A family-based weight loss randomized controlled trial for youth with intellectual disabilities
AuthorsBandini, Linda G
Dittrich, Gretchen A
Boutelle, Kerri N
Fleming, Richard K
UMass Chan AffiliationsEunice Kennedy Shriver Center
Family Medicine and Community Health
Implementation Science and Practice Advances Research Center (iSPARC)
Document TypeJournal Article
Keywordsfamily-based behavioural intervention
randomized control trial
MetadataShow full item record
AbstractBackground: 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.
SourceBandini LG, Eliasziw M, Dittrich GA, Curtin C, Maslin M, Must A, Boutelle KN, Fleming RK. A family-based weight loss randomized controlled trial for youth with intellectual disabilities. Pediatr Obes. 2021 Nov;16(11):e12816. doi: 10.1111/ijpo.12816. Epub 2021 Jun 1. PMID: 34076370; PMCID: PMC9100997.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/51884
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