title: A comparison of two weight management programs for adults with mobility impairments.
abstract: BACKGROUND
  Individuals with physical disabilities experience disparities in obesity; yet few interventions have incorporated accommodations necessary for weight loss in this population.
  
  
  OBJECTIVE
  This project compared the effectiveness of two weight loss interventions among individuals with physical disabilities.
  
  
  METHODS
  Adults with physical disabilities who were overweight or obese were randomized across two diet approaches: a modified version of the MyPlate diet (usual care (UC)) and a modified Stoplight Diet (SLDm) supplemented with portion-controlled meals. Project staff met monthly with each participant to measure weight, 24-recalls of diet intake, self-tracking of foods and beverages, and physical activity during the preceding month.
  
  
  RESULTS
  Of 126 enrollees, 70% completed the initial 6-month diet phase and 60% of these completed a 6-month follow-up phase. Participants in the SLDm group reduced weight and BMI during the 6 month intervention, and maintained or lost more weight during the 6 month maintenance period. Alternately, the UC diet resulted in a reduction in weight and BMI only at 6 months. BMI from baseline was significantly more improved for SLDm than UC and, among those who lost weight, the SLDm group lost more weight at 6 and 12 months.
  
  
  CONCLUSIONS
  These results demonstrate that interventions with proper design and accommodations can overcome the barriers to weight loss unique to individuals with mobility impairments with low income. Additionally, the results suggest that using portion control may be more effective than teaching portion sizes.
authors.affiliation: Institute for Life Span Studies, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA. Electronic address: amandareichard@yahoo.com.
authors.forename: Amanda
authors.initials: A
authors.lastname: Reichard
authors.affiliation: Institute for Life Span Studies, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA.
authors.forename: Muriel D
authors.initials: MD
authors.lastname: Saunders
authors.affiliation: Institute for Life Span Studies, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA.
authors.forename: Richard R
authors.initials: RR
authors.lastname: Saunders
authors.affiliation: Cardiovascular Research Institute, Division of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Donnelly
authors.affiliation: Institute on Disability, The University of New Hampshire, 10 West Edge Dr., Durham, NH 03824, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Lauer
authors.affiliation: Department of Dietetics and Nutrition, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Sullivan
authors.affiliation: Cardiovascular Research Institute, Division of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Ptomey
mesh_terms: D015992:Body Mass Index; D004032:Diet; D006233:Persons with Disabilities; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009765:Obesity / Q000150:complications / Q000628:therapy*; D015431:Weight Loss; D061217:Weight Reduction Programs
keywords: Intervention; Mobility impairment; Physical disability; Weight loss