成人智力和发育障碍者的体重管理：两种饮食方法的随机对照试验。
Weight management in adults with intellectual and developmental disabilities: A randomized controlled trial of two dietary approaches.
机构信息
Cardiovascular Research Institute, Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.
The Schiefelbusch Institute for Lifespan Studies, The University of Kansas-Lawrence, Lawrence, KS, USA.
出版信息
J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1:82-96. doi: 10.1111/jar.12348. Epub 2017 Mar 23.
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/m ) 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 < .001). However, at 18 months, weight loss between groups did not differ significantly (eSLD = -6.7% ± 8.3%; CD = 6.4% ± 8.6%; p = .82).
CONCLUSION
The eSLD and CD provided clinically meaningful weight loss over 18 months in adults with intellectual and developmental disabilities.
背景
智障和发育障碍（ID）人群的肥胖发生率与普通人群相等或更高。
方法
将轻度至中度智障和发育障碍且超重/肥胖的成年人（BMI≥25kg/m ）随机分配到强化信号灯饮食组（eSLD=SLD+控制份量的餐食，n=78）或常规饮食组（CD，n=72）进行为期 18 个月的试验（6 个月减肥，12 个月维持）。参与者被要求增加身体活动（150 分钟/周），自我监测饮食和身体活动，并在每月的家访中参加咨询/教育课程。
结果
eSLD 组的体重减轻（6 个月）明显大于 CD 组（-7.0%±5.0%对-3.8%±5.1%，p<0.001）。然而，18 个月时，两组之间的体重减轻差异无统计学意义（eSLD=-6.7%±8.3%；CD=6.4%±8.6%；p=0.82）。
结论
在智障和发育障碍的成年人中，eSLD 和 CD 在 18 个月内提供了具有临床意义的体重减轻。
Zotero 插件