An integrative review of multicomponent weight management interventions for adults with intellectual disabilities

Doherty, Alison Jayne; Jones, Stephanie P.; Chauhan, Umesh; Gibson, Josephine

doi:10.1111/jar.12367

Cited by 24 publications

(29 citation statements)

References 53 publications

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“…A recent systematic review (Doherty, Jones, Chauhan, & Gibson, ) investigated multicomponent weight management interventions (MCI) for adults with learning disabilities. Only two of the included studies reported clinically significant weight loss outcomes in participants with obesity, both associated with “TAKE 5,” an intervention tailored for obese adults with learning disabilities (Melville et al., ; Spanos, Hankey, Boyle, & Melville, ).…”

Section: Discussionmentioning

confidence: 99%

The prevalence of overweight and obesity levels among forensic inpatients with learning disability

Russell¹,

Chester²,

Watson³

et al. 2018

Brit J Learn Disabil

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Accessible Summary This study looked at how many people with learning disabilities in a forensic unit were overweight or obese, and whether people put on weight in the service. The study showed that lots of people put on weight while they were in the service. It might be due to people struggling to exercise and the food provided in hospitals. This research matters to people with learning disabilities because being overweight and obese can lead to other physical issues, such as heart disease and diabetes. Being overweight also affects how confident a person is and can lead to feeling depressed. We now need to look at ways we can support people with learning disabilities in all settings to stay healthy, enjoy exercise, and lose weight if they want to. Abstract BackgroundInpatient mental health settings have been described as “obesogenic,” due to factors including psychotropic medication, high‐calorie food provision, restricted physical activity and sedentary lifestyles. No research has investigated the prevalence of obesity among forensic inpatients with learning disability, despite this population's increased risk. Materials and MethodsThe weight and body mass index (BMI) data of 46 inpatients (15 women and 31 men) within a specialist learning disability forensic service was examined on, and during admission. ResultsOnly 13% of inpatients were a normal weight at admission, whereas 87% were overweight or obese. During admission, 61% gained weight, and 2% maintained. However, 37% lost weight, although many of this group remained overweight/obese. Women gained more weight during their admission, but were also more successful in losing weight. There was no correlation between length of stay and weight. ConclusionsThe results highlight the need for effective, gender‐sensitive weight management interventions within similar services nationally.

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Section: Discussionmentioning

confidence: 99%

The prevalence of overweight and obesity levels among forensic inpatients with learning disability

Russell¹,

Chester²,

Watson³

et al. 2018

Brit J Learn Disabil

View full text Add to dashboard Cite

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“…Systematic reviews have recently been conducted on the influence of sports activities on the physical condition of people with ID, and the results confirm the improvement in health status and self-perception [ 36 , 37 ]. A literature study on the construct of CE and its different nominations and applications [ 26 ] also shows the growing number of publications in this area of knowledge.…”

Section: Introductionmentioning

confidence: 83%

Body Expression-Based Intervention Programs for Persons with Intellectual Disabilities: A Systematic Review

Lirola

Ruíz-Rico

Hernández-Rodríguez

et al. 2020

IJERPH

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The benefits of physical exercise on human health are widely known. However, the level of physical activity in the majority of the population is considered insufficient. People with intellectual disabilities (ID), in particular, show this lack of physical activity to a greater extent. It has been noted that the promotion of activities focused on corporal expression (CE) stimulates the motivation to carry out physical exercise in this population group. The aim of this study was to carry out a systematic review of the last ten years of CE programs carried out in people with ID. The criteria established in the PRISMA statement were followed in the literature search. The databases consulted were Scopus, Web of Science, Pubmed, PsycInfo and Elton B. Stephens Company (EBSCO). Eight exclusion criteria were established for the selection of articles. For the analysis of the selected research, three quality criteria for interventions were established. Subsequently, a summary table with the characteristics of each study was made. In conclusion, it can be stated that CE programs in people with ID report benefits at both physical and psychosocial levels. It is necessary to extend this approach for the promotion of healthy physical activity that advocates social inclusion.

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“…Reviews have been conducted to explore weight management interventions for adults with intellectual disabilities (Doherty, Jones, Chauhan, & Gibson, ; Hamilton et al, ; Harris, Melville, Murray, & Hankey, ; Jinks, Cotton, & Rylance, ; Spanos, Melville, et al, ). These reviews all found a lack of evidence‐based weight management interventions tailored to meet the needs of adults with intellectual disabilities.…”

Section: Introductionmentioning

confidence: 99%

Healthcare practitioners' views and experiences of barriers and facilitators to weight management interventions for adults with intellectual disabilities

Doherty

Jones

Chauhan

et al. 2019

Research Intellect Disabil

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Background Obesity is common in adults with intellectual disabilities, yet little is known about how weight management interventions are provided for this population. Methods Semi‐structured interviews were held with 14 healthcare practitioners involved in weight management interventions in an English county. A study topic guide was developed to elicit practitioners' views and experiences of barriers and facilitators to weight management for adults with intellectual disabilities. Responses were analysed using thematic analysis. Results Several barriers are involved in weight management for people with intellectual disabilities including communication challenges, general practitioners' lack of knowledge and awareness of weight management services, inconsistencies in caring support, resource constraints, wider external circumstances surrounding the individuals and motivational issues. Facilitators include reasonable adjustments to existing weight management services. However, there is a need for specialist weight management provision for people with intellectual disabilities. Conclusions This study provides suggestions for future research, policy and practice consideration.

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An integrative review of multicomponent weight management interventions for adults with intellectual disabilities

Cited by 24 publications

References 53 publications

The prevalence of overweight and obesity levels among forensic inpatients with learning disability

The prevalence of overweight and obesity levels among forensic inpatients with learning disability

Body Expression-Based Intervention Programs for Persons with Intellectual Disabilities: A Systematic Review

Healthcare practitioners' views and experiences of barriers and facilitators to weight management interventions for adults with intellectual disabilities

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