Weight management for adolescents with intellectual and developmental disabilities: Rationale and design for an 18 month randomized trial

摘要

Intellectual and developmental disabilities (IDD) are characterized by significant limitations in both intellectual functioning (IO_< 75) and in adaptive behavior including conceptual skills (e.g. language and literacy, self-direction), social skills (e.g. interpersonal skills, ability to follow rules) and practical skills (e.g. personal care, use of money/ phone) which originate before the age of 18 [1 ]. The prevalence of overweight and obesity (BMI > the 85th %ile) in adolescents with IDD (age 11-18 years) in the United States is -50% [2] [3] which is considerably higher than the prevalence of overweight and obesity in general adolescent population (-35%) [4]. The premature morbidity and mortality in adulthood associated with overweight/obesity in typically developing children and adolescents likely applies to adolescents with IDD [5] although data specific to adolescents with IDD are unavailable.