Spanos Dimitrios, Hankey Catherine R, Melville Craig A
Institute of Mental Health & Wellbeing, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
College of Medical, Veterinary and Medical and Life Sciences, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.
J Appl Res Intellect Disabil. 2016 Jul;29(4):317-29. doi: 10.1111/jar.12181. Epub 2015 Apr 27.
The evidence base for weight management programmes incorporating a weight loss and a weight maintenance phase for adults with intellectual disabilities (ID) is limited. This study describes the weight maintenance phase of a multicomponent weight management programme for adults with intellectual disability and obesity (TAKE 5).
Thirty-one participants who had completed the 16 week TAKE five weight loss intervention (Phase I) were invited to participate in a 12 month weight maintenance intervention (Phase II). Content included recommendations of the National Weight Control Registry.
Twenty-eight participants completed Phase II with 50.4% maintaining their weight (mean weight change -0.5 kg, SD 2.2), 28.7% gaining weight (mean weight gain 5.4 kg, SD 2.2) and 21.6% losing weight (mean weight loss -8.0 kg, SD 3.0) at 12 months.
Further research is justified to investigate the efficacy of weight loss maintenance interventions in adults with intellectual disability and obesity, using controlled study designs.
针对成年智障人士的体重管理计划（包括体重减轻和体重维持阶段）的证据基础有限。本研究描述了一项针对智障和肥胖成年人士的多成分体重管理计划（TAKE 5）的体重维持阶段。
邀请31名完成了为期16周的TAKE 5体重减轻干预（第一阶段）的参与者参加为期12个月的体重维持干预（第二阶段）。内容包括国家体重控制登记处的建议。
28名参与者完成了第二阶段，12个月时，50.4%的人体重维持稳定（平均体重变化-0.5千克，标准差2.2），28.7%的人体重增加（平均体重增加5.4千克，标准差2.2），21.6%的人体重减轻（平均体重减轻-8.0千克，标准差3.0）。
有必要进行进一步研究，采用对照研究设计，调查针对智障和肥胖成年人士的体重减轻维持干预措施的效果。
