Insulin Resistance, Obesity, Overweight
Conditions
Keywords
Adolescent, Overweight, Obesity, Weight loss, Nutrition, Physical activity, Community-based participatory research, School-based, Primary Care, Motivational interviewing
Brief summary
Community based participatory research principles will be used to create, implement and evaluate a culturally relevant and age-appropriate obesity intervention for adolescents who are overweight or obese. The intervention will be implemented through school-based health centers (SBHC) and will include clinical encounters with SBHC providers, use of Motivational Enhancement Therapy to help overweight/obese adolescents adopt healthier behaviors, and use of a community advisory council to develop obesity risk reduction strategies that will be delivered by print and digital video disc (DVD) media. To test efficacy of the ACTION intervention, overweight/obese adolescents will be recruited to either the intervention condition or the usual care condition. Students will have pre- and post- intervention measurements to assess if adolescents in the intervention condition will have improved risk factor profile for metabolic syndrome, improved nutrition and increased physical activity when compared with students in the usual care condition.
Interventions
BEHAVIORALACTION
Overweight/obese adolescents enrolled in ACTION will meet with SBHC providers over a 6 month period in one school year. SBHC providers will use Motivational Enhancement Therapy to motivate overweight/obese adolescents to adopt strategies for improving nutrition and physical activity.
BEHAVIORALUsual care
Overweight/obese adolescents in the second arm will receive a well child check with usual anticipatory guidance.
Sponsors
National Institutes of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
University of New Mexico
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
* greater than or equal to the 85th percentile in BMI * in 9th through 11th grades at participating schools
Exclusion criteria
* BMI greater than or equal to 40 * previously diagnosed type 1 or type 2 diabetes * blood pressure in the range of stage 2 hypertension * medications that significantly interfere with weight
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| BMI percentile | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Insulin resistance | 6 months |
| Lipids | 6 months |
| Dietary intake | 6 months |
| Blood pressure | 6 months |
| Physical activity | 6 months |
Countries
United States
Outcome results
None listed