Embedding sustainable physical activities into the everyday lives of adults with intellectual disabilities: a randomised controlled trial

BMC Public Health

Glen M Davis²  Stephen Jan⁴  Hidde P van der Ploeg¹  Adrian Bauman⁵  Roger J Stancliffe⁶  Kerrie Lante³ 

[1] Department of Public and Occupational Health, VU University Medical Center Amsterdam, Amsterdam, The Netherlands;Discipline of Exercise and Sports Science, The University of Sydney, Lidcombe NSW 1825, Australia;Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide SA 5001, Australia;The George Institute for Global Health, Camperdown NSW 2050, Australia;Sydney School of Public Health, The University of Sydney, Sydney NSW 2006, Australia;Centre for Disability Research and Policy, The University of Sydney, PO Box 170, Lidcombe NSW 1825, Australia

关键词: Exercise;    Physical activity;    Community living;    Intellectual disability;   

Others  :  1126394
DOI  :  10.1186/1471-2458-14-1038

 received in 2014-09-29, accepted in 2014-10-01,  发布年份 2014

【 摘 要 】

Background

Adults with intellectual disability (ID) are physically very inactive. This study will compare two approaches to increasing physical activity in adults with ID: a lifestyle physical activity (light-moderate intensity) approach and a structured exercise (moderate-vigorous intensity) approach. The trial will compare the short-term (3-month) and long-term (9-month) outcomes and sustainability of each approach with a usual-care control group.

Methods/Design

A three-arm randomised controlled trial (RCT) will be conducted. Ninety adults with ID aged 18-55 will be randomly assigned to one of three groups: 1) a lifestyle physical activity group (n = 30), 2) a structured exercise group (n = 30), or 3) a usual care control group (n = 30). Participants in both groups will receive a 12-week intervention delivered by exercise specialists in the community with disability service staff, after which intervention will continue for 6 months, delivered by disability service staff only. Primary outcomes are aerobic fitness, 12-hour energy expenditure, and proxy-reported everyday physical activity. Secondary outcomes include objectively assessed physical activity and sedentary behaviour, intervention compliance, functional walking capacity, participation in domestic activities, muscle strength, body composition, psychosocial outcomes, quality of life and health care costs.

Discussion

The trial results will determine the effectiveness and sustainability of two approaches to increasing physical activity and exercise among adults with ID.

Trial registration

ISRCTN77889248 (18 April 2012).

