Parent support improves weight loss in adolescents and young adults with Down syndrome
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Authors
Curtin, CarolBandini, Linda G.
Must, Aviva
Gleason, James
Lividini, Keith
Phillips, Sarah
Eliasziw, Misha
Maslin, Melissa C. T.
Fleming, Richard K.
Document Type
Journal ArticlePublication Date
2013-11-01Keywords
Adipose TissueAdolescent
Adult
Body Composition
Body Mass Index
Body Weight
Down Syndrome
Female
Food Habits
Fruit
Health Behavior
Health Education
Humans
Intervention Studies
Male
*Parenting
Parents
*Social Support
Treatment Outcome
Vegetables
*Weight Loss
Young Adult
UMCCTS funding
Behavior and Behavior Mechanisms
Mental Disorders
Nutrition
Pediatrics
Metadata
Show full item recordAbstract
OBJECTIVE: To assess whether parent training in behavioral intervention, combined with a 16-session nutrition and activity education program, would improve weight loss relative to nutrition and activity education alone in adolescents and young adults with Down syndrome. STUDY DESIGN: Twenty-one patients with Down syndrome aged 13-26 years with a body mass index > /= 85th percentile were enrolled and randomized to a 6-month nutrition and activity education intervention (n = 10) or to a nutrition and activity education+behaviorial intervention (n = 11), and followed for 6 months after the active intervention period (1-year follow-up). The primary outcome measure was body weight; secondary outcomes included percentage body fat by bioelectric impedance; intake of fruits, vegetables, and energy-dense low-nutrient snack food (treats) by 3-day food record; and moderate/vigorous physical activity by accelerometry. RESULTS: At 6 months, mean body weight in the nutrition and activity education+behavioral intervention group was 3.2 kg lower than that in the nutrition and activity education group (95% CI, 1.0-5.5 kg; P = .005). Mean group differences were sustained at 1 year (3.6 kg; 95% CI, 1.4-5.9 kg; P = .002). At 6 months, moderate/vigorous physical activity time increased by an average of 18 minutes/day compared with baseline in the nutrition and activity education+behavioral intervention group (P = .01) and decreased by 7 minutes/day in the nutrition and activity education group (P = .30). These changes were largely maintained at 1 year, but were not statistically significant. Vegetable intake in the nutrition and activity education+behavioral intervention group exceeded that in the nutrition and activity education group by a mean of 1.6 servings at 1 year (P = .009), but not at 6 months. No between-group differences were observed for percentage body fat or consumption of fruits or treats. CONCLUSION: Parent-supported behavioral intervention appears to be a successful adjunct to a 6-month nutrition education intervention in achieving weight loss in adolescents and young adults with Down syndrome.Source
Curtin C, Bandini LG, Must A, Gleason J, Lividini K, Phillips S, Eliasziw M, Maslin M, Fleming RK. Parent support improves weight loss in adolescents and young adults with Down syndrome. J Pediatr. 2013 Nov;163(5):1402-8.e1. doi: 10.1016/j.jpeds.2013.06.081. Epub 2013 Aug 20. PubMed PMID: 23968742; PubMed Central PMCID: PMC3812279. Link to article on publisher's siteDOI
10.1016/j.jpeds.2013.06.081Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30258PubMed ID
23968742Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.jpeds.2013.06.081