ノナカ ミツヨ   NONAKA, Nitsuyo   野中　光代 看護学部 看護学科 講師
言語種別	英語
発行・発表の年月	2025/03
形態種別	学術雑誌
査読	査読あり
標題	Effect of weight loss intervention for adults with severe intellectual disability by their mothers: A cluster randomized controlled trial
執筆形態	共同
掲載誌名	PLOS ONE
掲載区分	国外
著者・共著者	Mitsuyo Nonaka, Satoko Yanagisawa
概要	This study aimed to determine the feasibility of day center nurses and dieticians implementing the “Conflict-Free Weight Loss Program for Adults with Severe ID and Autism” and whether this would support effective weight loss in adults with severe intellectual disabilities, both with and without autism. A cluster randomized controlled trial per day center was registered at UMIN Clinical Trials Registry (UMIM-CTR ID;UMIN000047478) and was conducted with 31 adults with severe intellectual disabilities in Aichi, Japan. The seven-month trial consisted of a four-month intervention and a three-month follow-up; 15 adults in the intervention group and 13 in the control group completed the follow-up. Primary outcomes included the adults’ weight and waist circumference, and differences between groups were analyzed using the Friedman tests. The secondary outcomes were mothers’ implementation, adults’ scores for inflexible adherence, and daily intake of target food. The intervention group showed significantly reduced weight (median; baseline 1, post-intervention 0.975, follow-up 0.983, p <  0.001), and slightly reduced waist circumference (median; baseline 1, post-intervention 0.975, follow-up 0.975, p =  0.226); however, the control group showed no change. Adults’ resistance was minimal, maternal implementations were high, and daily food intake decreased.