the University of Texas at Houston, evaluators from the University of Texas at El Paso, and the Region 19 Educational Services Center, CATCH was implemented in 18 Title I pilot schools. Known as the Coordinated Approach to Child Health 5 years later, the El Paso CATCH program has been embraced by the border community and reaches 108 elementary schools from New Mexico to West Central Texas. There are also plans to implement CATCH in Juárez. This article describes the institutionalization of CATCH in a predominately Hispanic, low income border region.

Adolescent↗