Barriers to Treatment in Obese Adolescents
Study Details
Study Description
Brief Summary
The purpose of this study is to identify significant racial and ethnical differences in risk factors for development of obesity and weight loss in adolescents in Central Virginia
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 1/Phase 2 |
Detailed Description
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Participation for 6 months in a program incorporating exercise, nutritional counseling and behavioral support leads to measurable improvements in overall fitness, metabolic indicators and loss of body fat for obese adolescents.
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Degree of loss of body fat, improved overall fitness and improvements in metabolic indicators can be correlated with the degree of compliance and participation for 6 months in the program.
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Parental involvement and support can be correlated with the degree of compliance and participation in the program.
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Socioeconomic factors can be correlated with the degree of compliance and participation in the program.
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Cultural differences in diet, attitudes toward body shape, and family dynamics can be correlated with success or failure in a weight loss program.
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Individual differences in self-esteem, self-discipline and feelings of connectedness with family members can be correlated with success or failure in a weight loss program.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Lifestyle Intervention Dietary modification and exercise. |
Behavioral: Motivational Interviewing
Biweekly meetings with a behavior specialist to review subject's progress with the protocol and explore challenges subject is facing in adopting healthy lifestyle behaviors.
Behavioral: Strength and Cardiovascular Conditioning
Subjects take part in an exercise program to include 30 minutes of cardiorespiratory exercise at 70% maximum heart rate, and 30 minutes of strength training on Nautilus machines.
Behavioral: Food selection and portion control
Subjects meet on a biweekly basis with a registered dietitian who presents educational information about healthy food selection and portion control.
|
Outcome Measures
Primary Outcome Measures
- A decrease in body mass index. [6 months and 1 year]
- Improvement in metabolic indicators. [6 months and 1 year]
- Improvement in fitness measures [6 months and 1 year]
Secondary Outcome Measures
- Improved subject compliance with exercise and diet. [6 months and 1 year]
- Improved parental compliance and support. [6 months and 1 year]
- Increase knowledge of nutritional principles [6 months and 1 year]
- Improved attitude toward healthy behaviors [6 months and 1 year]
- Increased self-esteem and motivation [6 months and 1 year]
- Decreased negativity [6 months and 1 year]
- Improved family cohesiveness [6 months and 1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 11-18
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Above 95th percentile for weight
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Reside within 30 miles of program site
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Ability to comprehend basic instructions
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Ability to perform basic exercise movements
Exclusion Criteria:
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Having a metabolic disorder that causes weight gain
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Having a cognitive deficit that impacts learning and comprehension
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Having a physical defect that prevents exercise
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Virginia Commonwealth University | Richmond | Virginia | United States | 23298 |
Sponsors and Collaborators
- Virginia Commonwealth University
- VA Premier Health
Investigators
- Principal Investigator: Edmond Wickham, M.D., Virginia Commonwealth University Depts. of Internal Medicine and Pediatrics
Study Documents (Full-Text)
None provided.More Information
Publications
- Bean MK, Mazzeo SE, Stern M, Evans RK, Bryan D, Ning Y, Wickham EP 3rd, Laver J. Six-month dietary changes in ethnically diverse, obese adolescents participating in a multidisciplinary weight management program. Clin Pediatr (Phila). 2011 May;50(5):408-16. doi: 10.1177/0009922810393497. Epub 2011 Jan 10.
- Porter JS, Bean MK, Gerke CK, Stern M. Psychosocial factors and perspectives on weight gain and barriers to weight loss among adolescents enrolled in obesity treatment. J Clin Psychol Med Settings. 2010 Jun;17(2):98-102. doi: 10.1007/s10880-010-9186-3.
- Wickham EP, Stern M, Evans RK, Bryan DL, Moskowitz WB, Clore JN, Laver JH. Prevalence of the metabolic syndrome among obese adolescents enrolled in a multidisciplinary weight management program: clinical correlates and response to treatment. Metab Syndr Relat Disord. 2009 Jun;7(3):179-86. doi: 10.1089/met.2008.0038.
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