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Curtin C, Bandini LG, Forquer M, Cullen P, Rancaño KM, Must A, Schreck K, Bowling AB, Askenazy N, Wei X, Irish C, Stanish HI. A remotely-delivered pilot and feasibility program to promote physical and food literacy in adolescents with intellectual disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2024; 37:e13228. [PMID: 38520166 PMCID: PMC11108704 DOI: 10.1111/jar.13228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 02/01/2024] [Accepted: 03/04/2024] [Indexed: 03/25/2024]
Abstract
BACKGROUND Youth with intellectual disabilities experience disparities in physical activity and diet quality. Physical and food literacy are hypothesised to support adoption of healthy lifestyles; however, few such interventions have been developed for this population. METHOD Participants with intellectual disabilities ages 12-16 years were recruited for a 12-week online sports skills and nutrition education intervention. Feasibility, acceptability, and preliminary efficacy were assessed by attendance, satisfaction, and pre-post measures of motor skills, perceived competence and motivation for physical activity, classifying foods, making healthy choices, and food consumption. RESULTS Six teens participated in the program and attended 87.5% of the sessions. Satisfaction data suggested that the program was well-received by both teens and parents. Trends toward improvements on physical activity and nutrition outcome measures were observed. CONCLUSIONS Preliminary data from this pilot study suggest that physical and food literacy in youth with intellectual disabilities can be improved, which in turn may contribute to the adoption of healthy lifestyles.
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Affiliation(s)
- C Curtin
- E.K. Shriver Center, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA
| | - L G Bandini
- E.K. Shriver Center, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA
| | - M Forquer
- George Washington University, Washington, DC, USA
| | - P Cullen
- E.K. Shriver Center, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA
| | - K M Rancaño
- Tufts University School of Medicine, Boston, Massachusetts, USA
| | - A Must
- Tufts University School of Medicine, Boston, Massachusetts, USA
| | - K Schreck
- Boston University, Boston, Massachusetts, USA
| | - A B Bowling
- Merrimack College, North Andover, Massachusetts, USA
| | - N Askenazy
- Boston University, Boston, Massachusetts, USA
| | - X Wei
- Boston University, Boston, Massachusetts, USA
| | - C Irish
- Brighton, Massachusetts, USA
| | - H I Stanish
- University of Massachusetts Boston, Boston, Massachusetts, USA
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Fleming RK, Eliasziw M, Dittrich GA, Curtin C, Maslin M, Must A, Bandini LG. Changes in Physical Activity Associated With a Multicomponent Weight-Loss Randomized Controlled Trial for Youth With Intellectual Disabilities. Adapt Phys Activ Q 2024; 41:287-305. [PMID: 37944510 DOI: 10.1123/apaq.2023-0030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 10/12/2023] [Accepted: 10/16/2023] [Indexed: 11/12/2023] Open
Abstract
Youth with intellectual disabilities engage in low levels of physical activity (PA). An aim of this family-based weight-loss behavioral intervention (FBBI) trial was to increase and sustain PA in these youth. Accelerometry data were available from 21 individuals with intellectual disabilities, age 14-22 years. Each completed the 6-month FBBI, after which 10 completed a 6-month maintenance intervention (FBBI-M), and 11 received no further intervention (FBBI-C). Twenty participated in a further 6-month follow-up. Accelerometry data were analyzed using linear mixed models. During FBBI, mean (SE) moderate to vigorous PA increased by 4.1 (2.5) min/day and light PA by 24.2 (13.5) min/day. Mean (SE) difference in moderate to vigorous PA between participants in FBBI-M and FBBI-C at 18 months was 14.0 (5.1) min/day (p = .005); mean (SE) difference in light PA was 47.4 (27.4) min/day (p = .08). Increasing PA through behavioral intervention is possible in youth with intellectual disabilities.
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Affiliation(s)
- Richard K Fleming
- Department of Exercise and Health Sciences, University of Massachusetts Boston, Boston, MA, USA
| | - Misha Eliasziw
- Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA
| | | | - Carol Curtin
- University of Massachusetts Chan Medical School/E.K. Shriver Center, Worcester, MA, USA
| | - Melissa Maslin
- University of Massachusetts Chan Medical School/E.K. Shriver Center, Worcester, MA, USA
| | - Aviva Must
- Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA
| | - Linda G Bandini
- University of Massachusetts Chan Medical School/E.K. Shriver Center, Worcester, MA, USA
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Ptomey LT, Washburn RA, Goetz JR, Sullivan DK, Gibson CA, Mayo MS, Krebill R, Gorczyca AM, Honas JJ, Rice AM, Helsel BC, Lee RH, Donnelly JE. A randomized trial comparing diet and delivery strategies for weight management in adolescents with intellectual disabilities. Pediatr Obes 2023; 18:e12972. [PMID: 36054481 PMCID: PMC9940267 DOI: 10.1111/ijpo.12972] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 07/26/2022] [Accepted: 08/01/2022] [Indexed: 01/09/2023]
Abstract
BACKGROUND The literature evaluating multi-component interventions for long-term weight loss in adolescents with intellectual disabilities (ID) is extremely limited. OBJECTIVES To compare the effectiveness of two delivery strategies, face-to-face (FTF) or remote delivery (RD), and two diets, enhanced Stop Light diet (eSLD) or conventional diet (CD) on weight change across 12 and 18 months. in response to an 18 months. weight management intervention (6 months Weight loss/12 months. Weight maintenance) in adolescents with ID. METHODS Adolescents with ID were randomized to one of three arms: FTF /CD, RD/CD, RD/eSLD and asked to attend individual education sessions with a health educator which were delivered during FTF home visits or remotely using video conferencing. The CD followed the US dietary guidelines. The eSLD utilized the Stop Light guide and was enhanced with portion-controlled meals. Participants were also asked to increase their physical activity (PA) and to self-monitor diet, PA and body weight across the 18-month. INTERVENTION RESULTS Weight was obtained from 92(84%) and 89(81%) randomized adolescents at 12 and 18 months, respectively. Weight change across 12 months. Differed significantly by diet (RD/eSLD: -7.0% vs. RD/CD: -1.1%, p = 0.002) but not by delivery strategy (FTF/CD: +1.1% vs. RD/CD: -1.1%, p = 0.21). Weight change across 18 months. Was minimal in all intervention arms and did not differ by diet (RD/eSLD: -2.6% vs. RD/CD: -0.5%; p = 0.28) or delivery strategy (FTF/CD: +1.6% vs. RD/CD: -0.5%; p = 0.47). CONCLUSIONS Additional research is required to identify effective strategies to improve long-term weight loss in adolescents with ID.
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Affiliation(s)
- Lauren T. Ptomey
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Richard A. Washburn
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Jeannine R. Goetz
- Department of Dietetics and Nutrition, The University of Kansas Medical Center, Rainbow City, Kansas, USA
| | - Debra K. Sullivan
- Department of Dietetics and Nutrition, The University of Kansas Medical Center, Rainbow City, Kansas, USA
| | - Cheryl A. Gibson
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Matthew S. Mayo
- Department of Biostatistics & Data Science, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Ron Krebill
- Department of Biostatistics & Data Science, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Anna M. Gorczyca
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Jeffery J. Honas
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Anna M. Rice
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Brian C. Helsel
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Robert H. Lee
- Department of Population Health, The University of Kansas Medical Center, Rainbow City, Kansas, USA
| | - Joseph E. Donnelly
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, USA
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Akhtar TN, McGibbon E. Blindspot in the evidence base: A systematic review of psychological interventions for children and adolescents with intellectual disabilities and co-occurring obesity. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 126:104240. [PMID: 35500443 DOI: 10.1016/j.ridd.2022.104240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 02/25/2022] [Accepted: 04/18/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Children and adolescents with intellectual disabilities (C&A-ID) face many disadvantages in healthcare research and service delivery. Intellectual disabilities have been found to precipitate weight-related problems, and together, they may be indicators of rare genetic diseases (RGDs). C&A-ID may require support for health problems exacerbated by primary diagnoses. While it is generally agreed that C&A-ID have more complex needs than typically developing individuals, psychological services to address these needs are under-explored. AIMS This systematic review aimed to identify psychological interventions for weight management in C&A-ID. METHOD MEDLINE, PsycINFO, CINAHL, The Cochrane Library and SCOPUS were systematically searched. Data extraction and quality appraisal were performed for all eligible studies RESULTS: The search strategy yielded seven studies published in English between 2010 and 2022. All interventions addressed obesity through multi-disciplinary programmes and resulted in weight reductions, with most interventions theoretically influenced by principles of behaviourism. Quality appraisal revealed methodological weaknesses in six of seven studies, such as heterogeneity in samples, interventions, and outcome measures, disallowing meta-analyses and weakening the generalisability of interventions to diverse contexts and groups CONCLUSIONS AND IMPLICATIONS: A genuine disconnect between empirical evidence and services for C&A with complex needs was observed. This emphasises an urgency for increased inclusion in clinical and behavioural research and for robust enquiries to test/adapt psychological interventions for weight management for C&A-ID. The findings of this review hold clinical utility for clinicians working with C&A-ID, and with RGDs such as Bardet-Biedl, Prader-Willi and Down syndromes. Recommendations and a conceptual framework are provided herein for enhanced efficacy of interventions.
