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dc.contributor.authorCurtin, Carol
dc.contributor.authorBandini, Linda G.
dc.contributor.authorMust, Aviva
dc.contributor.authorGleason, James
dc.contributor.authorLividini, Keith
dc.contributor.authorPhillips, Sarah
dc.contributor.authorEliasziw, Misha
dc.contributor.authorMaslin, Melissa C. T.
dc.contributor.authorFleming, Richard K.
dc.date2022-08-11T08:08:30.000
dc.date.accessioned2022-08-23T15:57:41Z
dc.date.available2022-08-23T15:57:41Z
dc.date.issued2013-11-01
dc.date.submitted2015-01-15
dc.identifier.citationCurtin C, Bandini LG, Must A, Gleason J, Lividini K, Phillips S, Eliasziw M, Maslin M, Fleming RK. Parent support improves weight loss in adolescents and young adults with Down syndrome. J Pediatr. 2013 Nov;163(5):1402-8.e1. doi: 10.1016/j.jpeds.2013.06.081. Epub 2013 Aug 20. PubMed PMID: 23968742; PubMed Central PMCID: PMC3812279. <a href="http://dx.doi.org/10.1016/j.jpeds.2013.06.081">Link to article on publisher's site</a>
dc.identifier.issn0022-3476 (Linking)
dc.identifier.doi10.1016/j.jpeds.2013.06.081
dc.identifier.pmid23968742
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30258
dc.description.abstractOBJECTIVE: To assess whether parent training in behavioral intervention, combined with a 16-session nutrition and activity education program, would improve weight loss relative to nutrition and activity education alone in adolescents and young adults with Down syndrome. STUDY DESIGN: Twenty-one patients with Down syndrome aged 13-26 years with a body mass index > /= 85th percentile were enrolled and randomized to a 6-month nutrition and activity education intervention (n = 10) or to a nutrition and activity education+behaviorial intervention (n = 11), and followed for 6 months after the active intervention period (1-year follow-up). The primary outcome measure was body weight; secondary outcomes included percentage body fat by bioelectric impedance; intake of fruits, vegetables, and energy-dense low-nutrient snack food (treats) by 3-day food record; and moderate/vigorous physical activity by accelerometry. RESULTS: At 6 months, mean body weight in the nutrition and activity education+behavioral intervention group was 3.2 kg lower than that in the nutrition and activity education group (95% CI, 1.0-5.5 kg; P = .005). Mean group differences were sustained at 1 year (3.6 kg; 95% CI, 1.4-5.9 kg; P = .002). At 6 months, moderate/vigorous physical activity time increased by an average of 18 minutes/day compared with baseline in the nutrition and activity education+behavioral intervention group (P = .01) and decreased by 7 minutes/day in the nutrition and activity education group (P = .30). These changes were largely maintained at 1 year, but were not statistically significant. Vegetable intake in the nutrition and activity education+behavioral intervention group exceeded that in the nutrition and activity education group by a mean of 1.6 servings at 1 year (P = .009), but not at 6 months. No between-group differences were observed for percentage body fat or consumption of fruits or treats. CONCLUSION: Parent-supported behavioral intervention appears to be a successful adjunct to a 6-month nutrition education intervention in achieving weight loss in adolescents and young adults with Down syndrome.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=23968742&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812279/
dc.subjectAdipose Tissue
dc.subjectAdolescent
dc.subjectAdult
dc.subjectBody Composition
dc.subjectBody Mass Index
dc.subjectBody Weight
dc.subjectDown Syndrome
dc.subjectFemale
dc.subjectFood Habits
dc.subjectFruit
dc.subjectHealth Behavior
dc.subjectHealth Education
dc.subjectHumans
dc.subjectIntervention Studies
dc.subjectMale
dc.subject*Parenting
dc.subjectParents
dc.subject*Social Support
dc.subjectTreatment Outcome
dc.subjectVegetables
dc.subject*Weight Loss
dc.subjectYoung Adult
dc.subjectUMCCTS funding
dc.subjectBehavior and Behavior Mechanisms
dc.subjectMental Disorders
dc.subjectNutrition
dc.subjectPediatrics
dc.titleParent support improves weight loss in adolescents and young adults with Down syndrome
dc.typeJournal Article
dc.source.journaltitleThe Journal of pediatrics
dc.source.volume163
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/511
dc.identifier.contextkey6532236
html.description.abstract<p>OBJECTIVE: To assess whether parent training in behavioral intervention, combined with a 16-session nutrition and activity education program, would improve weight loss relative to nutrition and activity education alone in adolescents and young adults with Down syndrome.</p> <p>STUDY DESIGN: Twenty-one patients with Down syndrome aged 13-26 years with a body mass index > /= 85th percentile were enrolled and randomized to a 6-month nutrition and activity education intervention (n = 10) or to a nutrition and activity education+behaviorial intervention (n = 11), and followed for 6 months after the active intervention period (1-year follow-up). The primary outcome measure was body weight; secondary outcomes included percentage body fat by bioelectric impedance; intake of fruits, vegetables, and energy-dense low-nutrient snack food (treats) by 3-day food record; and moderate/vigorous physical activity by accelerometry.</p> <p>RESULTS: At 6 months, mean body weight in the nutrition and activity education+behavioral intervention group was 3.2 kg lower than that in the nutrition and activity education group (95% CI, 1.0-5.5 kg; P = .005). Mean group differences were sustained at 1 year (3.6 kg; 95% CI, 1.4-5.9 kg; P = .002). At 6 months, moderate/vigorous physical activity time increased by an average of 18 minutes/day compared with baseline in the nutrition and activity education+behavioral intervention group (P = .01) and decreased by 7 minutes/day in the nutrition and activity education group (P = .30). These changes were largely maintained at 1 year, but were not statistically significant. Vegetable intake in the nutrition and activity education+behavioral intervention group exceeded that in the nutrition and activity education group by a mean of 1.6 servings at 1 year (P = .009), but not at 6 months. No between-group differences were observed for percentage body fat or consumption of fruits or treats.</p> <p>CONCLUSION: Parent-supported behavioral intervention appears to be a successful adjunct to a 6-month nutrition education intervention in achieving weight loss in adolescents and young adults with Down syndrome.</p>
dc.identifier.submissionpathfaculty_pubs/511
dc.contributor.departmentIntellectual and Developmental Disabilities Research Center
dc.contributor.departmentShriver Center
dc.source.pages1402-8.e1


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