{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T19:46:34Z","timestamp":1792439194011,"version":"4.5.0"},"reference-count":133,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR128755"],"award-info":[{"award-number":["NIHR128755"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Adults with intellectual disabilities (IDs) are susceptible to multiple health risk behaviours such as alcohol consumption, smoking, low physical activity, sedentary behaviour and poor diet. Lifestyle modification interventions can prevent or reduce negative health consequences caused by these behaviours. We aim to determine the effectiveness of lifestyle modification interventions and their components in targeting health risk behaviours in adults with IDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic review and meta\u2010analysis were conducted. Electronic databases, clinical trial registries, grey literature and citations of systematic reviews and included studies were searched in January 2021 (updated February 2022). Randomised controlled trials and non\u2010randomised controlled trials targeting alcohol consumption, smoking, low physical activity, sedentary behaviours and poor diet in adults (aged\u00a0\u2265\u00a018\u00a0years) with ID were included. Meta\u2010analysis was conducted at the intervention level (pairwise and network meta\u2010analysis) and the component\u2010level (component network meta\u2010analysis). Studies were coded using Michie's 19\u2010item theory coding scheme and 94\u2010item behaviour change taxonomies. Risk of bias was assessed using the Cochrane Risk of Bias (ROB) Version 2 and Risk of Bias in Non\u2010randomised Studies of Interventions (ROBINS\u2010I). The study involved a patient and public involvement (PPI) group, including people with lived experience, who contributed extensively by shaping the methodology, providing valuable insights in interpreting results and organising of dissemination events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our literature search identified 12\u00a0180 articles, of which 80 studies with 4805 participants were included in the review. The complexity of lifestyle modification intervention was dismantled by identifying six core components that influenced outcomes. Interventions targeting single or multiple health risk behaviours could have a single or combination of multiple core\u2010components. Interventions (2 RCTS; 4 non\u2010RCTs; 228 participants) targeting alcohol consumption and smoking behaviour were effective but based on limited evidence. Similarly, interventions targeting low physical activity only (16 RCTs; 17 non\u2010RCTs; 1413 participants) or multiple behaviours (low physical activity only, sedentary behaviours and poor diet) (17 RCTs; 24 non\u2010RCTs; 3164 participants) yielded mixed effectiveness in outcomes. Most interventions targeting low physical activity only or multiple behaviours generated positive effects on various outcomes\u00a0while some interventions led to no change or worsened outcomes, which could be attributed to the presence of a single core\u2010component or a combination of similar core components in interventions. The intervention\u2010level meta\u2010analysis for weight management outcomes showed that none of the interventions were associated with a statistically significant change in outcomes when compared with treatment\u2010as\u2010usual and each other. Interventions with core\u2010components combination of energy deficit diet, aerobic exercise and behaviour change techniques showed the highest weight loss [mean difference (MD)\u00a0=\u00a0\u22123.61, 95% credible interval (CrI) \u22129.68 to 1.95] and those with core\u2010components combination dietary advice and aerobic exercise showed a weight gain (MD 0.94, 95% CrI \u22123.93 to 4.91). Similar findings were found with the component network meta\u2010analysis for which additional components were identified. Most studies had a high and moderate risk of bias. Various theories and behaviour change techniques were used in intervention development and adaptation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our systematic review is the first to comprehensively explore lifestyle modification interventions targeting a range of single and multiple health risk behaviours in adults with ID, co\u2010produced with people with lived experience. It has practical implications for future research as it highlights the importance of mixed\u2010methods research in understanding lifestyle modification interventions and the need for population\u2010specific improvements in the field (e.g., tailored interventions, development of evaluation instruments or tools, use of rigorous research methodologies and comprehensive reporting frameworks). Wide dissemination of related knowledge and the involvement of PPI groups, including people with lived experience, will help future researchers design interventions that consider the unique needs, desires and abilities of people with ID.