Carol Curtin|Linda G. Bandini|Aviva Must|James M. Gleason|Keith Lividini|Sarah Phillips|Misha Eliasziw|Melissa Maslin|Richard K. Fleming
Parent Support Improves Weight Loss in Adolescents and Young Adults with Down Syndrome
Eunice Kennedy Shriver Center|University of Massachusetts Chan Medical School|Eunice Kennedy Shriver Center|University of Massachusetts Chan Medical School|Boston University|Tufts University|Eunice Kennedy Shriver Center|University of Massachusetts Chan Medical School|International Food Policy Research Institute|Tufts University|Tufts University|Eunice Kennedy Shriver Center|University of Massachusetts Chan Medical School|University of Massachusetts Boston
assess whether parent training behavioral intervention combined 16session nutrition activity education program would improve weight loss relative nutrition activity education alone adolescents young adults syndrometwentyone patients syndrome aged 1326 years body mass index 85 th percentile enrolled randomized 6month nutrition activity education intervention n 10 nutrition activity educationbehaviorial intervention n 11 followed 6 months active intervention period 1year followup primary outcome measure body weight secondary outcomes included percentage body fat bioelectric impedance intake fruits vegetables energydense lownutrient snack food treats 3day food record moderatevigorous physical activity accelerometryat 6 months mean body weight nutrition activity educationbehavioral intervention group 32 kg lower nutrition activity education group 95 ci 1055 kg p 005 mean group differences sustained 1 year 36 kg 95 ci 1459 kg p 002 6 months moderatevigorous physical activity time increased average 18 minutesday compared baseline nutrition activity educationbehavioral intervention group p 01 decreased 7 minutesday nutrition activity education group p 30 changes largely maintained 1 year statistically significant vegetable intake nutrition activity educationbehavioral intervention group exceeded nutrition activity education group mean 16 servings 1 year p 009 6 months betweengroup differences observed percentage body fat consumption fruits treatsparentsupported behavioral intervention appears successful adjunct 6month nutrition education intervention achieving weight loss adolescents young adults syndrome