{"id":59850,"date":"2013-11-01T00:00:00","date_gmt":"2018-12-04T07:29:53","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/parent-support-improves-weight-loss-in-adolescents-and-young\/"},"modified":"2018-12-04T08:29:53","modified_gmt":"2018-12-04T07:29:53","slug":"parent-support-improves-weight-loss-in-adolescents-and-young","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/parent-support-improves-weight-loss-in-adolescents-and-young\/","title":{"rendered":"Parent support improves weight loss in adolescents and young adults with Down syndrome."},"content":{"rendered":"

OBJECTIVE<\/strong>
\nTo assess whether parent training in behavioral intervention, combined with a 16-session nutrition and activity education program, would improve weight loss relative to nutrition and activity education alone in adolescents and young adults with Down syndrome.<\/p>\n

STUDY DESIGN<\/strong>
\nTwenty-one patients with Down syndrome aged 13-26 years with a body mass index ≥ 85 th percentile were enrolled and randomized to a 6-month nutrition and activity education intervention (n = 10) or to a nutrition and activity education+behaviorial intervention (n = 11), and followed for 6 months after the active intervention period (1-year follow-up). The primary outcome measure was body weight; secondary outcomes included percentage body fat by bioelectric impedance; intake of fruits, vegetables, and energy-dense low-nutrient snack food (treats) by 3-day food record; and moderate\/vigorous physical activity by accelerometry.<\/p>\n

RESULTS<\/strong>
\nAt 6 months, mean body weight in the nutrition and activity education+behavioral intervention group was 3.2 kg lower than that in the nutrition and activity education group (95% CI, 1.0-5.5 kg; P = .005). Mean group differences were sustained at 1 year (3.6 kg; 95% CI, 1.4-5.9 kg; P = .002). At 6 months, moderate\/vigorous physical activity time increased by an average of 18 minutes\/day compared with baseline in the nutrition and activity education+behavioral intervention group (P = .01) and decreased by 7 minutes\/day in the nutrition and activity education group (P = .30). These changes were largely maintained at 1 year, but were not statistically significant. Vegetable intake in the nutrition and activity education+behavioral intervention group exceeded that in the nutrition and activity education group by a mean of 1.6 servings at 1 year (P = .009), but not at 6 months. No between-group differences were observed for percentage body fat or consumption of fruits or treats.<\/p>\n

CONCLUSION<\/strong>
\nParent-supported behavioral intervention appears to be a successful adjunct to a 6-month nutrition education intervention in achieving weight loss in adolescents and young adults with Down syndrome.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-59850","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Waltham, MA. 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