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) 的肥胖率高于一般人群。他们的饮食通常缺乏能量，而且往往不活跃。该群体还普遍存在与健康相关的问题：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。本项目MPEP；智力障碍成人膳食计划和锻炼计划将利用最好的行为减肥计划，同时针对该人群采用一种新的、创新的、基于研究的方法，重点关注预先包装的膳食、膳食计划和简单的锻炼计划。该研究的主要目的是通过向智障人士及其护理人员提供营养信息、易于实施且具有成本效益的膳食计划理念，来提高智障人士超重和肥胖成人减肥/体重维持计划的功效。和锻炼策略。干预措施将以社会认知理论（SCT）为指导，并利用能量方程的两边：能量摄入和能量消耗。目标人群是住在家里、寄养家庭、团体之家或在支持下独立生活的患有智力障碍的超重/肥胖成年人。这些生活安排常常使选择健康饮食和参加体育活动变得困难。护理人员经常根据大多数居民的意见（如果生活在集体环境中）来决定膳食。很容易为所有居民提供相同的食物和份量，或者让父母作为看护者自由选择不健康的食物。财务和交通问题也使智障人士难以参加社区体育活动计划。在这个项目中，我们将实施一种基于研究的方法，重点关注健康饮食，使用对停止灯饮食的修改，包括膳食计划和预包装食品以及家庭渐进式步行计划。在第一阶段，我们将评估第一节（预先包装的主菜和每周膳食计划）影响的可行性。在第二阶段，我们将评估整个方案（三个月的膳食计划和锻炼以及另外六个月的体重维持）与传统饮食组的有效性。两组人都将参加一项体育活动计划，该计划已被证明可以改善该人群的代谢风险因素，并且在受控环境下体重减轻。该程序将被修改以供家庭使用。 公共健康相关性：通过健康饮食、减肥和身体活动来实现健康生活方式的研究，由于它与癌症、心脏病和许多其他继发性疾病有关，因此与公共健康高度相关。智力障碍患者因其久坐的生活方式而成为高危人群。此外，他们中很大一部分人肥胖或超重。迫切需要让这一群体参与健康饮食、营养教育和体育活动。通过关注这些智障人士，该计划为服务不足的人群提供了所需的干预工具。