242453 Weight Loss Following a Physical Activity and Nutrition Telephone Intervention in Adults with Mobility Disabilities

Monday, October 31, 2011: 1:06 PM

Christine Pellegrini, PhD , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Carolyn Lullo, MS , Department of Disability and Human Development, NCPAD, University of Illinois at Chicago, Chicago, IL
Amy Rauworth, MS, RCEP , Disability and Human Development, University of Illinois at Chicago, Chicago, IL
James Rimmer, PhD , Occupational Therapy, University of Alabama at Birmingham, Birmingham, AL
We compared changes in body weight in adults with physical disabilities after participating in a 12-month telephone intervention targeting either physical activity or physical activity and nutrition. A total of 101 participants (age: 46.512.7 years; BMI 32.06.1 kg/m2) were randomized to one of three conditions: physical activity only (PEP), physical activity and nutrition (PEP+), and control. PEP received a physical activity toolkit and regular coaching telephone calls (weekly during months 1-4, monthly during months 5-6, bi-monthly during months 7-8, and none during months 9-12). PEP+ received an identical intervention as PEP; however, they also received information and coaching on nutrition in addition to physical activity. The control group received the toolkit, information, and resources following the 12-month intervention. Baseline and 12-month weights were obtained from 71% of participants, with no differences in retention between groups (p=0.77). Among completers, there was a significant group x time interaction (p<0.01) in 12-month weight loss between groups, however there were no group (p=0.88) or time (p=0.75) differences (PEP: -2.85.5kg, -2.8-5.9%; PEP+: -0.45.0kg, -0.94.3%; and control: +2.65.3kg, 3.07.4%). Although weight losses were not significant, the results demonstrate that a telephone-based remote coaching intervention at relatively low cost compared to on-site programs targeting physical activity and general nutrition can prevent weight gain. Individuals with disabilities are at increased risk of developing secondary conditions such as obesity and thus, implementing a telephone intervention may aid in weight maintenance. Grant #5R01DD000134-03, Centers for Disease Control and Prevention

Learning Areas:
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs

Learning Objectives:
Compare changes in body weight in adults with mobility disabilities after participating in a telephone-based intervention targeting either physical activity or physical activity and nutrition

Keywords: Physical Activity, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in several aspects of the PEP project and have worked at the Center on Health Promotion Research for Persons with Disabilities since 2008.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.