Pediatric Obesity
Conditions
Keywords
Pediatric Obesity, Lifestyle Intervention, Family-Level Change, Family-based Intervention
Brief summary
An observational study ancillary to the randomized clinical trial (RCT) TEENS+ (R01HD095910), a family-based lifestyle intervention, for adolescents with obesity, to determine: 1) if family-wide changes to the shared home environment are implemented, 2) if ripple effects to untreated family members are observed, and 3) whether these changes are predictive of adolescents' weight management success. Funding support from NIH via R21HD105906.
Detailed description
Investigators will recruit non-targeted children (8-17yrs) and caregivers living in the same household as the target TEENS+ parent/adolescent dyad. At 0, 2, 4 and 8m, the target adolescent/parent dyad (n=60), and non-targeted children and caregivers will complete anthropometric assessments, and measures of the shared home feeding and weight-related environment will be conducted.
Interventions
OTHERNo intervention
Non-treated children and caregivers complete assessments only. The primary (treated) parent / adolescent dyad participate in family based weight management treatment through the main trial. In the main trial, families are randomized to either TEENS+Parents as Coaches (parent skills training) or TEENS+Parent Weight Loss (parent behavioral weight loss).
Sponsors
University of Connecticut
University of North Carolina
University of Tennessee
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Virginia Commonwealth University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
8 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Untreated children: must be between 8-17 years of age and primarily living in the same household as the TEENS+ participants. * Untreated caregiver: must be 18 years of age or older and primarily living in the same household as the TEENS+ participants. * Treated caregivers: must have another individual in the household that meets the eligbility for an untreated child or untreated caregiver.
Exclusion criteria
* temporarily (\<1yr) living in the home * children with a BMI\<5th%ile or caregivers with a BMI\<18.5 kg/m2 * non-English speaking * medical condition(s) that may be associated with unintentional weight change or significant disruption to eating behaviors (e.g., hypothalamic injury, Prader-Willi, G-tube placement, or malignancy * clinically significant eating disorder (e.g., anorexia nervosa or bulimia nervosa) * following a medically-supervised/prescribed diet * psychiatric, cognitive, physical or developmental conditions that would impair the individual's ability to complete assessments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Family-level changes to the shared home environment. | 4 months (baseline to 4 months) | Changes in the home food available and the home exercise and electronic media environment. |
| Weight changes. | 4 months (baseline to 4 months) | Weight changes observed among untreated individuals (child zBMI and caregiver % weight loss) |
| Household changes and target adolescent weight. | 8 months [weight loss (baseline to 4 months) and maintenance (4-8)] | Associations between household changes and target adolescent weight loss and maintenance. |
Countries
United States
Outcome results
None listed