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Affiliation(s)
- Tooba Nadeem Akhtar
- The Great Ormond Street Institute of Child Health, University College London, United Kingdom.
| | - Emma McGibbon
- Wolfson Neurodisability Service, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
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Ptomey LT, Oreskovic NM, Hendrix JA, Nichols D, Agiovlasitis S. Weight management recommendations for youth with Down syndrome: Expert recommendations. Front Pediatr 2022; 10:1064108. [PMID: 36819200 PMCID: PMC9937587 DOI: 10.3389/fped.2022.1064108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 12/30/2022] [Indexed: 02/05/2023] Open
Abstract
Youth with Down syndrome (DS) have a higher prevalence of overweight and obesity compared to the general youth population. Due to physiological and cognitive differences observed in youth with DS, weight management recommendations developed for the general population, may not be suitable for youth with DS. However, there are no recent recommendations for weight management in youth with DS. A workgroup of clinicians and researchers with extensive experience working with youth with DS came together to give clinicians and families guidance for weight management in youth with DS. Recommendations were developed by the workgroup via a methodical, deliberative process. After the initial development of the recommendations, they were shared with an expert review panel and caregivers who rated the strength of the recommendation and strength of the evidence. The workgroup moved forward the recommendations which the review panels rated as strong. Eight recommendations were developed which focused on screening for overweight and obesity, screening for health conditions that may impact dietary intake and physical activity, screening for feeding difficulties, setting appropriate recommendations for dietary intake and physical activity, and well as prevention and treatment of overweight and obesity using evidence-based strategies. These recommendations can be implemented by clinicians working with youth with Down syndrome as well as the family, school, and other relevant entities.
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Affiliation(s)
- Lauren T Ptomey
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States
| | - Nicolas M Oreskovic
- Departments of Internal Medicine and Pediatrics, Massachusetts General Hospital, Boston, MA, United States.,Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | | | - Dominica Nichols
- Departments of Internal Medicine and Pediatrics, Massachusetts General Hospital, Boston, MA, United States.,Department of Pediatrics, Harvard Medical School, Boston, MA, United States
| | - Stamatis Agiovlasitis
- Department of Kinesiology, Mississippi State University, Mississippi State, MS, United States
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Ptomey LT, Bodde AE, Hastert M, Suire KB, Helsel BC, Gorczyca AM, Washburn RA, Rice AM, Donnelly JE. Weight loss in adolescents with down syndrome compared to adolescents with other intellectual disabilities enrolled in an 18-month randomized weight management trial. Front Pediatr 2022; 10:1022738. [PMID: 36405842 PMCID: PMC9666888 DOI: 10.3389/fped.2022.1022738] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 10/12/2022] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND There is limited information on the efficacy of weight management interventions in adolescents with Down Syndrome (DS). OBJECTIVE To compare weight change and intervention compliance between adolescents with DS compared to adolescents with non-DS related intellectual disabilities (ID) who were enrolled in an 18-month weight management trial. METHODS Participants were adolescents (13-21 years) with mild to moderate ID and overweight or obesity. Participants were randomized in a 1:1:1 allocation to one of 3 intervention arms for an 18-month weight management trial: face-to-face/conventional diet (FTF/CD), remote delivery/conventional diet (RD/CD), or remote delivery/enhanced Stop Light Diet (RD/eSLD). Anthropometrics were assessed at baseline 6, 12, and 18 months by staff blinded to the intervention, and self-monitoring data was collected across the 18-month study. As an unpowered, post-hoc, secondary analysis, two-sample t-tests were used to compare the weight change across 6,12, and 18 mos. and compliance across 18 mos. between adolescents with and without DS randomized to each intervention arm. RESULTS Adolescents with ID (n = 110) were randomized to one of three intervention arms: FTF/CD (n = 36, DS = 17, other ID = 19), RD/CD (n = 39, DS = 21, other ID = 18) or RD/eSLD (n = 35, DS = 15, other ID = 20). Body weight at 18 months was obtained from 82%, 76% and 73% of participants with DS and 84%, 83% and 75% of participants with other ID randomized to the FTF/CD, RD/CD, and RD/eSLD arms, respectively Weight change across 18 months was -0.2 ± 8.8 kg (-0.5%), -0.3 ± 5.3 kg (-0.7%), and -2.6 ± 5.0 kg (-4.0%) in adolescents with DS randomized to the FTF/CD, RD/CD and RD/eSLD arms, respectively. There were no significant differences in change in body weight or BMI across 18 months between adolescents with DS or those with other ID in any of the 3 intervention arms (all p > 0.05). Additionally, there were no significant differences in intervention compliance between adolescents with and without DS across 18 mos. (all p > 0.05). CONCLUSIONS Adolescents with DS respond to a multi-component weight management intervention similar to those with others ID.
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Affiliation(s)
- Lauren T Ptomey
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
| | - Amy E Bodde
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
| | - Mary Hastert
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States.,Department of Dietetics and Nutrition, The University of Kansas Medical Center, Rainbow, KS, United States
| | - Kameron B Suire
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
| | - Brian C Helsel
- Department of Neurology, The University of Kansas Medical Center, Rainbow, KS, United States
| | - Anna M Gorczyca
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
| | - Richard A Washburn
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
| | - Annie M Rice
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
| | - Joseph E Donnelly
- Department of Internal Medicine, The University of Kansas Medical Center, Kansas, KS, United States
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