Weight Management for Adults with Down Syndrome
Individuals with Down syndrome have a higher likelihood of being obese than their typically developing peers. Sometimes it is the result of hypothyroidism, a condition in which the thyroid doesn’t produce enough of certain hormones. If there are new symptoms of hypothyroidism, such as increased sleepiness, confusion, or mood changes, the individual’s primary care doctor should consider ordering a blood test to check thyroid function. It has also been suggested that people with Down syndrome may have a lower level of metabolism, i.e., their bodies may burn fewer calories and store more.
More generally, though, weight management issues in individuals with Down syndrome are often due to the intake of too many calories in relation to the level of physical activity. Strategies for treating and preventing obesity involve:
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Eating smaller portion sizes
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Using healthy ingredients that increase bulk (like fiber, fruits, and vegetables)
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Increasing water intake
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Eating fewer snacks between meals
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Empowering adults to monitor their own weight
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Involving supervisors at work and school on the treatment plan
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Preparing meals at home
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Not using food as a reward
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Introducing a daily exercise routine that is appropriate to the person’s interests and skills
If there is no underlying medical condition contributing to an individual’s weight, then he or she can use the same strategies anyone else would to lose weight: exercise, portion control, and healthy food choices.
Additional Resources
External Resources
- Special Olympics
www.specialolympics.org
Offers year-round sports training and athletic competition in a variety of Olympic-type sports for children and adults with intellectual disabilities - National Center on Physical Activity and Disability
www.ncpad.org
Promotes health among people with disabilities by providing advocacy, services and programs
Books/Articles
- Incredible Edible Gluten-Free Food for Kids. Sanderson, S.L. Bethesda, MD: Woodbine House. (2002)
- The Down Syndrome Nutrition Handbook. Guthrie Medlen, J.E. Lake Oswego, OR: Phronesis Publishing. (2006)
- The Kitchen Classroom. Kaplan-Mayer, G. Bethesda, MD: Woodbine House. (2010)
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Vitamin B Deficiency. Chicoine, B. MD. Advocate Medical Group Adult Down Syndrome Center. March 2022. Can be found at: https://adscresources.advocatehealth.com/vitamin-b12-deficiency/
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Weight Management in Adults with Down Syndrome. Chicoine, B. MD. Advocate Medical Group Adult Down Syndrome Center. October 2021. Can be found at: https://adscresources.advocatehealth.com/weight-management-in-adults-with-down-syndrome/
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Products to Assist with Portion Control. Advocate Medical Group Adult Down Syndrome Center. August 2021. Can be found at: https://adscresources.advocatehealth.com/products-to-assist-with-portion-control/
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Hunger and Satiety in People with Down Syndrome. Chicoine, B. MD. Advocate Medical Group Adult Down Syndrome Center. October 2019. Can be found at: https://adscresources.advocatehealth.com/hunger-and-satiety-in-people-with-down-syndrome/
DVDs & Videos
- Kids with Down Syndrome: Staying Healthy and Making Friends. Blueberry Shoes Productions.
- How to Achieve Healthy Weight Without Using the "D" Word. Janet Bilodeau, CNP. Advocate Medical Group Adult Down Syndrome Center. April 2019. Can be found at: https://adscresources.advocatehealth.com/how-to-achieve-healthy-weight-without-using-the-d-word/
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Fruits and Vegetables Video. Advocate Medical Group Adult Down Syndrome Center. September 2017. Can be found at: https://adscresources.advocatehealth.com/fruits-and-vegetables-video/