Adolescent Obesity, Blood Glucose, Body Fat Composition, Eating Behaviors, Nutrition Status
Conditions
Brief summary
The goal of this experimental study is to develop and evaluate the effectiveness of a Mindful Eating Intervention (MEI) model integrated with the digital application EatsUp for improving body fat percentage among obese adolescents in Indonesia. The study aims to address the rising prevalence of adolescent obesity and its associated health risks, such as insulin resistance and cardiometabolic syndrome, by promoting mindful eating habits and healthy lifestyle behaviors. The main questions it aims to answer are: * Is the MEI model valid and acceptable for use among obese adolescents? * Does the MEI model reduce: * Body fat percentage? * Waist-to-height ratio (WHtR)? * Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)? * Does the MEI model improve eating behavior scores compared to a control group over 12 weeks? Participants will: * Use the EatsUp app, designed to monitor calorie intake/output and deliver mindful eating and nutrition education. * Receive training on mindfulness-based eating practices, along with guidance on balanced nutrition and physical activity.
Interventions
BEHAVIORALNutrition and Physical Activity Education with Mindful Eating Intervention
Mindful Eating Intervention applied to Obesity treatment for Adolescent alongside with Nutrition and Physical Activity Education from Nutritionist and Psychologist
Nutrition and physical activity education from Nutritionist applied as Obesity treatment for Adolescent
Sponsors
Indonesia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
15 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Aged 15-18 years old * Agreed to be involved in research proven by signing informed consent and assent * Indicated as Obesity by BMI-Age Nutritional Status and body fat percentage
Exclusion criteria
* Subject is on a dietary treatment or has a serious condition (e.g. chronic infectious disease, and undergoing drug therapy) * Subject with special needs (cannot use internet, cannot communicate normally)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body Composition | From enrollment to the end of intervention at 12 weeks | Body composition measured in this study are Body Mass Index for Age (BMI-Age), Waist-to-Height Ratio (WHtR), Waist Circumference, Body Fat Percentage, |
| Fasting Blood Sugar Levels | From enrollment to the end of intervention at 12 weeks | Blood glucose examination is carried out after fasting for 10 - 12 hours. |
| Fasting Insulin Levels | From enrollment to the end of intervention at 12 weeks | Measures the amount of insulin in the blood during fasting. |
| Insulin Resistance | From enrollment to the end of intervention at 12 weeks | HOMA-IR (Homeostatic Model Assessment for Insulin Resistance): Calculated using fasting glucose and insulin levels, with a threshold value (≥3.8) indicating insulin resistance. |
| Mindful Eating Score | From enrollment to the end of intervention at 12 weeks | Mindful eating is assessed based on 5 domains: distraction, disinhibition, awareness, external cues, and emotional eating. Mindful Eating Questionnaire is scored by adding up responses to each item and dividing by the total number of items answered. The resulting score ranges from 1 to 4, with higher scores indicating more mindful eating. |
| Eating Behavior | From enrollment to the end of intervention at 12 weeks | Psychosocial factors and attitudes that influence eating behavior such as food choices, dieting, and the presence of eating disorders measured using Adolescent Food Habit Checklist (AFHC) |
| Binge Eating | From enrollment to the end of intervention at 12 weeks | Eating behavior disorder where a person tends to overeat and has difficulty controlling it is assessed from a total score of 16 statements using Binge Eating Scale Questionnaire. The total score ranges from 0 to 46, with higher scores correlating with more frequent and severe binge eating behaviors. Based on the total scores, it can be classified into distinct severity categories as follows: 1. Low Binge-Eating: Scores of 17 or lower; 2. Mild to Moderate Binge-Eating: Scores ranging from 18 to 26; 3. Severe Binge-Eating: Scores of 27 or higher, indicating a high frequency and severity of binge-eating symptoms. |
| Sleep Quality | From enrollment to the end of intervention at 12 weeks | Sleep can produce a feeling of being fit, assessed based on duration, latency, efficiency and sleep disturbance as measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. |
| Physical Activity Level | From enrollment to the end of intervention at 12 weeks | Measurement of physical activity during the last 7 days using the International Physical Activity Questionnaire for Adolescent (IPAQ-A) |
Countries
Indonesia
Outcome results
None listed