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An open study of the effectiveness of a multi-component weight-loss intervention for adults with intellectual disabilities and obesity.
MedLine Citation:
PMID:  21255473     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Adults with intellectual disabilities experience high rates of obesity. Despite this higher risk, there is little evidence on the effectiveness of weight-loss interventions for adults with intellectual disabilities and obesity. The present study examined the effectiveness of the TAKE 5 multi-component weight-loss intervention. Adults with obesity were invited using specialist intellectual disability services to participate in the study. Obesity was defined as a BMI of 30 kg/m2 or greater. TAKE 5 included a daily energy-deficit diet of 2510 kJ (600 kcal), achieved via a personalised dietary prescription. Participants' body weight, BMI, waist circumference and levels of physical activity and sedentary behaviour were measured before and after the intervention. A total of fifty-four individuals consented to participate, of which forty-seven (87 %) completed the intervention in the study period. There was a significant decrease in body weight (mean difference - 4·47 (95 % CI - 5·91, - 3·03) kg; P < 0·0001), BMI ( - 1·82 (95 % CI - 2·36, - 1·29) kg/m2; P < 0·0001), waist circumference ( - 6·29 (95 % CI - 7·85, - 4·73) cm; P < 0·0001) and daily sedentary behaviour of participants ( - 41·40 (95 % CI - 62·45, - 20·35) min; P = 0·00 034). Of the participants who completed the intervention, seventeen (36·2 %) lost 5 % or more of their initial body weight. Findings from the study suggest that TAKE 5 is an effective weight-loss intervention for adults with intellectual disabilities and obesity. The effectiveness of TAKE 5 should be examined further in a controlled study.
Authors:
Craig A Melville; Susan Boyle; Susan Miller; Susan Macmillan; Victoria Penpraze; Carol Pert; Dimitrios Spanos; Lynsay Matthews; Nicola Robinson; Heather Murray; Catherine R Hankey
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-24
Journal Detail:
Title:  The British journal of nutrition     Volume:  -     ISSN:  1475-2662     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372547     Medline TA:  Br J Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-10     Citation Subset:  -    
Affiliation:
Centre for Population and Health Sciences, College of Medical and Veterinary Life Sciences, Academic Centre, Gartnavel Royal Hospital, University of Glasgow, 1055 Great Western Road, Glasgow G12 0XH, UK.
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