Behavior, Adolescent, Body Weight, Childhood Obesity, Diabetes Mellitus, Diabetes Mellitus, Type 2, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Disease, Nutrition Disorders, Overnutrition, Overweight, Pediatric Obesity
Conditions
Keywords
Adolescents, In-Person Lifestyle Program, Diabetes prevention, Black girls, Obesity
Brief summary
The aim of this study is to look at changes in diabetes-related risk factors in Black adolescent girls who are at risk for type 2 diabetes and their primary female caregiver after both participating in a 12-week in-person lifestyle program.
Detailed description
Enrolled adolescent/caregiver dyads will participate in the 12-week program. Each week, participants will engage in 2 activities: an in-person Wellness Session and an at-home cooking experience using ingredients provided at the Wellness Session. The study will examine the pre-post difference in overall diet quality, dermal carotenoid levels, physical activity, body composition, and glycemic measures among at-risk black adolescent girls and their caregivers. Investigators hypothesize that after the program, participants' diets will be higher in quality than before.
Interventions
BEHAVIORALBlack Girls for Wellness In-Person
Weekly for 12 weeks, adolescent/caregiver dyads will attend 1) an in-person Wellness Session (mindfulness, nutrition lesson, dance class, program reflection) (90 min/wk) and 2) a home cooking experience using ingredients provided at the Wellness Session (60 min/wk).
Sponsors
Cornell University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
for adolescent participants: * 12-18 years of age * self-identify as Black or African American * have obesity (\>=95th percentile BMI)
Exclusion criteria
for adolescent participants: * pregnant or within 3 months postpartum. * participated in a formal weight management program within 6 months prior to study. * currently taking medications or diagnosed with a condition known to influence metabolism, physical activity ability, or cognitive function. * have previously undergone bariatric surgery. * have type 2 diabetes. * unable to speak English or have developmental conditions that interfere with ability to communicate. Inclusion Criteria for caregiver participants: * 18 years or older. * proficiency in speaking English. * live in the same household as the adolescent who will also be enrolled. * prepares the majority (\>50%) of meals in the household.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in diet quality of adolescent participants, as measured by the Healthy Eating Index Scores | Baseline, 12 weeks [end of study] | Scores are calculated from three 24-hour diet records, range from 0-100. Higher score reflects that higher alignment between one's diet and dietary recommendations from the Dietary Guidelines for Americans. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in percent time sedentary | Baseline, 12 weeks [end of study] | Accelerometry data will be collected from wrist accelerometers worn by participants for 7 days. Percent time spent on sedentary will be calculated. |
| Change in percent time spent in light activity | Baseline, 12 weeks [end of study] | Accelerometry data will be collected from wrist accelerometers worn by participants for 7 days. Percent time spent in light activity will be calculated. |
| Change in percent time spent in moderate to vigorous activity | Baseline, 12 weeks [end of study] | Accelerometry data will be collected from wrist accelerometers worn by participants for 7 days. Percent time spent in moderate and vigorous activity will be calculated. |
| Change in HbA1c | Baseline, 12 weeks [end of study] | HbA1c will be assessed through a blood draw. |
| Change in dermal carotenoids level | Baseline, 12 weeks [end of study] | Scores are measured using the Veggie Meter device, range from 0-800. Higher score acts as proxy for fruits and vegetables consumption. |
| Change in body mass index | Baseline, 12 weeks [end of study] | Height will be measured using a stadiometer to the nearest decimal point in cm. Weight will be measured using a scale to the nearest decimal in kg. Body mass index will be calculated using kg/m\^2. |
| Change in body fat percentage | Baseline, 12 weeks [end of study] | Body fat percentage will be measured using a scale to the nearest decimal. |
| Change in waist circumference | Baseline, 12 weeks [end of study] | Waist circumference will be measured using a waist circumference tape to the nearest decimal in cm. |
| Change in high blood pressure status | Baseline, 12 weeks [end of study] | Blood pressure will be measured using blood pressure monitors. High blood pressure is considered as reading of \>=120/80. |
| Change in lipid profile | Baseline, 12 weeks [end of study] | Total, high-density, low-density cholesterol, and triglycerides will be assessed through a blood draws. |
Countries
United States
Contacts
Primary ContactTashara M Leak, PhD, RD
Outcome results
None listed