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.13098","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T06:30:49Z","timestamp":1709101849000},"page":"387-445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Lifestyle modification interventions for adults with intellectual disabilities: systematic review and meta\u2010analysis at intervention and component levels"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9133-3094","authenticated-orcid":false,"given":"D.","family":"Rana","sequence":"first","affiliation":[{"name":"Health Economics and Health Technology Assessment, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3776-0543","authenticated-orcid":false,"given":"S.","family":"Westrop","sequence":"additional","affiliation":[{"name":"Health Economics and Health Technology Assessment, School of Health and Wellbeing University of Glasgow  Glasgow UK"},{"name":"Mental Health and Wellbeing, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Jaiswal","sequence":"additional","affiliation":[{"name":"Health Economics and Health Technology Assessment, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Germeni","sequence":"additional","affiliation":[{"name":"Health Economics and Health Technology Assessment, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"McGarty","sequence":"additional","affiliation":[{"name":"Mental Health and Wellbeing, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Ells","sequence":"additional","affiliation":[{"name":"School of Clinical and Applied Sciences Leeds Beckett University  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Lally","sequence":"additional","affiliation":[{"name":"UCL Institute of Epidemiology and Health Care University College London  London UK"},{"name":"Department of Psychology University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"McEwan","sequence":"additional","affiliation":[{"name":"People First (Scotland)  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7234-2382","authenticated-orcid":false,"given":"C.","family":"Melville","sequence":"additional","affiliation":[{"name":"Mental Health and Wellbeing, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Harris","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Nursing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Wu","sequence":"additional","affiliation":[{"name":"Health Economics and Health Technology Assessment, School of Health and Wellbeing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Intellectual Disability: Definition, Classification, and Systems of Supports","author":"American Association on Intellectual and Developmental Disabilities (AIDD)","year":"2021"},{"key":"e_1_2_10_3_1","volume-title":"Chronic Illness and People with Intellectual Disability: Prevalence, Prevention and Management","author":"Banks S.","year":"2016"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-116.3.220"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.08.005"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2013.07.019"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.100408-ARB-112"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12327"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12251"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12699"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215516687347"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215511407221"},{"key":"e_1_2_10_13_1","first-page":"77","article-title":"Physical exercises can reduce anxiety and improve quality of life among adults with intellectual disability","volume":"10","author":"Carmeli E.","year":"2009","journal-title":"International SportMed Journal"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1519\/1533-4287(2004)018<0180:IOAWPI>2.0.CO;2"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2012.02.014"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629505053926"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629508100557"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-018-0871-4"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.06.081"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2016.06.008"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9868.00353"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12367"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744629505049730"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198103259162"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.2466\/pms.1986.62.2.359"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3156.1999.tb00077.x"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0270-3092(84)80020-X"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(85)90029-1"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2018.02.012"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10882-009-9147-7"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.19.2.173"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.301874"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2006.00307.x"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0090986"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114517001933"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2017.10.021"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12562"},{"key":"e_1_2_10_38_1","first-page":"1","volume-title":"International Review of Research in Developmental Disabilities","author":"Hatton C.","year":"2015"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(2004)109<175:AAPOOA>2.0.CO;2"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-49.1.26"},{"key":"e_1_2_10_41_1","first-page":"29","article-title":"A revised tool for assessing risk of bias in randomized trials","volume":"10","author":"Higgins J. P.","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2011.01.011"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13626"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta22260"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12100"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcle.2016.10.003"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2018.1488949"},{"key":"e_1_2_10_49_1","first-page":"302","article-title":"Treating obesity of mentally retarded adolescents and adults: an exploratory program","volume":"87","author":"Jackson H.","year":"1982","journal-title":"American Journal of Mental Deficiency"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2011.04.002"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05508.x"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-1130.2007.00108.x"},{"key":"e_1_2_10_53_1","first-page":"i4919","article-title":"Risk of bias in non\u2010randomized studies of interventions (ROBINS\u2010I): detailed guidance","volume":"355","author":"J\u00fcni P.","year":"2016","journal-title":"British Medical Journal"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2012.01543.x"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12255"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-017-1953-0"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12727"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12067"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12922"},{"key":"e_1_2_10_60_1","first-page":"694","article-title":"The Chief Scientist reports\u2026 health promotion and people with learning disabilities: the design and evaluation of three programmes","volume":"56","author":"Lindsay W.","year":"1998","journal-title":"Health Bulletin"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1198\/016214505000001302"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008929526011"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(2006)111[62:HBCOAW]2.0.CO;2"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12045"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-57.3.242"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02522.x"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12177"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(90)90003-G"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.1177\/0017896912441240"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114510005362"},{"key":"e_1_2_10_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3148.2007.00412.x"},{"key":"e_1_2_10_72_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-015-0290-5"},{"key":"e_1_2_10_73_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3156.2002.00209.x"},{"key":"e_1_2_10_74_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3156.2002.00209.x"},{"key":"e_1_2_10_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.09.015"},{"key":"e_1_2_10_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3156.1998.tb00041.x"},{"key":"e_1_2_10_77_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2010.540664"},{"key":"e_1_2_10_78_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016939"},{"key":"e_1_2_10_79_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-013-9486-6"},{"key":"e_1_2_10_80_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2009.01187.x"},{"key":"e_1_2_10_81_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b349"},{"key":"e_1_2_10_82_1","unstructured":"National Institute for Health and Care Excellence (NICE). (2023)Learning Disabilities: What is It?Available at:https:\/\/cks.nice.org.uk\/topics\/learning\u2010disabilities\/background\u2010information\/definition\/. (retrieved 17 August 2022)."},{"key":"e_1_2_10_83_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2021.101111"},{"key":"e_1_2_10_84_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2020.100979"},{"key":"e_1_2_10_85_1","first-page":"85","article-title":"Worksite weight\u2010loss intervention for individuals with mental retardation: a pilot study","volume":"22","author":"Norvell N. K.","year":"1987","journal-title":"Education and Training in Mental Retardation"},{"key":"e_1_2_10_86_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12056"},{"key":"e_1_2_10_87_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.06.025"},{"key":"e_1_2_10_88_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_89_1","doi-asserted-by":"publisher","DOI":"10.1080\/08856257.2016.1187876"},{"key":"e_1_2_10_90_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462317000630"},{"key":"e_1_2_10_91_1","doi-asserted-by":"publisher","DOI":"10.1352\/1944-7558-118.3.224"},{"key":"e_1_2_10_92_1","doi-asserted-by":"publisher","DOI":"10.1249\/00005768-199105000-00012"},{"key":"e_1_2_10_93_1","doi-asserted-by":"publisher","DOI":"10.1352\/0047-6765(2004)42<272:PAIFOA>2.0.CO;2"},{"key":"e_1_2_10_94_1","first-page":"218","article-title":"Effects of an aerobic exercise program on community\u2010based adults with mental retardation (\u201cAccepted by Louis Rowitz\u201d)","volume":"32","author":"Pommering T. L.","year":"1994","journal-title":"Mental Retardation"},{"issue":"1","key":"e_1_2_10_95_1","article-title":"Effects of a 6\u2010week progressive and combined training program on strength and cardiovascular endurance in young adults with moderate intellectual global delay","volume":"34","author":"Przysucha E.","year":"2020","journal-title":"Palaestra"},{"key":"e_1_2_10_96_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12348"},{"key":"e_1_2_10_97_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2017.11.003"},{"key":"e_1_2_10_98_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12713"},{"key":"e_1_2_10_99_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01542-z"},{"key":"e_1_2_10_100_1","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(2004)109<165:IIPFIA>2.0.CO;2"},{"key":"e_1_2_10_101_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-219"},{"key":"e_1_2_10_102_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.889362"},{"key":"e_1_2_10_103_1","unstructured":"RotatoriA. F. FoxR. A.&SwitzkyH.(1980)Multicomponent behavioral program for achieving weight loss in adult mentally retarded persons. College of Education Faculty Research and Publications 303. Available at:https:\/\/epublications.marquette.edu\/edu_fac\/303"},{"key":"e_1_2_10_104_1","first-page":"157","article-title":"Behavioral weight reduction procedures for obese mentally retarded individuals: a review","volume":"19","author":"Rotatori A. F.","year":"1981","journal-title":"Mental Retardation"},{"key":"e_1_2_10_105_1","unstructured":"RotatoriA. F. ZinkgrafS. MatsonJ. FoxR. SextonD.&WadeP.(1986)The effect of two weight reduction maintenance strategies for moderately\/mildly retarded adults. College of Education Faculty Research and Publications 205. Available at:https:\/\/epublications.marquette.edu\/edu_fac\/205"},{"key":"e_1_2_10_106_1","doi-asserted-by":"publisher","DOI":"10.33588\/rn.6211.2015505"},{"key":"e_1_2_10_107_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934\u20109556\u201049.2.103"},{"key":"e_1_2_10_108_1","volume-title":"Intellectual Disability: Definition, Classification, and Systems of Supports","author":"Schalock R. L.","year":"2010"},{"key":"e_1_2_10_109_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1064"},{"key":"e_1_2_10_110_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2015.1014027"},{"key":"e_1_2_10_111_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.11.056"},{"key":"e_1_2_10_112_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12384"},{"key":"e_1_2_10_113_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-013-9471-0"},{"key":"e_1_2_10_114_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061"},{"key":"e_1_2_10_115_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12051"},{"key":"e_1_2_10_116_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12181"},{"key":"e_1_2_10_117_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-12-132"},{"key":"e_1_2_10_118_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-13-123"},{"key":"e_1_2_10_119_1","doi-asserted-by":"publisher","DOI":"10.1123\/apaq.18.2.142"},{"key":"e_1_2_10_120_1","doi-asserted-by":"publisher","DOI":"10.1108\/17530180200800003"},{"key":"e_1_2_10_121_1","doi-asserted-by":"publisher","DOI":"10.21149\/8218"},{"key":"e_1_2_10_122_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.1997.tb00729.x"},{"key":"e_1_2_10_123_1","doi-asserted-by":"publisher","DOI":"10.1159\/000501679"},{"key":"e_1_2_10_124_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12267"},{"key":"e_1_2_10_125_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp014"},{"key":"e_1_2_10_126_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12648"},{"key":"e_1_2_10_127_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12548"},{"key":"e_1_2_10_128_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12463"},{"key":"e_1_2_10_129_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3156.1993.tb00688.x"},{"key":"e_1_2_10_130_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2010.01.013"},{"key":"e_1_2_10_131_1","doi-asserted-by":"publisher","DOI":"10.47779\/ajhs.2015.185"},{"key":"e_1_2_10_132_1","doi-asserted-by":"publisher","DOI":"10.1179\/2047387711Y.0000000010"},{"key":"e_1_2_10_133_1","article-title":"The effectiveness of nutrition and activity programmes for young adults with intellectual disabilities","author":"Yilmaz M","year":"2014","journal-title":"International Journal of Caring Sciences 7"},{"key":"e_1_2_10_134_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17155296"}],"container-title":["Journal of Intellectual Disability Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jir.13098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:46:10Z","timestamp":1713401170000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jir.13098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,27]]},"references-count":133,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/jir.13098"],"URL":"https:\/\/doi.org\/10.1111\/jir.13098","archive":["Portico"],"relation":{},"ISSN":["0964-2633","1365-2788"],"issn-type":[{"value":"0964-2633","type":"print"},{"value":"1365-2788","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,27]]},"assertion":[{"value":"2023-05-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}