“…Closely linked to the increased cardiovascular disease risk, is the high prevalence of obesity, metabolic syndrome and diabetes (Baxter et al, 2003;Winter, 2014) Obesity has been suggested to affect between 19.1 and 27.5% of men and between 27.5 and 58.5% of women with intellectual disability (Baxter et al, 2003). The main contributor to obesity, diabetes and metabolic syndrome is sedentary lifestyle (Baxter et al, 2003;Winter, 2014). The use of food as a reward, especially in family homes (Baxter et al, 2003) and the reduced capacity of some individuals to understand the impact of food choices, exercise and lifestyle habits on long term health (Winter, 2014), are a problem.…”