Longitudinal examinations in the course of dietotherapy of mentally retarded obese in-patients

Abstract

Mentally retarded obese in-patients were fed by low-energy diet (4.2-4.6 MJ) for 9 months. During this period, an average of 13 +/- 4.5 kg loss of body mass occurred in men and 16 +/- 2.7 kg in women. Anthropometric measurements were performed before starting the dietotherapy and in the ninth month. Changes of body fat could be followed well when calculated according to BMI. Less reliable results were obtained with skinfold thickness measurements, presumably due to body deformities. Results of clinical laboratory tests, which were carried out before starting the dietotherapy and in the fourth and seventh months, suggested that a low-energy-containing diet with balanced nutrient content and adequate protein intake did not impair protein metabolism, favourably affected serum triglyceride and cholesterol levels, but resulted in an unfavourable decrease in the HDL-cholesterol content.

Weight management interventions in adults with intellectual disabilities and obesity: a systematic review of the evidence

“…The interventions did not report using behaviour change strategies or advising on appropriate physical activity interventions to assist weight loss (see Table 3) [21,22]. …”

“…The intervention in Antal et al [21] took place in an institution but no information was reported regarding the profession of the people who delivered the intervention. Bertoli et al [22] reported that the intervention was delivered by a medical practitioner and a dietitian in the community.…”

“…Antal et al [21] offered a low calorie diet (1000 to 1100 kcal) to 15 participants with ID and obesity for nine months in the form of a 30 day rotating menu in an institutional setting. There was no further description of the content of the diet.…”

“…Antal et al [21] reported a very high weight loss at nine months (mean weight loss:-13 kg for males and -16 kg for females). Bertoli et al [22] reported on the six participants who were classified as obese or overweight a statistically significant decrease in weight (−6.8 kg) and BMI (p < 0.05) at 12 months.…”

“…The sample size ranged from 15 to 37 participants with Antal et al [21] offering the intervention to a heterogeneous sample of participants with physical disabilities or ID and Bertoli et al [22], recruiting only six participants who were obese/overweight out of 37. The study did not investigate the impact of these factors on the results.…”