Weight management in adults with intellectual and developmental disabilities: A randomized controlled trial of two dietary approaches

• Published in: Journal of applied research in intellectual disabilities 2018-01, Vol.31 (S1), p.82-96
• Main Authors: Ptomey, Lauren T, Saunders, Richard R, Saunders, Muriel, Washburn, Richard A, Mayo, Matthew S, Sullivan, Debra K, Gibson, Cheryl A, Goetz, Jeannine R, Honas, Jeff J, Willis, Erik A, Danon, Jessica C, Krebill, Ron, Donnelly, Joseph E
• Format: Article
• Language: English
• Subjects: Adult; Adults; Body Weight; Comorbidity; Comparative Analysis; Developmental Disabilities; Developmental Disabilities - epidemiology; Diet; Diet, Reducing - methods; Dietetics; Eating Habits; Evidence-based medicine; Exercise; Exercise Therapy - methods; Female; Healthy Diet - methods; Humans; Incidence; intellectual and developmental disability; Intellectual disabilities; Intellectual Disability - epidemiology; Male; Middle Aged; Mild Intellectual Disability; Moderate Intellectual Disability; Obesity; Obesity - diet therapy; Obesity - epidemiology; Obesity - rehabilitation; Outcome Assessment (Health Care); Overweight - diet therapy; Overweight - epidemiology; Overweight - rehabilitation; Patient Education as Topic - methods; Physical Activities; physical activity; portion‐controlled meals; Randomized Controlled Trials; stop light diet; Weight control; weight maintenance; weight management; Weight Reduction Programs - methods; Young Adult
• ISSN: 1360-2322; 1468-3148
• DOI: 10.1111/jar.12348

Background The prevalence of obesity among individuals with intellectual and developmental disabilities (IDD) is equal to or greater than the general population. Methods Overweight/obese adults (BMI ≥25 kg/m2) with mild‐to‐moderate intellectual and developmental disabilities were randomized to an enhanced stop light diet (eSLD = SLD + portion‐controlled meals, n = 78) or a conventional diet (CD, n = 72) for an 18 months trial (6 months weight loss, 12 months maintenance). Participants were asked to increase physical activity (150 min/week), self‐monitor diet and physical activity and attend counselling/educational sessions during monthly home visits. Results Weight loss (6 months) was significantly greater in the eSLD (−7.0% ± 5.0%) compared with the CD group (−3.8% ± 5.1%, p