scholarly journals Patterns of objectively measured sedentary behaviour in adults with intellectual disabilities

2019 ◽  
Vol 32 (6) ◽  
pp. 1428-1436 ◽  
Author(s):  
Leanne Harris ◽  
Arlene M. McGarty ◽  
Thessa Hilgenkamp ◽  
Fiona Mitchell ◽  
Craig A. Melville
Author(s):  
Alyt Oppewal ◽  
Thessa Hilgenkamp ◽  
Liselotte Schäfer Elinder ◽  
Ellen Freiberger ◽  
Pauli Rintala ◽  
...  

Individuals with intellectual disabilities (ID) are at high risk for high levels of sedentary behaviour. To inform the development of programmes to reduce sedentary behaviour, insight into the correlates is needed. Therefore, the aim of this study is to review the evidence on correlates of sedentary behaviour in adults with ID. We performed a systematic literature search in Ovid Medline, Ovid Embase, Web of Science and Google Scholar up to 19 January 2018, resulting in nine included studies that were published from 2011 to 2018. Correlates were categorized according to the ecological model. Studies predominantly focused on individual level correlates. Of those correlates studied in more than one study, having epilepsy was associated with less sedentary behaviour and inconsistent results were found for sex, genetic syndromes, weight status, physical health, mobility, level of ID, and mental health. Of the few interpersonal and environmental factors studied, only living arrangements were studied in more than one study, with inconsistent results. To date, we have limited and inconclusive evidence about correlates of sedentary behaviour in adults with ID. Only when future studies unravel correlates and determinants, across all domains of the ecological model, will the potential opportunities to improve health by reducing sedentary behaviour come within reach.


2011 ◽  
Vol 105 (10) ◽  
pp. 1553-1562 ◽  
Author(s):  
Craig A. Melville ◽  
Susan Boyle ◽  
Susan Miller ◽  
Susan Macmillan ◽  
Victoria Penpraze ◽  
...  

Adults with intellectual disabilities experience high rates of obesity. Despite this higher risk, there is little evidence on the effectiveness of weight-loss interventions for adults with intellectual disabilities and obesity. The present study examined the effectiveness of the TAKE 5 multi-component weight-loss intervention. Adults with obesity were invited using specialist intellectual disability services to participate in the study. Obesity was defined as a BMI of 30 kg/m2 or greater. TAKE 5 included a daily energy-deficit diet of 2510 kJ (600 kcal), achieved via a personalised dietary prescription. Participants' body weight, BMI, waist circumference and levels of physical activity and sedentary behaviour were measured before and after the intervention. A total of fifty-four individuals consented to participate, of which forty-seven (87 %) completed the intervention in the study period. There was a significant decrease in body weight (mean difference − 4·47 (95 % CI − 5·91, − 3·03) kg; P < 0·0001), BMI ( − 1·82 (95 % CI − 2·36, − 1·29) kg/m2; P < 0·0001), waist circumference ( − 6·29 (95 % CI − 7·85, − 4·73) cm; P < 0·0001) and daily sedentary behaviour of participants ( − 41·40 (95 % CI − 62·45, − 20·35) min; P = 0·00 034). Of the participants who completed the intervention, seventeen (36·2 %) lost 5 % or more of their initial body weight. Findings from the study suggest that TAKE 5 is an effective weight-loss intervention for adults with intellectual disabilities and obesity. The effectiveness of TAKE 5 should be examined further in a controlled study.


2018 ◽  
Vol 9 ◽  
pp. 12-17 ◽  
Author(s):  
Leanne Harris ◽  
Arlene M. McGarty ◽  
Thessa Hilgenkamp ◽  
Fiona Mitchell ◽  
Craig A. Melville

2017 ◽  
Vol 97 ◽  
pp. 62-71 ◽  
Author(s):  
Craig A. Melville ◽  
Alyt Oppewal ◽  
Liselotte Schäfer Elinder ◽  
Ellen Freiberger ◽  
Myriam Guerra-Balic ◽  
...  

2013 ◽  
Vol 10 (7) ◽  
pp. 1048-1056 ◽  
Author(s):  
Timothy L. Barnes ◽  
Erin K. Howie ◽  
Suzanne McDermott ◽  
Joshua R. Mann

Background:Few studies have documented physical activity (PA) and overweight and obesity in adults with intellectual disabilities (ID) using both self-report and objective methods. We sought to characterize PA in adults with ID and examine the associations between self-reported activity types, objectively-measured PA, and objectively-measured body mass index (BMI).Methods:Self-reported PA and BMI were measured on 294 adults with ID. Accelerometry was collected on 131 of those participants. Differences in BMI and accelerometry by demographic factors and activity types were examined.Results:Among the participants, 79.6% were overweight or obese and 23.7% met recommended PA guidelines. The mean amount of moderate-to-vigorous PA (MVPA) per week was 108.6 minutes. The most common activities reported were walking (53.7%) and inside chores (42.5%). Twenty-six percent reported no activity. Biking and jogging/running was associated with lower BMI. Self reports of playing basketball, softball, and outside chores were associated with increased MVPA.Conclusion:In this sample of adults with ID, most participants were overweight or obese and PA levels were below national averages. Select self-reported activities and greater objectively measured PA were associated with lower BMI.


2014 ◽  
Vol 19 (1) ◽  
pp. 36-43
Author(s):  
Tracy Lazenby-Paterson ◽  
Hannah Crawford

The literature recognizes the important role of the Speech and Language Pathologist (SLP) in the treatment of communication and swallowing disorders in children with Intellectual Disabilities (ID). However there is also a need to emphasize the importance of specialist SLP input across the lifespan of people with ID, and to recognize the specific, ongoing and changing communication and swallowing needs of adults with ID as they get older.


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