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A randomized trial comparing diet and delivery strategies for weight management in adolescents with intellectual disabilities
Abstract
Summary: Background: The literature evaluating multi‐component interventions for long‐term weight loss in adolescents with intellectual disabilities (ID) is extremely limited. Objectives: To compare the effectiveness of two delivery strategies, face‐to‐face (FTF) or remote delivery (RD), and two diets, enhanced Stop Light diet (eSLD) or conventional diet (CD) on weight change across 12 and 18 months. in response to an 18 months. weight management intervention (6 months Weight loss/12 months. Weight maintenance) in adolescents with ID. Methods: Adolescents with ID were randomized to one of three arms: FTF /CD, RD/CD, RD/eSLD and asked to attend individual education sessions with a health educator which were delivered during FTF home visits or remotely using video conferencing. The CD followed the US dietary guidelines. The eSLD utilized the Stop Light guide and was enhanced with portion‐controlled meals. Participants were also asked to increase their physical activity (PA) and to self‐monitor diet, PA and body weight across the 18‐month. intervention. Results: Weight was obtained from 92(84%) and 89(81%) randomized adolescents at 12 and 18 months, respectively. Weight change across 12 months. Differed significantly by diet (RD/eSLD: −7.0% vs. RD/CD: −1.1%, p = 0.002) but not by delivery strategy (FTF/CD: +1.1% vs. RD/CD: −1.1%, p = 0.21). Weight change across 18 months. Was minimal in all intervention arms and did not differ by diet (RD/eSLD: −2.6% vs. RD/CD: −0.5%; p = 0.28) or delivery strategy (FTF/CD: +1.6% vs. RD/CD: −0.5%; p = 0.47). Conclusions: Additional research is required to identify effective strategies to improve long‐term weight loss in adolescents with ID.
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Remote delivery of behavioral counseling/education sessions is effective in achieving clinically meaningful weight loss at lower delivery cost in individuals with ID.
“We selected remote delivery based on the demonstrated effectiveness of this approach in achieving clinically meaningful weight loss at lower delivery cost in individuals with ID17,18.”
From A cooking skills intervention for long-term weight loss in young adults with intellectual disabilities: Rationale and design for a randomized trial (2026) · cites this paper as [17]
Extending eSLD strategies to younger populations has been less successful, with adolescents and young adults with ID regaining weight after 12 months.
“However, extending these strategies to younger populations has been less successful, with adolescents and young adults with ID regaining weight after 12 months17,18, underscoring the need for interventions that support long-term behavior change.”
From A cooking skills intervention for long-term weight loss in young adults with intellectual disabilities: Rationale and design for a randomized trial (2026) · cites this paper as [17]
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Research works printed but not linked: 42
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Cited by
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Ptomey, L. T., Danon, J. C., Catley, D., Washburn, R. A., Bodde, A., Diaz, F. J., Helsel, B. C., Rice, A. M., Sherman, J. R., Koester, M., et al. (2026) · Contemporary Clinical Trials · doi:10.1016/j.cct.2026.108380
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Metadata
- Authors
- Ptomey, L. T., Washburn, R. A., Goetz, J. R., Sullivan, D. K., Gibson, C. A., Mayo, M. S., Krebill, R., Gorczyca, A. M., Honas, J. J., Rice, A. M., Helsel, B. C., Lee, R. H., & Donnelly, J. E.
- Affiliations
- Department of Internal Medicine The University of Kansas Medical Center Kansas City Kansas USA
- Department of Dietetics and Nutrition The University of Kansas Medical Center Rainbow City Kansas USA
- Department of Biostatistics & Data Science The University of Kansas Medical Center Kansas City Kansas USA
- Department of Population Health The University of Kansas Medical Center Rainbow City Kansas USA
- Venue
- Pediatric Obesity
- Publisher
- Wiley
- Published
- 2022-08-21
- Volume
- 18
- Issue
- 1
- ISSN
- 2047-6302
- 2047-6310
- PMC
- PMC9940267
- Cited by
- 13
- References
- 0
- Language
- en
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD079642)
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