Obesity
Conditions
Keywords
Pediatric Overweight,, African American;, Adolescent;, Intervention,, Teasing;, Self-esteem, Quality of Life, Metabolic syndrome, Insulin resistance, Diabetes, Nutrition, Motivation, Culture, BMI, Cardiorespiratory fitness, Resistance Training, Compliance
Brief summary
The purpose of this study is to identify significant racial and ethnical differences in risk factors for development of obesity and weight loss in adolescents in Central Virginia
Detailed description
* Participation for 6 months in a program incorporating exercise, nutritional counseling and behavioral support leads to measurable improvements in overall fitness, metabolic indicators and loss of body fat for obese adolescents. * Degree of loss of body fat, improved overall fitness and improvements in metabolic indicators can be correlated with the degree of compliance and participation for 6 months in the program. * Parental involvement and support can be correlated with the degree of compliance and participation in the program. * Socioeconomic factors can be correlated with the degree of compliance and participation in the program. * Cultural differences in diet, attitudes toward body shape, and family dynamics can be correlated with success or failure in a weight loss program. * Individual differences in self-esteem, self-discipline and feelings of connectedness with family members can be correlated with success or failure in a weight loss program.
Interventions
BEHAVIORALMotivational Interviewing
Biweekly meetings with a behavior specialist to review subject's progress with the protocol and explore challenges subject is facing in adopting healthy lifestyle behaviors.
BEHAVIORALStrength and Cardiovascular Conditioning
Subjects take part in an exercise program to include 30 minutes of cardiorespiratory exercise at 70% maximum heart rate, and 30 minutes of strength training on Nautilus machines.
BEHAVIORALFood selection and portion control
Subjects meet on a biweekly basis with a registered dietitian who presents educational information about healthy food selection and portion control.
Sponsors
VA Premier Health
Virginia Commonwealth University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
11 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Age 11-18 * Above 95th percentile for weight * Reside within 30 miles of program site * Ability to comprehend basic instructions * Ability to perform basic exercise movements
Exclusion criteria
* Having a metabolic disorder that causes weight gain * Having a cognitive deficit that impacts learning and comprehension * Having a physical defect that prevents exercise
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A decrease in body mass index. | 6 months and 1 year |
| Improvement in metabolic indicators. | 6 months and 1 year |
| Improvement in fitness measures | 6 months and 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Improved attitude toward healthy behaviors | 6 months and 1 year |
| Increased self-esteem and motivation | 6 months and 1 year |
| Improved subject compliance with exercise and diet. | 6 months and 1 year |
| Improved family cohesiveness | 6 months and 1 year |
| Decreased negativity | 6 months and 1 year |
| Improved parental compliance and support. | 6 months and 1 year |
| Increase knowledge of nutritional principles | 6 months and 1 year |
Countries
United States
Outcome results
None listed