Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial

Siyue Yu; Yang Gao; Aiwei Wang; Yan Sun; Jingjing Wang; Heather Hei Man Kwok; Shing Wu; Chi Kei Lam; Emma Dan Tao; Jojo Jiao Jiao; Shirley Siu Ming Fong; Yaojie Xie; Dexing Zhang; Julien S. Baker

doi:10.1111/ijpo.12882

Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial

Siyue Yu, Yang Gao^*, Aiwei Wang, Yan Sun, Jingjing Wang, Heather Hei Man Kwok, Shing Wu, Chi Kei Lam, Emma Dan Tao, Jojo Jiao Jiao, Shirley Siu Ming Fong, Yaojie Xie, Dexing Zhang, Julien S. Baker

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Objective

To evaluate the effectiveness of a 9-month school-based adapted physical activity (APA) program for reducing weight among adolescents with intellectual disability (ID).

Methods

In this randomized controlled trial, adolescents with ID, aged 12–18 years, who were overweight/or with obesity were randomly assigned into intervention and control groups. The APA intervention consisted of aerobic and resistance exercises with an overall moderate intensity and was delivered at a frequency of two sessions per week for 9 months. Changes in body mass index (BMI, primary outcome) and changes in BMIz, weight, percent body fat, waist circumference and waist-to-height ratio (secondary outcomes) were examined using general linear models.

Results

In total 61 subjects (39 in the intervention and 22 in the control) completed the study and were included in the analyses. At 9 months, the intervention group exhibited a reduced BMI of −0.66 kg/m² (95% CI −1.06 to −0.25 kg/m², p = 0.002), while a significant increase in BMI was observed in the control group. A significant post-intervention between-group difference in change in BMI (−1.31 kg/m² [95% CI −1.99 to −0.63], p < 0.01) was found in favour of the intervention group. Similar results were also observed for all secondary outcomes.

Conclusions

This study provides evidence that a 9-month APA intervention induced clinically meaningful effects on weight loss in adolescents with ID.

Original language	English
Article number	e12882
Journal	Pediatric obesity
Volume	17
Issue number	5
Early online date	10 Jan 2022
DOIs	https://doi.org/10.1111/ijpo.12882
Publication status	Published - May 2022

Scopus Subject Areas

Public Health, Environmental and Occupational Health
Health Policy
Nutrition and Dietetics
Pediatrics, Perinatology, and Child Health

User-Defined Keywords

childhood obesity
intellectual disability
physical activity intervention
randomized controlled study
weight management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/ijpo.12882

Cite this

Yu, S., Gao, Y., Wang, A., Sun, Y., Wang, J., Kwok, H. H. M., Wu, S., Lam, C. K., Tao, E. D., Jiao, J. J., Fong, S. S. M., Xie, Y., Zhang, D., & Baker, J. S. (2022). Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial. Pediatric obesity, 17(5), [e12882]. https://doi.org/10.1111/ijpo.12882

@article{d8b5d52cfe1a4257aff1890e683dcd33,

title = "Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial",

abstract = "ObjectiveTo evaluate the effectiveness of a 9-month school-based adapted physical activity (APA) program for reducing weight among adolescents with intellectual disability (ID). MethodsIn this randomized controlled trial, adolescents with ID, aged 12–18 years, who were overweight/or with obesity were randomly assigned into intervention and control groups. The APA intervention consisted of aerobic and resistance exercises with an overall moderate intensity and was delivered at a frequency of two sessions per week for 9 months. Changes in body mass index (BMI, primary outcome) and changes in BMIz, weight, percent body fat, waist circumference and waist-to-height ratio (secondary outcomes) were examined using general linear models. ResultsIn total 61 subjects (39 in the intervention and 22 in the control) completed the study and were included in the analyses. At 9 months, the intervention group exhibited a reduced BMI of −0.66 kg/m2 (95% CI −1.06 to −0.25 kg/m2, p = 0.002), while a significant increase in BMI was observed in the control group. A significant post-intervention between-group difference in change in BMI (−1.31 kg/m2 [95% CI −1.99 to −0.63], p < 0.01) was found in favour of the intervention group. Similar results were also observed for all secondary outcomes. ConclusionsThis study provides evidence that a 9-month APA intervention induced clinically meaningful effects on weight loss in adolescents with ID.",

keywords = "childhood obesity, intellectual disability, physical activity intervention, randomized controlled study, weight management",

author = "Siyue Yu and Yang Gao and Aiwei Wang and Yan Sun and Jingjing Wang and Kwok, {Heather Hei Man} and Shing Wu and Lam, {Chi Kei} and Tao, {Emma Dan} and Jiao, {Jojo Jiao} and Fong, {Shirley Siu Ming} and Yaojie Xie and Dexing Zhang and Baker, {Julien S.}",

