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Behavioral weight loss interventions for people with physical disabilities: A systematic review.
Hossaini, Jihad; Osmani, Vanesa; Klug, Stefanie J.
Afiliación
  • Hossaini J; Chair of Social Determinants of Health, School of Medicine and Health, Department Health and Sport Sciences, Technical University of Munich, Munich, Germany.
  • Osmani V; Chair of Epidemiology, School of Medicine and Health, Department Health and Sport Sciences, Technical University of Munich, Munich, Germany.
  • Klug SJ; Chair of Epidemiology, School of Medicine and Health, Department Health and Sport Sciences, Technical University of Munich, Munich, Germany.
Obes Rev ; 25(6): e13722, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38332472
ABSTRACT

AIM:

The aim of this study is to examine which interventions lead to clinically significant weight loss among people with physical disabilities.

METHODS:

We systematically searched three electronic databases (PubMed, Scopus, and CENTRAL) including studies until May 2022 to find randomized controlled trials on behavioral interventions and weight-related outcomes in people with physical disabilities. Pharmacological or surgical interventions were excluded. Study quality was evaluated using the Cochrane Risk of Bias Tool. Interventions were grouped as dietary, physical activity, education/coaching, or multi-component. Mean weight changes, standard deviations, confidence intervals, and effect sizes were extracted or calculated for assessment of the intervention effect.

RESULTS:

Sixty studies involving 6,511 participants were included in the qualitative synthesis. Most studies (n = 32) included multi-component interventions, incorporating dietary and physical activity components. Limited evidence suggests that extensive dietary interventions or long-term multi-component interventions might lead to a clinically relevant weight reduction of at least 5% for older individuals (age > 50) with mild-to-moderate mobility impairments.

DISCUSSION:

Due to the high heterogeneity of studies and low study quality, it can be assumed that the range of applicability of the findings is questionable. Further research should examine younger age groups (i.e., children, adolescents, and adults under 40 years) and compare different settings such as schools, clinics, nursing homes, and assisted living facilities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pérdida de Peso / Personas con Discapacidad Tipo de estudio: Clinical_trials / Qualitative_research / Systematic_reviews Límite: Humans Idioma: En Revista: Obes Rev Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pérdida de Peso / Personas con Discapacidad Tipo de estudio: Clinical_trials / Qualitative_research / Systematic_reviews Límite: Humans Idioma: En Revista: Obes Rev Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido