Obesity & Overweight
Conditions
Brief summary
Aim 1. Conduct a 6-month (24-session) RCT comparing MedDiet-WL to MedDiet-SN among 268 older adults with obesity (50-79 years, BMI = 30-50 kg/m²). We hypothesize that 1) Participants in MedDiet-SN will show improvements in bodyweight/BMI and body fat compared to MedDiet-WL at post-intervention (6-months), 2) Participants in MedDiet-SN will show improvements in diet (diet quality) and physical activity (step counts) compared to MedDiet-WL at post-intervention (6-months), and 3) Participants in MedDiet-SN will maintain these improvements at 12-months. Aim 2. Characterize and compare differences in weight management information dissemination by 268 randomized to MedDiet-WL and MedDiet-SN. We hypothesize that MedDiet-SN participants will share information to more network members compared to participants in MedDiet-WL. Aim 3. Compare MedDiet-SN and MedDiet-WL in 268 network members. We hypothesize that MedDiet-SN network members will show, greater improvements in BMI, body fat, diet, and physical activity than MedDiet-WL network members at 6 months. We will explore how effects may vary by network (e.g., density, relationships), and messaging characteristics (e.g., modality).
Interventions
Empowerment to share lifestyle change information within social networks
Sponsors
Study design
Eligibility
Inclusion criteria
* 50-79 yrs old, * BMI 30-50 * Willing to participate in all procedures * Understand English * Willing to make changes to diet and lifestyle * Have access to a phone * Plan to reside in the Chicago area for the next 12 months
Exclusion criteria
* Severe ischemic heart disease * Severe pulmonary disease * Bariatric surgery * Cancer treatment within the past 12 months * Current adherence to MedDiet based on dietary screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity | 6 months | Godin-Shephard Leisure Time Physical Activity Questionnaire |
| Anthropometrics, Body Fat | 6 months | BMI, body fat measure by stadiometer and scale |
| Dietary Intake | 6 months | Vioscreen Food Frequency Questionnaire |
| Mediterranean Diet adherence | 6 months | Mediterranean Eating Patterns for Americans (MEPA) is a 16-item screener that assesses adherence to a MedDiet pattern |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Community Network Factors | 6 months | General Social Survey Instrument, including support network size, characteristics, health information dissemination |
Countries
United States