note = "Funding Information: The authors would like to thank all the participants and their parents/guardians. Special thanks are given to the six participating schools and teachers for their coordination and great support. This study was financially supported by the Health Care and Promotion Scheme (HCPS) under the Health and Medical Research Fund (HMRF), administered by the Food and Health Bureau of Hong Kong (Ref. No. 01170068). The funder had no role in the study design, study collection, data analysis, interpretation and discussion of the results; the writing of the manuscript; or the decision to submit the manuscript for publication. Publisher Copyright: {\textcopyright} 2022 World Obesity Federation.",

year = "2022",

month = may,

doi = "10.1111/ijpo.12882",

language = "English",

volume = "17",

journal = "Pediatric obesity",

issn = "2047-6302",

publisher = "Wiley-Blackwell for the International Association for the Study of Obesity",

number = "5",

}

TY - JOUR

T1 - Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability

T2 - A randomized controlled trial

AU - Yu, Siyue

AU - Gao, Yang

AU - Wang, Aiwei

AU - Sun, Yan

AU - Wang, Jingjing

AU - Kwok, Heather Hei Man

AU - Wu, Shing

AU - Lam, Chi Kei

AU - Tao, Emma Dan

AU - Jiao, Jojo Jiao

AU - Fong, Shirley Siu Ming

AU - Xie, Yaojie

AU - Zhang, Dexing

AU - Baker, Julien S.

N1 - Funding Information: The authors would like to thank all the participants and their parents/guardians. Special thanks are given to the six participating schools and teachers for their coordination and great support. This study was financially supported by the Health Care and Promotion Scheme (HCPS) under the Health and Medical Research Fund (HMRF), administered by the Food and Health Bureau of Hong Kong (Ref. No. 01170068). The funder had no role in the study design, study collection, data analysis, interpretation and discussion of the results; the writing of the manuscript; or the decision to submit the manuscript for publication. Publisher Copyright: © 2022 World Obesity Federation.

PY - 2022/5

Y1 - 2022/5

N2 - ObjectiveTo evaluate the effectiveness of a 9-month school-based adapted physical activity (APA) program for reducing weight among adolescents with intellectual disability (ID). MethodsIn this randomized controlled trial, adolescents with ID, aged 12–18 years, who were overweight/or with obesity were randomly assigned into intervention and control groups. The APA intervention consisted of aerobic and resistance exercises with an overall moderate intensity and was delivered at a frequency of two sessions per week for 9 months. Changes in body mass index (BMI, primary outcome) and changes in BMIz, weight, percent body fat, waist circumference and waist-to-height ratio (secondary outcomes) were examined using general linear models. ResultsIn total 61 subjects (39 in the intervention and 22 in the control) completed the study and were included in the analyses. At 9 months, the intervention group exhibited a reduced BMI of −0.66 kg/m2 (95% CI −1.06 to −0.25 kg/m2, p = 0.002), while a significant increase in BMI was observed in the control group. A significant post-intervention between-group difference in change in BMI (−1.31 kg/m2 [95% CI −1.99 to −0.63], p < 0.01) was found in favour of the intervention group. Similar results were also observed for all secondary outcomes. ConclusionsThis study provides evidence that a 9-month APA intervention induced clinically meaningful effects on weight loss in adolescents with ID.

AB - ObjectiveTo evaluate the effectiveness of a 9-month school-based adapted physical activity (APA) program for reducing weight among adolescents with intellectual disability (ID). MethodsIn this randomized controlled trial, adolescents with ID, aged 12–18 years, who were overweight/or with obesity were randomly assigned into intervention and control groups. The APA intervention consisted of aerobic and resistance exercises with an overall moderate intensity and was delivered at a frequency of two sessions per week for 9 months. Changes in body mass index (BMI, primary outcome) and changes in BMIz, weight, percent body fat, waist circumference and waist-to-height ratio (secondary outcomes) were examined using general linear models. ResultsIn total 61 subjects (39 in the intervention and 22 in the control) completed the study and were included in the analyses. At 9 months, the intervention group exhibited a reduced BMI of −0.66 kg/m2 (95% CI −1.06 to −0.25 kg/m2, p = 0.002), while a significant increase in BMI was observed in the control group. A significant post-intervention between-group difference in change in BMI (−1.31 kg/m2 [95% CI −1.99 to −0.63], p < 0.01) was found in favour of the intervention group. Similar results were also observed for all secondary outcomes. ConclusionsThis study provides evidence that a 9-month APA intervention induced clinically meaningful effects on weight loss in adolescents with ID.

KW - childhood obesity

KW - intellectual disability

KW - physical activity intervention

KW - randomized controlled study

KW - weight management

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U2 - 10.1111/ijpo.12882

DO - 10.1111/ijpo.12882

M3 - Article

C2 - 35014215

SN - 2047-6302

VL - 17

JO - Pediatric obesity

JF - Pediatric obesity

IS - 5

M1 - e12882

ER -

Effectiveness of an adapted physical activity intervention for weight management in adolescents with intellectual disability: A randomized controlled trial

Abstract

Scopus Subject Areas

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UN SDGs

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