Recommendation ID
CG189/4
Question
What is the best way to deliver obesity management interventions to people with particular conditions associated with increased risk of obesity (such as people with a physical disability that limits mobility, a learning disability or enduring mental health difficulties)?
Any explanatory notes
(if applicable)
People living with learning disabilities or mental health problems or a physical disability that limits mobility have been found to experience higher rates of obesity compared with people who do not have these conditions. It is estimated that around 23% of children with learning disabilities are obese (Emerson and Robertson 2010).[13] Other studies report rates of obesity in adults with learning disabilities of around 50% (Melville et al. 2007). Among adults with severe mental illness, the prevalence of obesity has been reported to be as high as 55%. Physical inactivity, unhealthy diets and weight gain from psychotropic medication are all factors that contribute to this. People with serious mental illness have mortality rates up to 3 times as high as the general population. The primary cause of death in these people is cardiovascular disease, which is strongly associated with the incidence of obesity. There is minimal evidence from controlled studies as to which obesity interventions are effective for people with learning disabilities or mental health difficulties. This lack of evidence contributes to the inequalities around outcomes and access to services as experienced by these people.

Source guidance details

Comes from guidance
Obesity: identification, assessment and management
Number
CG189
Date issued
November 2014

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 22/12/2014