Table 5

Dietary plus physical activity
Study/ Location/ Type Participants Intervention Follow up Results
Marshall 2003 [27] UK Community Uncontrolled quasi-experimental study Total n = 25 Weight status: 12% obese, 32% very obese, 36% overweight, 20% normal weight and underweight Gender: 68% males, 32% females Age (years): 30-39 (60%), 12% in their 40s, 12% in their 50s, 12% >60 ID: Down’s syndrome (32%)Attrition/drop out: one Duration: 6 weekly group sessions (2 hr each) led by nurses. Diet: healthy eating. Activity: advice to be active Maintenance: none reported 6 weeks (n = 20 Overweight and obese participants) Mean weight change, kg: -3.4 (p < 0.001) bMean BMI change, kg/m2:-1.6
Bradley 2005 [28]UKCommunityUncontrolled quasi-experimental study Total n = 9 Weight status: 8 out of 9 obese Gender: all females Age (years): over 18 ID: not reported Attrition/drop out: none Duration: 12 months of 34 group sessions (90 min to 2 hr each) led by a dietitian. Diet: information on healthy balanced diet. Food preparation and supermarket visits included. Activity: insufficient information.Maintenance: none reported 12 months (n = 7) Mean weight change, kg: -6.2 (range: 2.2 to -15.5)Mean BMI change, kg/m2: -3
Chapman 2005, 2008 [29,30] UK Community Quasi-experimental study with a comparison group

Gender: 43% women, 57% men(a) Intervention group: n = 38

Weight status: 97% obese and overweight|Age (years)a: 37.13 (8.75) ID: not reportedAttrition rate (1-6 years): 13% (b) No intervention group: n = 50 Weight status: 64% obese and overweight Age (years)a: 43.32 (10.97) Attrition rate (1-6 years): 13% for (a), 20% for (b).

(a) Individual sessions led by physiotherapist. Diet: advice (no details reported). Activity: designed activity programme. Carers were involved in the improvement of lifestyle.Maintenance: none reported(b) No input 6 months (a) Mean BMI change, kg/m2: -0.32b
(b) Mean BMI change, kg/m2: +0.35, (p < 0.05)
12 months (a) Mean weight change, kg: -1.52b Mean BMI change, kg/m2: -0.61 (p < 0.05) 42% reached > 1.6 kg weight loss
(b) Mean BMI change, kg/m2:+0.41 (p < 0.05)
6 years (a) (n = 40), Mean BMI change, kg/m2:-1.02, Mean weight change, kg: -2.42 (range: -28.13 to 14.49, SD 9.15).
(b) (n = 33), Mean BMI change, kg/m2: +0.16Mean weight change, kg: +0.61 (range: -18.62 to 16.37, SD 8.81)

adata are mean values (SD).

brange not reported.

Spanos et al.

Spanos et al. Nutrition Journal 2013 12:132   doi:10.1186/1475-2891-12-132

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