Improving Sleep, Decision-Making, and Eating in Adolescents With Obesity

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age14-18
SponsorNemours Children's Clinic

About this trial

This study is being performed to understand the effects of a lifestyle modification and sleep intervention on weight loss outcomes in adolescence. The main question the study aims to answer is:

\- What are the initial effects of a lifestyle modification and sleep intervention, including effects on weight, eating behaviors and dietary intake, and sleep?

Participants will:

* Participate in remote, group-based, weekly weight loss and sleep coaching for 16 weeks. * Complete study assessments at baseline (pre-intervention), mid-intervention, and post-intervention. * Complete daily sleep diaries for three 7-day periods at each assessment point.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ages 14-18

Fluent in English

BMI percentile ≥ 85th percentile for sex-and-age

Has a parent or guardian who is willing and able to participate

Disqualifiers

Experience of weight loss of ≥ 5% of body weight in the past 6 months

Current use of insomnia medication

Having recently begun or changed the dosage of any medication known to affect appetite or body composition within the last 3 months

Currently taking weight loss medications

Trial design

Design model

Single group

Treatments tested in this trial

  • Lifestyle Modification and Sleep Intervention

    Behavioral

    This study is being performed to develop, refine, and test the effects of a group lifestyle modification intervention augmented with a sleep intervention on weight loss, eating behaviors, and sleep outcomes. Results from this study will inform future studies to test the efficacy of this intervention. This intervention is being offered as part of a research study within Drexel University's WELL Center. Participants will receive remote, group-based, weekly weight loss and sleep coaching (90 minutes per coaching session) for 16 weeks.

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: Group InterventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Percent of 95th percentile BMI

Height and weight will be measured at each assessment and used to calculate percent of 95th percentile BMI.

Time frame
From enrollment to the end of the study (approximately 4 months)
2

Tri-ponderal mass index

The investigators will also calculate tri-ponderal mass index (TMI; i.e., mass divided by height cubed) from measurements of height and weight.

Time frame
From enrollment to the end of the study (approximately 4 months)
3

Body fat percentage

Body fat percentage will also be derived from the Aria Air scale.

Time frame
From enrollment to the end of the study (approximately 4 months)

Secondary outcomes

1

Dietary intake

Adolescent dietary intake will be assessed via 30-day dietary recalls using the VioScreen at the baseline and post-treatment assessments. This freely available and validated web-based tool enables automated, self-administered, 30-day recalls. The VioScreen provides item-level nutritional information as well as monthly totals of key nutrient variables. Mean intake of the following food/macronutrient groups will be calculated: fruits and vegetables, fat, saturated fat, protein, cholesterol, added sugars, and dietary fiber.

Time frame
From enrollment to the end of the study (approximately 4 months)
2

Eating Disorder Examination

The investigators will also assess adolescent eating behaviors using the Binge Module and the Compensatory Behaviors Module portions of the Eating Disorder Examination at each assessment point.

Time frame
From enrollment to the end of the study (approximately 4 months)
3

Eating Disorder Examination Questionnaire

The investigators will have adolescents and their parents complete the Eating Disorder Examination Questionnaire, a self-report measure of eating behaviors, and baseline and post-treatment.

Time frame
From enrollment to the end of the study (approximately 4 months)
4

Average total sleep time

Adolescent sleep diaries will be collected for a 1-week period prior to the initiation of the intervention, 1 week at mid-intervention and 1 week following the intervention. Average total sleep time will be calculated.

Time frame
From enrollment to the end of the study (approximately 4 months)

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Nemours Children's Clinic

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator