POWERSforID: Personalized online weight and exercise response system for individuals with intellectual disability: A randomized controlled trial.
Intellectual disability
Obesity
Telehealth
Weight loss
Journal
Disability and health journal
ISSN: 1876-7583
Titre abrégé: Disabil Health J
Pays: United States
ID NLM: 101306633
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
received:
01
07
2020
revised:
19
04
2021
accepted:
22
04
2021
pubmed:
10
5
2021
medline:
26
10
2021
entrez:
9
5
2021
Statut:
ppublish
Résumé
Obesity is associated with early mortality and chronic disease among adults with intellectual disability (ID), yet there is a paucity of effective weight management interventions for this population. This pilot study examined a tailored intervention on weight loss, waist circumference, A1c, and lipid profile among adults with ID. Obese adults (BMI ≥ 30 kg/m The intervention group reduced body weight by an average of 2.7% (-2.6 kg; p = 0.02) and waist circumference by 3.4% (-3.89 cm; p = 0.02) versus the comparison. There were no statistically significant group by time interactions observed among other variables. Adults with ID who received the intervention were able to maintain or slightly reduce their body weight and waist circumference after the 24-week intervention. Despite not achieving the targeted sample size, the pilot study findings serve as a basis for developing accessible weight management interventions for people with ID.
Sections du résumé
BACKGROUND
Obesity is associated with early mortality and chronic disease among adults with intellectual disability (ID), yet there is a paucity of effective weight management interventions for this population.
OBJECTIVE/HYPOTHESIS
This pilot study examined a tailored intervention on weight loss, waist circumference, A1c, and lipid profile among adults with ID.
METHODS
Obese adults (BMI ≥ 30 kg/m
RESULTS
The intervention group reduced body weight by an average of 2.7% (-2.6 kg; p = 0.02) and waist circumference by 3.4% (-3.89 cm; p = 0.02) versus the comparison. There were no statistically significant group by time interactions observed among other variables.
CONCLUSION
Adults with ID who received the intervention were able to maintain or slightly reduce their body weight and waist circumference after the 24-week intervention. Despite not achieving the targeted sample size, the pilot study findings serve as a basis for developing accessible weight management interventions for people with ID.
Identifiants
pubmed: 33965364
pii: S1936-6574(21)00057-1
doi: 10.1016/j.dhjo.2021.101111
pmc: PMC8448903
mid: NIHMS1702214
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
101111Subventions
Organisme : ACL HHS
ID : 90REGE0002
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK056336
Pays : United States
Informations de copyright
Published by Elsevier Inc.
Références
Cell Metab. 2016 Apr 12;23(4):591-601
pubmed: 26916363
Res Dev Disabil. 2010 May-Jun;31(3):713-7
pubmed: 20172687
Br J Nutr. 2011 May;105(10):1553-62
pubmed: 21255473
Obes Facts. 2015;8(6):402-24
pubmed: 26641646
Res Dev Disabil. 2018 Jan;72:42-55
pubmed: 29107176
BMJ. 2014 Nov 27;349:g6608
pubmed: 25430558
Intellect Dev Disabil. 2019 Dec;57(6):527-544
pubmed: 31751170
NCHS Data Brief. 2020 Feb;(360):1-8
pubmed: 32487284
Br J Nutr. 2017 Aug;118(3):229-240
pubmed: 28831953
Res Dev Disabil. 2002 Nov-Dec;23(6):422-45
pubmed: 12426010
J Intellect Dev Disabil. 2013 Dec;38(4):279-91
pubmed: 24279780
Gastroenterology. 2002 Sep;123(3):882-932
pubmed: 12198715
J Acad Nutr Diet. 2015 Jan;115(1):112-8
pubmed: 25441960
JMIR Mhealth Uhealth. 2017 Feb 02;5(2):e8
pubmed: 28153814
Mol Cell Endocrinol. 2010 Mar 25;316(2):104-8
pubmed: 19628019
Trials. 2017 Oct 23;18(1):487
pubmed: 29058620
Am J Intellect Dev Disabil. 2013 May;118(3):224-43
pubmed: 23734617
J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1:82-96
pubmed: 28332246
Intellect Dev Disabil. 2012 Feb;50(1):53-68
pubmed: 22316226
Am J Prev Med. 2012 Jul;43(1):20-6
pubmed: 22704741
Disabil Rehabil. 1998 Nov;20(11):424-7
pubmed: 9846242
Obesity (Silver Spring). 2016 Apr;24(4):772-80
pubmed: 27028279
Arch Intern Med. 2010 Sep 27;170(17):1566-75
pubmed: 20876408
J Intellect Disabil Res. 2014 Sep;58(9):851-63
pubmed: 24256455
J Occup Environ Med. 2010 Oct;52(10):971-6
pubmed: 20881629
Intellect Dev Disabil. 2011 Apr;49(2):103-12
pubmed: 21446873
Intellect Dev Disabil. 2011 Feb;49(1):26-36
pubmed: 21338310
Contemp Clin Trials. 2016 Nov;51:88-95
pubmed: 27810602
Obes Rev. 2011 Mar;12(3):189-97
pubmed: 20406413
Med Sci Sports Exerc. 2019 Sep;51(9):1802-1808
pubmed: 30925577
Res Dev Disabil. 2014 Jan;35(1):153-61
pubmed: 24176258
J Intellect Disabil Res. 2020 Mar;64(3):221-233
pubmed: 31944472
Nature. 2000 Apr 6;404(6778):635-43
pubmed: 10766250
Sports Med. 2014 Feb;44(2):211-21
pubmed: 24174305