Childhood Obesity Treatment: A Maintenance Approach

NCT00301197 | Completed

• 1 other identifier: 5R01HD036904
• Study Type: interventional
• Target: 216
• Locations: 1 country
• Sites: 1

Brief Summary

Obesity is a major public health problem. At least 15 million American adults are obese, and the number is rising. Childhood obesity is also increasing in prevalence and currently affects approximately 11-22 percent of children aged 6 to 11. Childhood obesity is associated with serious negative physical, emotional, and social consequences. Obese children are at high risk for becoming obese as adults; 24-44 percent of obese adults were obese as children. The risk of an obese child becoming an obese adult is especially high when at least one parent is obese. To date, adult obesity is known to be resistant to treatment. In contrast, promising long-term effects have been found with children who received behavioral family-based weight loss treatment. However, even with state-of-the-science programs, a substantial percentage of children (i.e., over 40 percent) regain all or most of the weight lost once treatment ends. The proposed study examined the efficacy of two intervention strategies designed to improve the long-term maintenance of weight loss in children relative to discontinued treatment contact following an active weight loss treatment phase (no maintenance treatment control (NTC).

Conditions

Obesity

Keywords

Childhood obesity; intervention; obesity; weight loss; behavior therapy; peer group; social support network; child; clinical research; human subject

Outcome Measures

Primary Outcomes (1)

• Weight (child and parent)

Secondary Outcomes (2)

• Weight related behaviors

• Psychological functioning (specific and general)

Interventions

Behavioral Skills Maintenance BEHAVIORAL

Social Facilitation Maintenance BEHAVIORAL

Eligibility Criteria

• Age: 7 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Child:
• %-100% overweight
• years old
• At least one parent:
• At least 20% overweight
• Actively participates in program along with participating child
• Both participating family members:
• Can read and speak English at a 3rd grade level

You may not qualify if:

• Either participating child or parent:
• has current psychopathology and is not in ongoing psychiatric care
• has an active substance abuse problem
• is not taking weight-affecting medications
• does not have a medical condition for which a weight loss program would be contraindicated
• does not have a physical disability of illness that limits their ability to do physical activity
• does not have major dietary restrictions
• is not participating in an active weight loss treatment
• All family members:
• do not have an active eating disorder

Sponsors & Collaborators

• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): lead

Study Sites (1)

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Related Publications (1)

• Wilfley DE, Stein RI, Saelens BE, Mockus DS, Matt GE, Hayden-Wade HA, Welch RR, Schechtman KB, Thompson PA, Epstein LH. Efficacy of maintenance treatment approaches for childhood overweight: a randomized controlled trial. JAMA. 2007 Oct 10;298(14):1661-73. doi: 10.1001/jama.298.14.1661.

  PMID: 17925518 DERIVED

MeSH Terms

Conditions

Obesity; Pediatric Obesity; Weight Loss

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Body Weight Changes

Study Officials

• Denise E Wilfley, PhD

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: NIH

Study Record Dates

• First Submitted: March 8, 2006
• First Posted: March 10, 2006
• Study Start: August 1, 1999
• Study Completion: April 1, 2004
• Last Updated: March 10, 2006

Record last verified: 2006-03

Locations

US (1)