School Intervention With Daily Physical Activity and Healthy Food for Students With an Intellectual Disability.

Study Overview
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Brief Summary
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A whole of school intervention with daily physical activity and healthy food for students with intellectual disabilities. The aim is to provide plenty of concrete examples of healthy life style choices and using school personnel and peers as role models. This will presumably result in healthier weight, better fitness and not least in new familiar healthy habits.

Detailed Description
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Youth with an intellectual disability are reported more sedentary and more often overweight than non intellectual disability youth. Cardio metabolic risk factors are observed more frequent and at an earlier age among young people with intellectual disability. The school reaches all students and they spend the main part of their day in the school milieu hence examples of healthy lifestyle can be provided there. This intervention increased physical activity with daily scheduled physical activity. At least one lesson each week was at the gym. Food provided in the school environment was considered from content of sugar and fat and ónly healthy food choices was available at school. This included all school activities, both in the school area and on school activities out in the community. It included home economic lessons as well as the school cafeterias supply and school lunch content. To increase vegetable intake a special designed plate was used for lunch according the plate model. In addition, the plate model was one theme during art class.

Official Title
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Lifestyle Related Health and Health Promoting Activities for Youths With Intellectual Disabilities

Conditions
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Weight Loss, Food Habits, Mental Retardation

Intervention / Treatment
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* Behavioral: Healthier, Smarter, Happier


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: mild/moderate intellectual disability students at the upper secondary schools for intellectual disability students Exclusion Criteria: severe intellectual disability obesity related syndromes major physical disabilities

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 22 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Healthy lifestyle habits<br>Increased physical activity and healthy food with decreased sugar and fat content | Behavioral: Healthier, Smarter, Happier<br>* Increased physical activity and decreased sugar and fat intake during school hours<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decrease in cardio metabolic risk factors | At baseline and after 2 years of intervention; height, weight, waist circumference, blood pressure was measured. In addition fasting blood samples of total cholesterol, triglycerides, fasting glucose and insulin. Absorptiometry photos (DXA) for body composition. Postintervention measures in addition compared to a controlgroup. Cross sectional data on all school students of all above mentioned variables and also cholesterol as HDL and LDL compared to a control group. | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Increase in physical fitness | At baseline and after 2 years of intervention a submaximal ergometer bicycle test. Postintervention measures in addition compared to a controlgroup. Cross sectional data on all school students from accelerometer, actiwatch, for frequency, intensity and level of physical activity compared to a control group. | 2 years | 
| Increased vegetable intake | To measure if the special plate made students take 37,5% vegetables or more as is the vegetable field on the plate.Effect of the specially designed plate according the plate-model evaluates in an observational study with videorecording and photos of a self served lunchportion on an ordinary plate in an experimental situation. | at least 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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learning disability, blood lipids, cardio metabolic risk factors, upper secondary school for learning disability students, adolescents, cardio respiratory fitness, absorptiometry photos