Longitudinal follow-up of weight change in the context of a community-based health promotion programme for adults with an intellectual disability

Thomas, G. R. and Kerr, Michael Patrick 2011. Longitudinal follow-up of weight change in the context of a community-based health promotion programme for adults with an intellectual disability. Journal of Applied Research in Intellectual Disabilities 24 (4) , pp. 381-387. 10.1111/j.1468-3148.2010.00611.x

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Abstract

Background  Obesity has been identified as a major health concern in adults with intellectual disabilities. This study evaluates a health promotion programme delivered by a NHS department for adults with intellectual disabilities. Method  Routine NHS data were collated and analysed descriptively. One hundred and ninety one adults with intellectual disabilities were screened and monitored over a 2-year period, with a sequence of health and fitness tests. Attendance rates and body mass index (BMI) were the principal outcome measures for this evaluation. Results  69% of the samples were overweight/obese/morbidly obese at the beginning of the programme. Despite attendance at intermediate follow-up clinics, 21% of the sample failed to attend at year 1 and 34% failed to attend at year 2 clinics. In terms of BMI changes at year one, 52% of the at risk BMI category remained static, 26.7% showed a worsening weight status and 20.7% showed an improving weight status. At year 2, 52.1% of the at risk BMI category remained static, while 22% got worse and 25% showed an improvement in weight status. Conclusions  This study illustrates the possibilities and difficulties of devising an effective health promotion model within the NHS framework. For long-term obesity-specific interventions to be successful, further research is needed into multi-disciplinary programmes which incorporate the primary carers and are responsive to NICE guidelines.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects:	R Medicine > R Medicine (General)
Publisher:	Wiley
ISSN:	1360-2322
Last Modified:	04 Jun 2017 08:34
URI:	https://orca.cardiff.ac.uk/id/eprint/80428

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