Linda G Bandini1,2, Misha Eliasziw3, Gretchen A Dittrich4, Carol Curtin1, Melissa Maslin1, Aviva Must3, Kerri N Boutelle5, Richard K Fleming6. 1. E.K. Shriver Center, University of Massachusetts Medical School, Worcester, Massachusetts, USA. 2. Department of Health Sciences, Boston University, Boston, Massachusetts, USA. 3. Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA. 4. Department of Behavior Analysis, Simmons University, Boston, Massachusetts, USA. 5. Departments of Pediatrics and Family Medicine and Public Health, University of California San Diego, San Diego, California, USA. 6. Department of Exercise and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts, USA.
Abstract
BACKGROUND: Scant data exist on weight loss interventions for youth with intellectual disabilities (ID). OBJECTIVE: To compare weight loss among youth with ID randomized to a 6-month, family-based behavioural intervention (FBBI) or a waitlist and to compare weight loss among youth who completed a 6-month maintenance (FBBI-M) intervention to a control group (FBBI-C). METHODS: Youth with ID and overweight/obesity, aged 14-22 years, were randomized to the FBBI or to a waitlist and subsequently randomized to a maintenance intervention or a control group. Sessions were held weekly during the FBBI and biweekly during the FBBI-M. Using an intention-to-treat approach, we used linear mixed models to test differences in the change in weight and in BMI from the start of FBBI. RESULTS: The 24 participants who received the FBBI lost, on average (SE), 5.1 (1.1) kg (P < .001) over 6 months. The 13 participants who were waitlisted gained, on average (SE), 1.2 (1.6) kg over the 6-month waiting period. At 12 months, those who received FBBI-M lost, on average (SE), 4.4 (1.7) kg more than those who received FBBI-C (-7.6 vs -3.2 kg, P-value = .008). CONCLUSION: Participation in an intensive FBBI for weight loss with ID was efficacious, and continued participation in a maintenance intervention yielded additional weight loss.
BACKGROUND: Scant data exist on weight loss interventions for youth with intellectual disabilities (ID). OBJECTIVE: To compare weight loss among youth with ID randomized to a 6-month, family-based behavioural intervention (FBBI) or a waitlist and to compare weight loss among youth who completed a 6-month maintenance (FBBI-M) intervention to a control group (FBBI-C). METHODS: Youth with ID and overweight/obesity, aged 14-22 years, were randomized to the FBBI or to a waitlist and subsequently randomized to a maintenance intervention or a control group. Sessions were held weekly during the FBBI and biweekly during the FBBI-M. Using an intention-to-treat approach, we used linear mixed models to test differences in the change in weight and in BMI from the start of FBBI. RESULTS: The 24 participants who received the FBBI lost, on average (SE), 5.1 (1.1) kg (P < .001) over 6 months. The 13 participants who were waitlisted gained, on average (SE), 1.2 (1.6) kg over the 6-month waiting period. At 12 months, those who received FBBI-M lost, on average (SE), 4.4 (1.7) kg more than those who received FBBI-C (-7.6 vs -3.2 kg, P-value = .008). CONCLUSION: Participation in an intensive FBBI for weight loss with ID was efficacious, and continued participation in a maintenance intervention yielded additional weight loss.
Authors: Denise E Wilfley; Amanda E Staiano; Myra Altman; Jeanne Lindros; Angela Lima; Sandra G Hassink; William H Dietz; Stephen Cook Journal: Obesity (Silver Spring) Date: 2016-12-07 Impact factor: 5.002
Authors: Linda G Bandini; Carol Curtin; Misha Eliasziw; Sarah Phillips; Laura Jay; Melissa Maslin; Aviva Must Journal: Appetite Date: 2018-11-20 Impact factor: 3.868
Authors: Kerri N Boutelle; Kyung E Rhee; June Liang; Abby Braden; Jennifer Douglas; David Strong; Cheryl L Rock; Denise E Wilfley; Leonard H Epstein; Scott J Crow Journal: JAMA Pediatr Date: 2017-07-01 Impact factor: 16.193