FAB: Family Based Treatment for Weight Loss With Breakfast Prescription
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate whether a behavioral weight loss group in conjunction with a prescribed breakfast can help children between 8 and 12 years of age change their behaviors to help them lose weight and become healthier.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The purpose of this application is to evaluate the acceptability and initial efficacy of consumption of an egg breakfast, compared to a cereal breakfast, in the context of Family-based Behavioral Treatment (FBT) with overweight and obese children and their parents. Investigators will randomize 66 parents and their overweight and obese child (85-99.9%BMI) to FBT+egg or FBT+cereal groups. Families will eat their assigned breakfast (eggs or cereal) 5 out of 7 days during the 4 month FBT treatment. However, all other aspects of FBT will be the same in the two groups. Children and parents will complete assessments at three time points; baseline, post-treatment and 4-months post-treatment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Family Based Behavioral Treatment Egg The FBT+Egg group will participate in group-based FBT and will be assigned to eat eggs a minimum of 5 days a week for breakfast. Families are provided eggs each week to facilitate compliance, along with recipes |
Behavioral: Family Based Behavioral Treatment
The intervention for both groups will be a 4-month Family-Based Behavioral Treatment (FBT), which includes dietary changes, physical activity changes, and behavioral therapy. Treatment is provided in separate parent and child groups. Families will learn to reduce caloric consumption and increase caloric expenditure (physical activity). Behavior therapy includes stimulus control, self-monitoring, goal setting and contracting, parenting skills, skills for managing high-risk situations, and maintenance and relapse prevention. Families will self-monitor caloric intake, breakfast consumption, physical activity, and hunger and satiety throughout the day.
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Active Comparator: Family Based Behavioral Treatment Cereal The FBT+Cereal group will participate in group-based FBT and will be assigned to eat cereal a minimum of 5 days a week for breakfast. Families are provided cereal each week to facilitate compliance. |
Behavioral: Family Based Behavioral Treatment
The intervention for both groups will be a 4-month Family-Based Behavioral Treatment (FBT), which includes dietary changes, physical activity changes, and behavioral therapy. Treatment is provided in separate parent and child groups. Families will learn to reduce caloric consumption and increase caloric expenditure (physical activity). Behavior therapy includes stimulus control, self-monitoring, goal setting and contracting, parenting skills, skills for managing high-risk situations, and maintenance and relapse prevention. Families will self-monitor caloric intake, breakfast consumption, physical activity, and hunger and satiety throughout the day.
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Outcome Measures
Primary Outcome Measures
- Ratings of acceptability intervention [4 months]
- Ratings of liking intervention [4 months]
Secondary Outcome Measures
- Child weight [8 months]
Measured by Body Mass Index (BMI)
- Parent weight [8 months]
Measured by Body Mass Index (BMI)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children between the ages of 8 and 12 years old;
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BMI ≥85th% and <100% overweight
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Children with parents who are willing to attend 16 weekly group sessions and be randomized to either treatment arm;
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Have at least one parent who is overweight or obese (BMI≥25);
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Children and parent who endorse liking of both eggs and cereal
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Parents who speak English at a 5th grade level.
Exclusion Criteria:
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Children with serious medical conditions that affect their weight;
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Children taking medication that affect appetite or weight;
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Children with severe developmental delay or disability that would affect participation;
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Children or parents with psychological illness that would limit treatment participation;
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Families who plan to move out of the area within the time frame of the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Center for Healthy Eating and Activity Research | La Jolla | California | United States | 92037 |
Sponsors and Collaborators
- University of California, San Diego
- American Egg Board
Investigators
- Principal Investigator: Kerri Boutelle, Ph.D., UCSD
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
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- Bowen J, Noakes M, Clifton PM. Appetite regulatory hormone responses to various dietary proteins differ by body mass index status despite similar reductions in ad libitum energy intake. J Clin Endocrinol Metab. 2006 Aug;91(8):2913-9. Epub 2006 May 30.
- Cummings DM, Henes S, Kolasa KM, Olsson J, Collier D. Insulin resistance status: predicting weight response in overweight children. Arch Pediatr Adolesc Med. 2008 Aug;162(8):764-8. doi: 10.1001/archpedi.162.8.764.
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- Layman DK. The role of leucine in weight loss diets and glucose homeostasis. J Nutr. 2003 Jan;133(1):261S-267S. Review.
- Lomenick JP, Melguizo MS, Mitchell SL, Summar ML, Anderson JW. Effects of meals high in carbohydrate, protein, and fat on ghrelin and peptide YY secretion in prepubertal children. J Clin Endocrinol Metab. 2009 Nov;94(11):4463-71. doi: 10.1210/jc.2009-0949. Epub 2009 Oct 9.
- Piech RM, Pastorino MT, Zald DH. All I saw was the cake. Hunger effects on attentional capture by visual food cues. Appetite. 2010 Jun;54(3):579-82. doi: 10.1016/j.appet.2009.11.003. Epub 2009 Nov 13.
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- Shikany JM, Thomas SE, Henson CS, Redden DT, Heimburger DC. Glycemic index and glycemic load of popular weight-loss diets. MedGenMed. 2006 Jan 25;8(1):22.
- Vander Wal JS, Gupta A, Khosla P, Dhurandhar NV. Egg breakfast enhances weight loss. Int J Obes (Lond). 2008 Oct;32(10):1545-51. doi: 10.1038/ijo.2008.130. Epub 2008 Aug 5.
- Vander Wal JS, Marth JM, Khosla P, Jen KL, Dhurandhar NV. Short-term effect of eggs on satiety in overweight and obese subjects. J Am Coll Nutr. 2005 Dec;24(6):510-5.
- Zhang Y, Guo K, LeBlanc RE, Loh D, Schwartz GJ, Yu YH. Increasing dietary leucine intake reduces diet-induced obesity and improves glucose and cholesterol metabolism in mice via multimechanisms. Diabetes. 2007 Jun;56(6):1647-54. Epub 2007 Mar 14.
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