{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:51:21Z","timestamp":1791978681429,"version":"4.4.0"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>Individuals with intellectual and developmental disabilities (I\/DD) and autism spectrum disorder experience disproportionately high rates of chronic disease, often exacerbated by systemic care barriers. Despite these concerns, interventions for this population rarely target overall health and wellness and often rely on practices that can contribute to poor health outcomes. This retrospective review includes data collected at The Center for Discovery, a residential care program for people with severe and complex disabilities. This analysis evaluates health outcomes among 295 adults with I\/DD, including autism, who received a comprehensive lifestyle medicine intervention. Prevalence rates of chronic conditions among those receiving the intervention were compared to national and New York State disability benchmarks. Results suggest an association with substantially lower prevalence of key conditions, including obesity, diabetes, and hypertension, with a median risk ratio of 0.325 (range: 0.23-0.76) compared to U.S. population benchmarks. These findings suggest that participation in an integrated lifestyle medicine model, SynergE6\u00ae Healthspan Model, could be associated with lower chronic disease prevalence among adults with I\/DD. Because this was a retrospective observational study using external benchmark comparisons, prospective controlled studies are needed to determine whether these associations are causal.<\/jats:p>","DOI":"10.1177\/15598276261486805","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:02:14Z","timestamp":1791738134000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Applying Lifestyle Medicine to Improve Health Outcomes in People With Intellectual and Developmental Disabilities"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6546-2316","authenticated-orcid":false,"given":"Theresa","family":"Hamlin","sequence":"first","affiliation":[{"name":"The Center for Discovery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8182-409X","authenticated-orcid":false,"given":"Conor","family":"Anderson","sequence":"additional","affiliation":[{"name":"The Center for Discovery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8778-4562","authenticated-orcid":false,"given":"Johanna F.","family":"Lantz","sequence":"additional","affiliation":[{"name":"The Center for Discovery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4966-3976","authenticated-orcid":false,"given":"Jennifer","family":"Franck","sequence":"additional","affiliation":[{"name":"The Center for Discovery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6880-7540","authenticated-orcid":false,"given":"Helena","family":"le Roux Ohm","sequence":"additional","affiliation":[{"name":"The Center for Discovery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald W.","family":"Landry","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_3_6_2_2","volume-title":"About Chronic Diseases","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. 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Disability and Health Data System (DHDS); 2024."},{"key":"e_1_3_6_14_2","volume-title":"New York State\u2019s Response to Protect People with Intellectual and Developmental Disabilities in roup Homes During the COVID-19 Pandemic","author":"New York Civil Liberties Union","year":"2021","unstructured":"Disability Rights New York; New York Lawyers for the Public Interest; New York Civil Liberties Union. New York State\u2019s Response to Protect People with Intellectual and Developmental Disabilities in roup Homes During the COVID-19 Pandemic. Disability Rights New York; 2021."},{"key":"e_1_3_6_15_2","volume-title":"Average Charge for Covid-19 Hospitalization, by State","author":"Paavola A","year":"2021","unstructured":"Paavola A. Average Charge for Covid-19 Hospitalization, by State. Becker\u2019s Hospital Review; 2021."},{"key":"e_1_3_6_16_2","volume-title":"Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults","author":"Okoro CA","year":"2016","unstructured":"Okoro CA, Hollis ND, Cyrus AC, Griffin-Blake S. Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults; 2016."},{"issue":"10","key":"e_1_3_6_17_2","first-page":"804","article-title":"Metabolic syndrome and its components in people with intellectual disability","volume":"64","author":"Vancampfort D","year":"2020","unstructured":"Vancampfort D, Schuch F, Van Damme T, et al. Metabolic syndrome and its components in people with intellectual disability. A Meta-Analysis. 2020;64(10):804-815. https:\/\/doi.org\/10.1111\/jir.12772","journal-title":"A Meta-Analysis"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12282"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2023.00403"},{"key":"e_1_3_6_20_2","volume-title":"The Complexities of Physician Supply and Demand: Projections from 2021 to 2036. 2023","author":"Association of American Medical Colleges","year":"2024","unstructured":"Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections from 2021 to 2036. 2023; 2024."}],"container-title":["American Journal of Lifestyle Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15598276261486805","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15598276261486805","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15598276261486805","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:21:21Z","timestamp":1791976881000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15598276261486805"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,11]]},"references-count":19,"alternative-id":["10.1177\/15598276261486805"],"URL":"https:\/\/doi.org\/10.1177\/15598276261486805","relation":{},"ISSN":["1559-8276","1559-8284"],"issn-type":[{"value":"1559-8276","type":"print"},{"value":"1559-8284","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,11]]},"article-number":"15598276261486805"}}