Barriers to Treatment in Obese Adolescents
Understanding The Barriers in Treatment of Obesity in Adolescents 11-18 in Central Virginia
1 other identifier
interventional
292
1 country
1
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
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 obesity
Started Nov 2003
Longer than P75 for phase_1 obesity
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 9, 2005
CompletedFirst Posted
Study publicly available on registry
September 14, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedJanuary 20, 2014
January 1, 2014
10.1 years
September 9, 2005
January 16, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
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 Outcomes (7)
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
- +2 more secondary outcomes
Study Arms (1)
Lifestyle Intervention
EXPERIMENTALDietary modification and exercise.
Interventions
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.
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.
Subjects meet on a biweekly basis with a registered dietitian who presents educational information about healthy food selection and portion control.
Eligibility Criteria
You may qualify if:
- Age 11-18
- Above 95th percentile for weight
- Reside within 30 miles of program site
- Ability to comprehend basic instructions
- Ability to perform basic exercise movements
You may not qualify if:
- Having a metabolic disorder that causes weight gain
- Having a cognitive deficit that impacts learning and comprehension
- Having a physical defect that prevents exercise
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Virginia Commonwealth Universitylead
- VA Premier Healthcollaborator
Study Sites (1)
Virginia Commonwealth University
Richmond, Virginia, 23298, United States
Related Publications (7)
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.
PMID: 19450141BACKGROUNDPorter 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.
PMID: 20119710BACKGROUNDBean 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.
PMID: 21224253BACKGROUNDStern M, Mazzeo SE, Gerke CK, Porter JS, Bean MK, Laver JH. Gender, ethnicity, psychosocial factors, and quality of life among severely overweight, treatment-seeking adolescents. J Pediatr Psychol. 2007 Jan-Feb;32(1):90-4. doi: 10.1093/jpepsy/jsl013. Epub 2006 Jul 3.
PMID: 16818482RESULTStern M, Mazzeo SE, Porter J, Gerke C, Bryan D,and Laver J. Self-esteem, teasing and quality of life: African American adolescent girls participating in a family-based pediatric overweight intervention. Journal of Clinical Psychology in Medical Settings. DOI:10.1007/s10880-006-9029-4, 2006
RESULTBrowning MG, Bean MK, Wickham EP, Stern M, Evans RK. Cardiometabolic and Fitness Improvements in Obese Girls Who Either Gained or Lost Weight during Treatment. J Pediatr. 2015 Jun;166(6):1364-9. doi: 10.1016/j.jpeds.2015.03.011. Epub 2015 Apr 15.
PMID: 25890676DERIVEDNing Y, Yang S, Evans RK, Stern M, Sun S, Francis GL, Wickham EP 3rd. Changes in body anthropometry and composition in obese adolescents in a lifestyle intervention program. Eur J Nutr. 2014 Jun;53(4):1093-102. doi: 10.1007/s00394-013-0612-9. Epub 2013 Nov 10.
PMID: 24212451DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Edmond Wickham, M.D.
Virginia Commonwealth University Depts. of Internal Medicine and Pediatrics
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 9, 2005
First Posted
September 14, 2005
Study Start
November 1, 2003
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
January 20, 2014
Record last verified: 2014-01