Preservation of Muscle during Treatment for Obesity in Adults with Intellectual Disabilities.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Southern Medical Journal Pub Date : 2024-09-01 DOI:10.14423/SMJ.0000000000001731

Philip B May, Rif S El-Mallakh

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引用次数: 0

Abstract

Objectives: Adults with intellectual disabilities will frequently experience sedentary behavior and excessive weight, which may cause or exacerbate a multitude of medical and behavioral problems. This study examined a program to encourage increased activity and weight loss in an outpatient service for adults with intellectual disabilities.

Methods: Behavioral methods were used to treat obesity in 33 male and 21 female adults with intellectual disabilities for a mean of 9 months. They were retrospectively analyzed to determine the effects of treatment on muscle and adiposity using body composition analysis.

Results: The 54 participants of the original 122 (44.3%) who did not drop out were divided into three groups: weight loss ≥3 kg/3% (n = 20, 37%), weight loss <3 kg/3% (n = 17, 31.5%), and no weight loss or weight gain (n = 17, 31.5%). Only men and women who lost ≥3 kg/3%, demonstrated significant gain of relative muscle mass. Those who gained weight lost muscle mass.

Conclusions: If motivation remains high and follow-up is reasonably long, then a multicomponent obesity treatment program can lead to significant weight loss with preservation of muscle in adults with intellectual disabilities.

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智障成人肥胖症治疗期间的肌肉保护。

目标：智障成人经常会有久坐不动和体重过重的行为，这可能会导致或加剧多种医疗和行为问题。本研究探讨了一项在智障成人门诊服务中鼓励增加活动和减轻体重的计划：采用行为疗法治疗 33 名男性和 21 名女性智障成人的肥胖症，平均治疗时间为 9 个月。对他们进行回顾性分析，通过身体成分分析确定治疗对肌肉和脂肪的影响：结果：在最初的122名参与者中，54名参与者（44.3%）没有退出，他们被分为三组：体重减轻≥3 kg/3%（n = 20，37%）、体重减轻结论：如果参与者的积极性仍然很高，并且后续治疗效果良好，那么他们就可以继续接受治疗：如果积极性仍然很高，且随访时间较长，那么多成分肥胖症治疗计划可使智障成人在保持肌肉的情况下显著减轻体重。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Southern Medical Journal 医学-医学：内科

CiteScore

1.40

自引率

9.10%

发文量

222

审稿时长

4-8 weeks

期刊介绍： As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.