Behavioral health in developmental disabilities: A comprehensive program of nutrition, exercise, and weight reduction.

Fleming, Richard K.; Stokes, Elise A.; Curtin, Carol; Bandini, Linda G.; Gleason, James M.; Scampini, Renee; Maslin, Melissa C. T.; Hamad, Charles D.

doi:10.1037/h0100858

Cited by 17 publications

(15 citation statements)

References 38 publications

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“…Though some studies have shown positive outcomes with modeling of exercise with error correction (Fleming et al, 2008), it has been the goal of recent research to improve levels of physical fitness through promotion of positive peer relationships. One study showed an increase in interaction among students with significant disabilities and their peers following peer training in how to provide coaching to students with disabilities (Klavina & Block, 2008).…”

Section: Physical Activity Interventionsmentioning

confidence: 99%

“…Organizational and individual constraints, such as resources, age limits, ease of access, motivation, skill level, and reliance on caregivers were also identified as barriers (Taliaferro & Hammond, 2016). There is also a lack of professionals who have exercise and nutrition expertise and who are also trained in instruction of people with significant disabilities (Fleming et al, 2008).…”

Section: Barriers To Knowledge and Skill Acquisitionmentioning

confidence: 99%

“…Within the existing body of literature there are promising methods for delivery of diet and nutrition information. These methods include picture-supported guides (e.g., line drawings, photographs), sorting visuals such as line drawings or photos and actual foods into categories and bins according to food type and healthfulness, practice with measuring food into appropriate portions, and tasting and rating healthy snacks for preference (Fleming et al, 2008).…”

Section: Nutrition Interventionsmentioning

confidence: 99%

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Obesity, Nutrition, and Physical Activity for People with Significant Disabilities

Grumstrup

Demchak

2017

RAPCC

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This review of literature focuses on health issues for individuals with Intellectual Disabilities (ID), Intellectual and Developmental Disabilities (IDD), and Multiple Impairments (MI). This population has two to three times higher overweight and obesity prevalence than typically developing individuals. Furthermore, they have higher risk for obesity related diseases such as reduced lifespan and quality of life. Contributing factors for higher rates of overweight or obesity, effective interventions, and barriers to health knowledge and practice are discussed. Implications and future research needs are highlighted.

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Section: Physical Activity Interventionsmentioning

confidence: 99%

Section: Barriers To Knowledge and Skill Acquisitionmentioning

confidence: 99%

Section: Nutrition Interventionsmentioning

confidence: 99%

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Obesity, Nutrition, and Physical Activity for People with Significant Disabilities

Grumstrup

Demchak

2017

RAPCC

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“…The sustainability of patient weight loss is especially pertinent for children with disabilities, given the importance of establishing healthy habits during childhood to ease the transition to adulthood. 26 While developing individualized goals and treatment plans is a strength of Brenner FIT, it may also lead to a treatment-by-indication bias.…”

Section: Discussionmentioning

confidence: 99%

Family-Based Obesity Treatment in Children With Disabilities

Brown

Irby

Houle

et al. 2015

Academic Pediatrics

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Objective To assess the relative effectiveness of an interdisciplinary, family-centered, tertiary-care pediatric weight management program for the treatment of patients with and without cognitive disabilities (CD). Methods Retrospective analysis of the clinical database of a tertiary-care pediatric weight management clinic (N=453), extracting data from electronic health records including longitudinal change in weight status (BMI z-score) and frequency of attrition from treatment. Upon review of medical records, children enrolled in the treatment program were classified as having no CD (N=342) or CD (N=111). Results At baseline, there were no between-group differences in body mass index (BMI) or BMI z-score. After 4 months of treatment, 66% (299) of patients remained enrolled, and complete case-data was available for 219 children in final analyses. There were no statistically significant differences in attrition between the two groups (no CD vs. CD). Mean change in BMI z-score across all groups was −0.03 ± 0.13, p < 0.001. Change in BMI z-score was significantly greater among patients with cognitive disabilities (−0.07 ± 0.15) compared to those without disabilities (−0.03 ± 0.12) (difference: 0.04, 95% CI: 0.005 to 0.08, p = 0.029). These change estimates were observed after adjusting for processes potentially associated with attrition. Conclusions Children with CD treated in an interdisciplinary, family-centered obesity clinic had similar or better outcomes compared to peers without CD. This success may be attributable to the patient-centered nature of this behavioral weight management program, which focused on leveraging the unique strengths and capabilities of each individual patient and family.

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“…Some researchers have called attention to a dearth of studies investigating obesity among children with disabilities (Fleming et al, 2008; Grondhuis & Aman, 2014; Phillips et al, 2014; Slevin, Truesdale-Kennedy, McConkey, Livingstone, & Fleming, 2014). Nonetheless, population-level prevalence data suggest that obesity levels within this population are higher than in youth without intellectual and developmental disabilities.…”

Section: Obesity Among Youth With Intellectual and Developmental Disamentioning

confidence: 99%

Treatment of Obesity Among Youth With Intellectual and Developmental Disabilities: An Emerging Role for Telenursing

et al. 2017

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Childhood obesity is a serious health issue, associated with medical comorbidity and psychosocial impairment that can persist into adulthood. In the United States, youth with intellectual and developmental disabilities are more likely to be obese than youth without disabilities. A large body of evidence supports the efficacy of family-based treatment of childhood obesity, including diet, physical activity, and behavior modification, but few interventions have been developed and evaluated specifically for this population. We highlight studies on treatment of obesity among youth with intellectual and developmental disabilities, including both residential/educational settings as well as outpatient/hospital settings. All interventions were delivered in-person, and further development of promising approaches and delivery via telenursing may increase access by youth and families. Nursing scientists can assume an important role in overcoming barriers to care for this vulnerable and underserved population.

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Behavioral health in developmental disabilities: A comprehensive program of nutrition, exercise, and weight reduction.

Cited by 17 publications

References 38 publications

Obesity, Nutrition, and Physical Activity for People with Significant Disabilities

Obesity, Nutrition, and Physical Activity for People with Significant Disabilities

Family-Based Obesity Treatment in Children With Disabilities

Treatment of Obesity Among Youth With Intellectual and Developmental Disabilities: An Emerging Role for Telenursing

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