Nationwide trends in prevalence of underweight, overweight, and obesity among people with disabilities in South Korea from 2008 to 2017

Objectives This study investigated the 10-year trends of weight and prevalence of underweight, overweight and obesity according to disability grade and types compared with those without disabilities. Methods This serial cross-sectional analysis was conducted using national disability registration data with national general health checkup data from 2008 to 2017. Age-standardized prevalence of underweight and obesity were analyzed for each year, according to the presence, type, and severity of disabilities. Odds of underweight, overweight, obesity, and severe obesity were examined by multinomial logistic regression after adjusting for socio-demographic and clinical variables using data in 2017. Results Over 10 million subjects in each year were included in the analysis. In 2017, 14,246,785 people with age between 19 and 110 years were included and 53.1% was men. For 10 years, age-standardized prevalence of obesity and severe obesity showed significant increases regardless of sex and presence of disability. However, age-standardized underweight prevalence in people without disability tended to decrease whereas it was an increase in 2012 and the prevalence has remained steady since in people with disability. People with disabilities had higher odds of underweight compared to those without disability (OR 1.41, 95% CI 1.38–1.44 in male and OR 1.31, 95% CI 1.28–1.34 in female), especially in those with severe disabilities (OR 2.00, 95% CI 1.94–2.06 in male and OR 1.83, 95% CI 1.77–1.89 in female). Women with disabilities are more likely to be obese than those without disabilities regardless of disability severity (OR 1.40, 95% CI 1.38–1.41). Participants with mental disorder showed the highest prevalence of obesity, followed by epilepsy and developmental disability. Conclusions Having a disability was associated with higher odds/probability of both obesity and underweight. The intersection of female, severe disability, and mental/developmental disabilities was associated with probability of severe obesity. Simultaneous efforts are needed to develop health policy to reduce both the prevalence of obesity and underweight.

Serum levels of leptin and adiponectin in patients with multiple sclerosis

Background The role of adipokines such as leptin and adiponectin in regulating the immunity has been documented, however data concerning their consequence on multiple sclerosis (MS) Egyptian patients are deficient. The aim of this study is to demonstrate the serum levels of leptin and adiponectin in MS patients and to assess their association with disease disability and severity. A case–control study including 60 subjects (30 MS patients and 30 age, sex and body mass index-matched healthy controls) was performed. Results Serum leptin level was significantly higher among MS patients than controls (P < 0.001) while adiponectin was not significantly elevated in MS patients (P = 0.24). There was a significant positive correlation between leptin levels with MS disability (Expanded Disability Status Scale) (r = 0.678; P < 0.001), severity (Multiple Sclerosis Severity Score) (r = 0.631; P < 0.001) and progression (progression index) (r = 0.461; P = 0.01). There was no statistically significant correlation between adiponectin with disease disability, severity or progression. Conclusions MS patients had significantly higher serum leptin levels and insignificant adiponectin levels compared to controls. Leptin has a potential role in multiple sclerosis disability and severity. However, adiponectin is not useful as a biomarker of MS disease, disability and severity.

Singapore study shows supervisors' support increases work engagement of employees who are parents of children with special needs and disabilities

Purpose The authors said their study was the first to consider the impact of organizational support on parents of children with SND in Singapore. Although there has been a lot of research on the effects of organizational support, it has not focused on this area. Design/methodology/approach The authors collected data from 224 employees who were parents of children with SND in Singapore. They used a self-administered questionnaire. Findings For high supervisor’s support levels, high disability severity was associated with increased work engagement levels, but for low supervisor’s support levels, high disability severity was associated with lower work engagement levels. Meanwhile, the patterns were reverse for co-workers. High coworkers’ support levels were associated with reduced engagement. At the same time, the results showed the impact of coworkers’ support on work engagement was especially beneficial for employees whose children faced less severe disabilities. Originality/value The authors argue that the results provided powerful evidence that HR practitioners should strive to create a family-friendly culture in a constructive and understanding way.

Dating and attachment among single women with multiple sclerosis

The present study investigated the dating experiences of single women living with multiple sclerosis (MS). The present research used a mixed methods approach, with the quantitative component examining the role of disability severity, insecure attachment (avoidant and anxious), age, illness duration, depression, body esteem, sexual esteem, and attractiveness on dating experiences among 99 single women living with MS. Participants were recruited through MS societies in Canada and the United States. Regression analyses showed that overall, greater disability severity, longer illness duration, greater insecure attachment, lower sexual esteem and lower perceived attractiveness were predictive of worse dating experiences and more barriers to dating. Dating experiences were similar across ages. The second component of the study consisted of qualitative interviews with 12 women (half in a younger and half in an older age group), which were completed individually by telephone. The qualitative approach borrowed from a phenomenological lens and interviews were coded to explore the dating experiences of the women. Across the younger and older age groups, participants identified barriers to dating, coping strategies, negative cognitions about dating with MS, concerns regarding disclosure of MS, and impact of MS on body and sexual esteem. Some age related differences in dating were noted, such as concerns about pregnancy. The current research highlights the importance of conducting further research into the impact of MS on dating and in exploring potential interventions to help support women many of whom endorsed encountering various barriers to dating when living with MS.

Dating and attachment among single women with multiple sclerosis

The present study investigated the dating experiences of single women living with multiple sclerosis (MS). The present research used a mixed methods approach, with the quantitative component examining the role of disability severity, insecure attachment (avoidant and anxious), age, illness duration, depression, body esteem, sexual esteem, and attractiveness on dating experiences among 99 single women living with MS. Participants were recruited through MS societies in Canada and the United States. Regression analyses showed that overall, greater disability severity, longer illness duration, greater insecure attachment, lower sexual esteem and lower perceived attractiveness were predictive of worse dating experiences and more barriers to dating. Dating experiences were similar across ages. The second component of the study consisted of qualitative interviews with 12 women (half in a younger and half in an older age group), which were completed individually by telephone. The qualitative approach borrowed from a phenomenological lens and interviews were coded to explore the dating experiences of the women. Across the younger and older age groups, participants identified barriers to dating, coping strategies, negative cognitions about dating with MS, concerns regarding disclosure of MS, and impact of MS on body and sexual esteem. Some age related differences in dating were noted, such as concerns about pregnancy. The current research highlights the importance of conducting further research into the impact of MS on dating and in exploring potential interventions to help support women many of whom endorsed encountering various barriers to dating when living with MS.

Trends in disability-free life expectancy at age 50 years in Australia between 2001 and 2011 by social disadvantage

BackgroundThe aims of this study were (1) to estimate 10-year trends in disability-free life expectancy (DFLE) by area-level social disadvantage and (2) to examine how incidence, recovery and mortality transitions contributed to these trends.MethodsData were drawn from the nationally representative Household Income and Labour Dynamics in Australia survey. Two cohorts (baseline age 50+ years) were followed up for 7 years, from 2001 to 2007 and from 2011 to 2017, respectively. Social disadvantage was indicated by the Socio-Economic Indexes for Areas (SEIFA). Two DFLEs based on a Global Activity Limitation Indicator (GALI) and difficulties with activities of daily living (ADLs) measured by the 36-Item Short Form Survey physical function subscale were estimated by cohort, sex and SEIFA tertile using multistate models.ResultsPersons residing in the low-advantage tertile had more years lived with GALI and ADL disability than those in high-advantage tertiles. Across the two cohorts, dynamic equilibrium for GALI disability was observed among men in mid-advantage and high-advantage tertiles, but expansion of GALI disability occurred in the low-advantage tertile. There was expansion of GALI disability for all women irrespective of their SEIFA tertile. Compression of ADL disability was observed for all men and for women in the high-advantage tertile. Compared to the 2001 cohort, disability incidence was lower for the 2011 cohort of men within mid-advantage and high-advantage tertiles, whereas recovery and disability-related mortality were lower for the 2011 cohort of women within the mid-advantage tertile.ConclusionOverall, compression of morbidity was more common in high-advantage areas, whereas expansion of morbidity was characteristic of low-advantage areas. Trends also varied by sex and disability severity.

Measuring Disability Inclusion: Feasibility of Using Existing Multidimensional Poverty Data in South Africa

This paper presents a framework for measuring disability inclusion in order to examine the associations between disability severity and levels of inclusion, provides an example of its operationalization, and assesses the feasibility of using an existing dataset to measure disability inclusion using this framework. Inclusion here refers to the extent to which people with disabilities are accepted and recognized as individuals with authority, enjoy personal relationships, participate in recreation and social activities, have appropriate living conditions, are able to make productive contributions, and have required formal and informal support. Indicators for the operationalization were drawn from the Individual Deprivation Measure South Africa country study and were mapped on to the domains of inclusion (where relevant), and the Washington Group Short Set of questions were used to determine disability status (no, mild, or moderate/severe disability). The analysis indicates that individuals with disabilities experience generally worse outcomes and a comparative lack of inclusion compared to individuals without disabilities, and broadly that those with moderate or severe disabilities experience worse outcomes than those with mild disabilities. This analysis also provides insight into the limitations of using existing datasets for different purposes from their original design.