A cluster randomised control trial of a multi-component weight management programme for adults with intellectual disabilities and obesity (original) (raw)

Harris, Leanne, Hankey, Catherine, Jones, Nathalie, Pert, Carol, Murray, Heather, Tobin, Janet, Boyle, Susan and Melville, Craig ORCID logo ORCID: https://orcid.org/0000-0001-7234-2382(2017) A cluster randomised control trial of a multi-component weight management programme for adults with intellectual disabilities and obesity.British Journal of Nutrition, 118(3), pp. 229-240. (doi: 10.1017/S0007114517001933) (PMID:28831953)

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Abstract

There have been few published controlled studies of multi-component weight management programmes that include an energy deficit diet (EDD), for adults with intellectual disabilities and obesity. The objective of this study was to conduct a single-blind, cluster randomised controlled trial comparing a multi-component weight management programme to a health education programme. Participants were randomised to either TAKE 5, which included an EDD or Waist Winners Too (WWToo), based on health education principles. Outcomes measured at baseline, 6 months (after a weight loss phase) and 12 months (after a 6-month weight maintenance phase), by a researcher blinded to treatment allocation, included: weight; BMI; waist circumference; physical activity; sedentary behaviour and health-related quality of life. The recruitment strategy was effective with fifty participants successfully recruited. Both programmes were acceptable to adults with intellectual disabilities, evidenced by high retention rates (90 %). Exploratory efficacy analysis revealed that at 12 months there was a trend for more participants in TAKE 5 (50·0 %) to achieve a clinically important weight loss of 5-10 %, in comparison to WWToo (20·8 %) (OR 3·76; 95 % CI 0·92, 15·30; 0·064). This study found that a multi-component weight management programme that included an EDD, is feasible and an acceptable approach to weight loss when tailored to meet the needs of adults with intellectual disabilities and obesity.

Item Type:	Articles
Keywords:	EDD, EQ-5D, European Quality of Life-5 dimensions, IPAQ-S, International Physical Activity Questionnaire-Short, QOL, WWToo, Waist Winners Too, energy deficit diet, quality of life, intellectual disabilities, obesity, TAKE 5, weight management.
Status:	Published
Refereed:	Yes
Glasgow Author(s) Enlighten ID:	Harris, Dr Leanne and Melville, Professor Craig and Jones, Ms Nathalie and Murray, Mrs Heather and Hankey, Dr Catherine
Authors:	Harris, L., Hankey, C., Jones, N., Pert, C., Murray, H., Tobin, J., Boyle, S., and Melville, C.
College/School:	College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:	British Journal of Nutrition
Publisher:	Cambridge University Press
ISSN:	0007-1145
ISSN (Online):	1475-2662
Published Online:	23 August 2017
Copyright Holders:	Copyright © 2017 The Authors
First Published:	First published in British Journal of Nutrition 118(3):229-240
Publisher Policy:	Reproduced in accordance with the copyright policy of the publisher

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Deposit and Record Details

ID Code:	147204
Depositing User:	Publications Router
Datestamp:	07 Sep 2017 12:42
Last Modified:	02 May 2025 15:11
Date of acceptance:	17 June 2017
Date of first online publication:	23 August 2017
Date Deposited:	7 September 2017
Data Availability Statement:	No