NCT01849627

Brief Summary

A study to investigate the effect of a low-ED prescription (consume ≥10 foods ≤ 1.0 kcal/g and ≤ 2 foods ≥ 3.0 kcal/g per day) versus an energy balance prescription (consume a daily energy intake at estimated energy needs for maintenance) on weight loss maintenance.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
345

participants targeted

Target at P75+ for not_applicable obesity

Timeline
Completed

Started Aug 2014

Longer than P75 for not_applicable obesity

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

First Submitted

Initial submission to the registry

April 30, 2013

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 8, 2013

Completed
1.2 years until next milestone

Study Start

First participant enrolled

August 1, 2014

Completed
10.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

April 3, 2025

Status Verified

April 1, 2025

Enrollment Period

10.4 years

First QC Date

April 30, 2013

Last Update Submit

April 1, 2025

Conditions

Keywords

weight loss maintenance

Outcome Measures

Primary Outcomes (2)

  • Change in Anthropometrics from Baseline at 4, 10, 16, and 22 months

    Height, weight, and BMI will be assessed.

    0, 4, 10, 16, and 22 months

  • Changes in diet from baseline at 4, 10, 16, and 22 months

    Three day food records will be used to assess energy, grams, energy density, macronutrients, fiber, and food group servings.

    0, 4, 10, 16, and 22 months

Secondary Outcomes (1)

  • Changes in hunger, satiation, and satiety from baseline at 4, 10, 16, and 22 months

    0, 4, 10, 16, and 22 months

Study Arms (2)

Low-ED

EXPERIMENTAL

This condition will focus lowering on the energy density of the diet of the diet. This prescription does not include goals for any other nutrients, thus there are no energy goals.

Behavioral: Low-ED

Energy Balance

EXPERIMENTAL

This condition will focus have an energy balance prescription. Participants will be asked to consume a daily energy intake at estimated energy needs for weight loss maintenance.

Behavioral: Energy Balance

Interventions

Low-EDBEHAVIORAL

This condition will be instructed to make food consumption decisions based solely upon the ED of a food. The goal of the ED condition will be to consume at least 10 foods ≤ 1.0 kcal/g (i.e., fruits and vegetables, broth based soups, non-fat yogurts, some legumes, egg substitutes, some white fish, etc.) and no more than 2 foods ≥ 3.0 kcal/g (i.e., crackers, chips, cookies, hard cheeses, hot dogs, salad dressings, etc.) per day.

Low-ED
Energy BalanceBEHAVIORAL

Energy Balance will receive an individualized daily energy goal which will be their measured resting metabolic rate multiplied by a physical activity level (PAL) of 1.12 (men) or 1.14 (women) (low active).

Energy Balance

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age between 18 and 70 years
  • Body mass index (BMI) between 27 and 45 kg/m2

You may not qualify if:

  • Report a heart condition, chest pain during periods of activity or rest, or loss of consciousness on the Physical Activity Readiness Questionnaire
  • Individuals reporting joint problems, prescription medication usage, or other medical conditions that could limit exercise will be required to obtain written physician consent to participate
  • Report being unable to walk for 2 blocks (1/4 mile) without stopping
  • Report major psychiatric diseases or organic brain syndromes.
  • Are currently participating in a weight loss program and/or taking weight loss or appetite regulation medication or lost \> 5% of body weight during the past 6 months
  • Have had bariatric surgery for weight loss or are planning to have bariatric surgery in the next 22 months
  • Intend to move outside of the metropolitan area within the time frame of the investigation
  • Are pregnant, lactating, \< 6 months post-partum, or plan to become pregnant during the investigation
  • Report not being able to consume meal replacements
  • To participate in the weight loss maintenance phase, participants will need to lose equal to or greater than 8% of their body weight from the baseline measure at the conclusion of the 4-month weight loss phase.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Tennessee

Knoxville, Tennessee, 37996, United States

Location

Related Publications (53)

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MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Hollie A Raynor, PhD, RD, LDN

    University of Tennessee

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

April 30, 2013

First Posted

May 8, 2013

Study Start

August 1, 2014

Primary Completion

December 31, 2024

Study Completion

December 31, 2025

Last Updated

April 3, 2025

Record last verified: 2025-04

Locations