综合性回顾：多组分体重管理干预措施对成年智力障碍者的影响
An integrative review of multicomponent weight management interventions for adults with intellectual disabilities.
机构信息
National Institute for Health Research (NIHR), Collaboration for Leadership in Applied Health Research and Care, North West Coast (CLAHRC, NWC), Preston, UK.
School of Nursing, Faculty of Health & Wellbeing, University of Central Lancashire, Preston, UK.
出版信息
J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1(Suppl Suppl 1):39-51. doi: 10.1111/jar.12367. Epub 2017 Jun 20.
BACKGROUND
Obesity is more prevalent in people with intellectual disabilities and increases the risk of developing serious medical conditions. UK guidance recommends multicomponent weight management interventions (MCIs), tailored for different population groups.
METHODS
An integrative review utilizing systematic review methodology was conducted to identify the types of MCIs delivered to adults with intellectual disabilities.
FINDINGS
Five studies were identified. All of the studies' MCIs were tailored for adults with intellectual disabilities. Tailoring included measures such as simplified communication tools, individualized sessions, and the presence of carers where appropriate.
CONCLUSIONS
Emerging evidence suggests ways in which MCIs can be tailored for adults with intellectual disabilities but, given the few studies identified, it is not possible to recommend how they can be routinely tailored. Further studies are justified for adults with intellectual disabilities at risk of obesity-related conditions.
背景
肥胖在智障人士中更为普遍，并增加了罹患严重疾病的风险。英国指南建议采用针对不同人群的多组分体重管理干预措施（MCIs）。
方法
利用系统综述方法进行了综合回顾，以确定针对智障成年人提供的 MCIs 类型。
结果
确定了五项研究。所有研究的 MCIs 都针对智障成年人量身定制。量身定制包括使用简化的沟通工具、个性化的课程以及在适当情况下有照顾者的参与等措施。
结论
现有证据表明，可以针对智障成年人量身定制 MCIs，但鉴于确定的研究很少，因此无法推荐如何对其进行常规定制。对于有肥胖相关疾病风险的智障成年人，有理由进行进一步的研究。
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