Meal Planning and Exercise Program for Adults with Intellectual Disabilities

智力障碍成人的膳食计划和锻炼计划

• 批准号: 8054515
• 负责人: MARTIN R. SHEEHAN
• 金额: $ 20.35万
• 依托单位: DOUBLE S INSTRUCTIONAL SYSTEMS
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-03-15 至 2012-09-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8054515
• 关键词: Adult; Attitude; Behavioral; Body Weight decreased; Cardiovascular Diseases; Caregivers; Caring; Communities; Diabetes Mellitus; Diet; Eating; Effectiveness; Energy Intake; Energy Metabolism; Equation; Evaluation; Exercise; Feedback; Focus Groups; Food; Food Packaging; General Population; Group Homes; Health; Heart Diseases; High Prevalence; Home environment; Hypertension; Individual; Intellectual functioning disability; Intervention; Interview; Learning; Life; Life Style; Light; Living Arrangement; Malignant Neoplasms; Menu Planning; Metabolic; Modification; Obesity; Overweight; Parents; Perception; Phase; Physical activity; Population; Population Programs; Populations at Risk; Printing; Progress Reports; Provider; Public Health; Published Comment; Randomized Controlled Trials; Research; Risk Factors; Side; Target Populations; Testing; Transportation; Underserved Population; Walking; Weight; Writing; base; cost effective; design; experience; foster home; good diet; improved; innovation; nutrition; nutrition education; programs; sedentary; social cognitive theory; tool; weight maintenance

DESCRIPTION (provided by applicant): People with intellectual disabilities (ID) have rates of obesity greater than the general population. They often have poor energy dense diets and tend to be inactive. This group also experiences a high prevalence of health related problems: cancer, diabetes, hypertension, and cardiovascular diseases. There is a pressing need for weight loss programs targeted to the specific learning needs of this population. This project MPEP; Meal Planning and Exercise Program for Adults with ID, will use the best of the behavioral weight loss programs while incorporating a new, innovative, yet research-based approach for this population that focuses on prepackaged meals, meal plans, and simple exercise programs. The primary aims of the study are to develop the efficacy of a weight loss/weight maintenance program for overweight and obese adults with ID by providing individuals with ID and their care providers with information on nutrition, easy to implement and cost effective meal planning ideas, and exercise strategies. The intervention will be guided by Social Cognitive Theory (SCT) and will use both sides of the energy equation: energy intake and energy expenditure. The targeted population will be overweight/obese adults with ID who live at home, in foster homes, in group homes, or independently with supports. These living arrangements often make choosing a healthy diet and participating in physical activity difficult. The care providers frequently decide meal with input from the majority of the residents (if living in group situations). It is easy to serve the same foods and portion sizes to all residents or with parent as caregiver to give free choice to unhealthy foods. Financial and transportation issues also make it difficult for individuals with ID to participate in community-based physical activity programs. In this project, we will implement a research-based approach that focuses on healthy eating using a modification of the Stop Light Diet to include meal plans and pre-packaged foods and a home-based progressive walking program. In Phase I we will evaluate the feasibility of the impact of Session 1 (prepackaged entrees and a weekly meal plan). In Phase II we will evaluate the effectiveness of the entire package (meal planning and exercise for three months and weight maintenance for an additional six months) with a traditional diet group. Both groups will participate in a physical activity program that has been shown to improve metabolic risks factors in this population and has had modest weight loss in controlled settings. This program will be modified for home use. PUBLIC HEALTH RELEVANCE: Research on living a healthy lifestyles by healthy eating, weight loss, and physical activity, due to it implications with cancer, heart disease, and a host of other secondary conditions, is highly relevant to public health. Individuals with ID are a population at risk due to their sedentary lifestyle. Additionally, a high percentage of them are obese or overweight. There is a pressing need to involve this group in healthy eating, nutrition education, and physical activities. By focusing on these individuals with ID, this program brings needed intervention tools for an underserved population.

描述（由申请人提供）：智障人士（ID）的肥胖率大于一般人群。他们通常的能量致密饮食不足，并且往往是不活跃的。该组还经历了与健康有关的问题的高流行率：癌症，糖尿病，高血压和心血管疾病。迫切需要针对该人群的特定学习需求的减肥计划。这个项目MPEP；为具有ID的成年人的餐饮计划和锻炼计划，将使用最佳的行为减肥计划，同时融合了一种新的，创新但基于研究的方法，该方法专注于预包装的餐食，进餐计划和简单的锻炼计划。该研究的主要目的是通过向个人及其护理提供者提供有关营养，易于实施和成本效益的进餐计划思想以及锻炼策略的信息，从而为超重和肥胖的成年人提供体重减轻/体重维持计划的功效。干预措施将以社会认知理论（SCT）为指导，并将使用能量方程的两面：能量摄入和能量消耗。目标人群将是拥有ID的超重/肥胖成年人，他们居住在家里，寄养家庭，集体住宅或独立地提供支持。这些生活安排通常会使选择健康的饮食并难以参加体育锻炼。护理提供者经常在大多数居民的意见下决定用餐（如果生活在小组情况下）。为所有居民或父母作为照顾者提供相同的食物和份量很容易，以免费选择不健康的食物。财务和运输问题也使ID个人很难参加基于社区的体育活动计划。在这个项目中，我们将采用一种基于研究的方法，该方法专注于使用停止轻饮食的修改，包括进餐计划和预包装食品以及一个家庭的渐进式步行计划。在第一阶段，我们将评估会议1（预包装主菜和每周膳食计划）影响的可行性。在第二阶段，我们将通过传统的饮食组评估整个套餐的有效性（三个月的饮食计划和锻炼和六个月的体重维持）。两组都将参加一个体育活动计划，该计划已被证明可以改善该人群中的代谢风险因素，并且在受控设置中具有适度的体重减轻。该程序将被修改以供家庭使用。 公共卫生相关性：关于健康饮食，体重减轻和体育锻炼的健康生活方式的研究，这与癌症，心脏病和许多其他次要疾病有关，与公共卫生高度相关。由于久坐的生活方式，患有ID的人处于危险之中。此外，其中很大一部分是肥胖或超重。迫切需要将该群体参与健康饮食，营养教育和体育活动。通过专注于具有ID的个人，该计划为服务不足的人群提供了需要的干预工具。