【 授权许可】

   
2014 Lante et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Emerson E: Underweight, obesity and exercise among adults with intellectual disabilities in supported accommodation in Northern England. J Intellect Disabil Res 2005, 49:134-143.
• [2]Stanish HI, Temple VA, Frey GC: Health-promoting physical activity of adults with mental retardation. Ment Retard Dev Disabil Res Rev 2006, 12:13-21.
• [3]Temple VA, Walkley JW: Physical activity of adults with intellectual disability. J Intellectual Develop Disability 2003, 28:342-353.
• [4]US Department of Health & Human Services: Report of the Surgeon General's conference on health disparities and mental retardation. Closing the gap. Washington, DC: US Public Health Service; 2002.
• [5]Krahn GL, Hammond L, Turner A: A cascade of disparities: Health and health care access for people with intellectual disabilities. Ment Retard Dev Disabil Res Rev 2006, 12:70-82.
• [6]Australia's physical activity and sedentary behaviour guidelines [http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines webcite]
• [7]Armstrong T, Bauman A, Davies J: Physical activity patterns of Australian adults. Cat. no. CVD 10. In Physical activity patterns of Australian adults. Cat. no. CVD 10. City: AIHW; 2000.
• [8]Frey GC, Buchanan AM, Rosser Sandt DD: “I'd Rather Watch TV”: an examination of physical activity in adults with mental retardation. Ment Retard 2005, 43:241-254.
• [9]Messent PR, Cooke CB, Long J: Primary and secondary barriers to physically active healthy lifestyles for adults with learning disabilities. Disabil Rehabil 1999, 21:409-419.
• [10]Peterson JJ, Andrew Peterson N, Lowe JB, Nothwehr FK: Promoting leisure physical activity participation among adults with intellectual disabilities: validation of self-efficacy and social support scales. J Appl Res Intellect Disabil 2009, 22:487-497.
• [11]Stancliffe RJ, Harman AD, Toogood S, McVilly KR: Australian implementation and evaluation of active support. J Appl Res Intellect Disabil 2007, 20:211-227.
• [12]Stancliffe RJ, Jones E, Mansell J, Lowe K: Active support: a critical review and commentary. J Intellectual Develop Disability 2008, 33:196-214.
• [13]National Preventative Health Taskforce: Australia: The healthiest country by 2020. National preventative health strategy - overview. In Australia: The healthiest country by 2020. National preventative health strategy - overview. Canberra: Australian Government; 2009.
• [14]Expert Advisory Committee of the Canadian Society for Exercise Physiology: Physical Activity Readiness Questionnaire (PAR-Q). Ottawa: Canadian Society for Exercise Physiology; 2002.
• [15]Thompson WR, Gordon NF, Prescatello LS: ACSM's guidelines for exercise testing and prescription. 8th edition. Baltimore: Lippincott Williams and Wilkins; 2010.
• [16]St-Onge M, Mignault D, Allison DB, Rémi R-L: Evaluation of a portable device to measure daily energy expenditure in free-living adults. Am J Clinical Nutrition 2007, 85:742.
• [17]Donnelly JE, Blair SN, Jakici JM, Manore MM, Rankin JW, Smith BK: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc 2009, 41:459-471.
• [18]Medicine ACoS: ACSM's metabolic calculations handbook. Sydney: Lippincott Williams and Wilkins; 2006.
• [19]Lante K, Walkley JW: International physical activity questionnaire - Intellectual disability (IPAQ-ID). J Intellect Disabil Res 2008, 52:747.
• [20]Seale H, Chang A: Six minute walking test. Australian J Physiotherapy 2006, 52:228.
• [21]Raynes N, Sumpton R, Pettipher C: Index of participation in domestic life. Manchester, UK: The University Department of Social Policy and Social Work; 1989.
• [22]Pitetti KH, Fernhall B: Mental Retardation in exercise testing for special cases. In Mental Retardation in exercise testing for special cases. Edited by Skinner JS. Sydney: LW&W; 2005:392-403.
• [23]Marks B, Sisirak J, Heller T, Riley B: Efficacy of a train-the-trainer program to improve health status for people with intellectual and developmental disabilities. Boston MA: Paper presented at the 134th Annual Meeting and Exposition of the American Public Health Association; 2006.
• [24]Heller T, Hsieh K, Rimmer JH: Attitudinal and psychosocial outcomes of a fitness and health education program on adults with down syndrome. Am J Ment Retard 2004, 109:175-185.
• [25]Cuthill FM, Espie CA, Cooper SA: Development and psychometric properties of the Glasgow Depression Scale for people with a learning disability. Individual and carer supplement version. Br J Psychiatry 2003, 182:347-353.
• [26]Horsman J, Furlong W, Feeny D, Torrance G: The Health Utilities Index (HUI®): concepts, measurement properties and applications. Health Quality Life Outcomes 2003, 1:54. BioMed Central Full Text
• [27]Rimmer JH, Heller T, Wang E, Valerio I: Improvements in physical fitness in adults with down syndrome. Am J Ment Retard 2004, 109:165-174.
• [28]McCabe C, Stevens K, Roberts J, Brazier J: Health state values for the HUI 2 descriptive system: results from a UK survey. Health Econ 2005, 14:231-244.
• [29]Lante K: Development of a proxy response instrument to measure the physical activity behaviours of adults with an intellectual disability. In PhD Thesis. RMIT University, Melbourne Australia: School of Medical Sciences; 2007.