Weight Loss Interventions for Adolescents With Intellectual Disabilities: An RCT
| Autor: | Debra K. Sullivan, Anna M. Gorczyca, Matthew S. Mayo, Richard A. Washburn, Cheryl A. Gibson, Joseph E. Donnelly, Lauren T. Ptomey, Jeannine Goetz, Ron Krebill, Brian C. Helsel, Robert N. Montgomery, Jeffery J. Honas |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Light diet Developmental Disabilities Persons with Mental Disabilities Overweight Body weight Article law.invention Randomized controlled trial law Weight loss Internal medicine Intellectual Disability Weight Loss medicine Humans Obesity business.industry medicine.disease Weight Reduction Programs Weight loss interventions Pediatrics Perinatology and Child Health Health education Female medicine.symptom business |
| Zdroj: | Pediatrics |
| ISSN: | 1098-4275 |
| Popis: | OBJECTIVES In this randomized trial, we compared the effectiveness of 2 diets (enhanced stop light diet [eSLD] versus conventional meal plan diet [CD]) and 2 delivery strategies (face–to–face [FTF] versus remote delivery [RD]) on weight loss across 6 months in adolescents with intellectual and developmental disabilities who were overweight or obese. METHODS Participants were randomly assigned to 1 of 3 arms (FTF/CD, RD/CD, or RD/eSLD) and asked to attend one-on-one sessions with a health educator every 2 weeks to aid in maintaining compliance with recommendations for a reduced-energy diet and increased physical activity. The CD followed the US dietary guidelines. The eSLD used the stop light guide and was enhanced with portion-controlled meals. The FTF arm was delivered during in-person home visits. The RD arms were delivered by using video conferencing. RESULTS A total of 110 adolescents with intellectual and developmental disabilities (aged ∼16 years, 53% female, BMI 33) were randomly assigned to the FTF/CD (n = 36), RD/CD (n = 39), or RD/eSLD (n = 35) group. Body weight at 6 months was obtained from 97%, 100%, and 86% of participants in the FTF/CD, RD/CD, and RD/eSLD arms, respectively. The eSLD elicited significantly greater weight loss than the CD: RD/eSLD (−5.0 ± 5.9 kg; −6.4%) versus RD/CD (−1.8 ± 4.0 kg; −2.4%) (P = .01). However, weight loss did not differ by delivery strategy: FTF/CD (−0.3 ± 5.0 kg; −0.2%) versus RD/CD (−1.8 ± 4.0 kg; −2.4%) (P = .20). CONCLUSIONS The eSLD elicited significantly greater 6-month weight loss compared with a CD when both interventions were delivered remotely. Minimal 6-month weight loss, which did not differ significantly between FTF delivery and RD, was observed with a CD. |
| Databáze: | OpenAIRE |
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