Background: The aim was to pilot an adapted manualised weight management programme for persons with mild-moderate intellectual disabilities affected by overweight or obesity ("Shape Up-LD"). Method: Adults with intellectual disabilities were enrolled in a 6-month trial (3-month active intervention and 3-month follow-up) and were…

Objective: Behavioural weight loss interventions demonstrate success on average, yet participants who respond more slowly may benefit from an augmented, tailored approach. Thus, an augmented intervention for early, slow weight loss responders was implemented. This qualitative analysis explored participants' perceptions of and experiences of the…

Introduction: Electronic Bluetooth scales (e-scales) may be useful for remote weight assessment. This study analyzed predictors of engagement with e-scales and feasibility for remote weight assessment. Method: Due to COVID-19 restrictions, participants (n = 150, 100% African American, 79% female, average age 48.2 ± 10.6 years) in an ongoing trial…

Background: Obesity is more prevalent in people with intellectual disabilities and increases the risk of developing serious medical conditions. UK guidance recommends multicomponent weight management interventions (MCIs), tailored for different population groups. Methods: An integrative review utilizing systematic review methodology was conducted…

Accurate body composition assessment, which includes fat mass (adipose tissue mass, FM), fat-free mass (FFM), and percent fat mass (%FM) is needed to evaluate health and treatment efficacy. The current study compared body composition estimates obtained from the Norland Elite® DXA, BodPod®, and iDXA® before and after a 12-week exercise intervention…

We describe the implementation of psychotherapeutic weight loss groups involving an intuitive eating approach, carried out within a deprived area with a highly diverse population. Challenges to implementation were identified through thematic analysis of data from the group facilitators' reflexive practice meetings. These challenges included:…

Background: The aim of this study was to develop a mindful eating intervention and evaluate potential changes in selected outcomes. The Transactional Model of Stress and Coping was used to guide the curriculum development and selection of evaluation measures. Purpose: The purpose of this study was to test the feasibility and acceptability of…

Background: Physical exercise interacts with sleep quality, stress and life satisfaction. Purpose: The current study examined the effectiveness of regular aerobic walking on sleep quality, stress and life satisfaction and to explore the associations between lifestyle habits and sleep quality, stress and life satisfaction. Methods: A 12-week…

Postmenopausal women are at an increased risk for cardiovascular disease as well as a reduction in psychosocial well-being. The objective of this study was to create and implement an innovative intervention that would address the health needs of overweight postmenopausal women. In this virtual pilot project, named Integrative Intervention with…

Objective: The aim of this study was to assess the effect of Full Plate Diet (FPD) on the primary prevention of cardio-metabolic risk factors. Design: Randomised clinical trial. Setting: Drayson Center, Loma Linda University, CA, USA. Methods: Forty individuals were randomly assigned to either an intervention group receiving the FPD health…

Background: People with intellectual disabilities are more at risk of obesity than the general population. Emerging literature indicates that multicomponent interventions are most effective, however, individual results are variable and little research exists as to why this is the case. Methods: Focus groups were conducted to explore lived…

Background: Obesity is common in adults with intellectual disabilities, yet little is known about how weight management interventions are provided for this population. Methods: Semi-structured interviews were held with 14 healthcare practitioners involved in weight management interventions in an English county. A study topic guide was developed to…

Qualitative comparative analysis (QCA) was originally developed as a tool for cross-national comparisons in macrosociology, but its use in evaluation and evidence synthesis of complex interventions is rapidly developing. QCA is theory-driven and relies on Boolean logic to identify pathways to an outcome (e.g., is the intervention effective or…

Adults with autism spectrum disorder and intellectual disability often do not engage in healthy levels of physical activity despite its many benefits. We conducted a randomized control trial to evaluate the effectiveness and feasibility of the Step It Up program, which used supported self-management strategies, on daily step counts, health…

Background: The evidence base for weight management programmes incorporating a weight loss and a weight maintenance phase for adults with intellectual disabilities (ID) is limited. This study describes the weight maintenance phase of a multicomponent weight management programme for adults with intellectual disability and obesity (TAKE 5).…