Brief Summary

Background: \- Studies show that many factors affect children's eating behavior and health. These include sleep, mood, thinking skills, and genetics. Studying children over time may identify children at higher risk for eating-related health concerns. Objective: \- To understand how genes and environment influence eating behavior and health over time. Eligibility: \- Children ages 8-17 in good general health. Design:

  • Screening visit 1: Medical history, physical exam, body measurements, and questions.
  • 14 days: Participants will wear a wrist monitor and answer smartphone prompts about eating and mood. They may give a stool sample.
  • Screening visit 2:
  • Body measurements.
  • Saliva, urine, and blood samples.
  • Heart tests.
  • Meals provided (after fasting overnight).
  • Questionnaires and interview.
  • Behavior, thinking, and exercise tests.
  • X-ray of left wrist and full body.\<TAB\>
  • Some parents may have medical history, physical exam, and questions at screening visits. They may answer questions at the yearly visits.
  • Participants will have up to 6 yearly visits. They will give a urine sample and body measurements, and repeat the X-rays. They will have questions and behavior and thinking tasks. They may give stool samples. Visits will range from 3 to 8 hours.
  • Participants may choose to participate in other studies:
  • Stress and Hormones, 1 visit: While resting, participants will give saliva samples and have their heart monitored. Then they will do math. They will repeat the resting part, then do a computer task.
  • Brain Imaging, 2 visits: Twice, participants will perform tasks with a magnetic cone on their head then answer questions. Once, they will have an MRI, lying still in a scanner with a coil on their head. Before the first visit, participants will collect at-home saliva samples once a day for three days. During both visits, participants will perform tasks and answer questions that gauge their thinking skills and mood.
  • Experiment 3 (sleep/fatigue): Participants will complete 2 additional visits. During these visits, participants will complete a task on the computer for 2 hours, or watch a movie for two hours. After completion of the task/movie, they will answer questions and be provided with food. Participants will be compensated for the time and inconvenience involved with completing study procedures.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
1,500

participants targeted

Target at P75+ for all trials

Timeline
57mo left

Started Apr 2015

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
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

Study Progress70%
Apr 2015Dec 2030

First Submitted

Initial submission to the registry

March 17, 2015

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 18, 2015

Completed
1 month until next milestone

Study Start

First participant enrolled

April 21, 2015

Completed
15.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 12, 2030

Expected
19 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2030

Last Updated

April 16, 2026

Status Verified

April 8, 2026

Enrollment Period

15.7 years

First QC Date

March 17, 2015

Last Update Submit

April 15, 2026

Conditions

Keywords

Stress ResponseBinge EatingEating BehaviorObesityDisordered EatingNatural History

Outcome Measures

Primary Outcomes (1)

  • Differences in eating behavior of pediatric participants

    Multiple outcome measures

    up to 6 years of follow-up

Secondary Outcomes (8)

  • Experiment 2 (Hormone and Brain Development Study): oscillatory power activity in hypothesized brain regions-of-interest and food intake in the laboratory

    During palatable (vs non-palatable) food cues attention bias paradigm

  • Experiment 2 (Hormone and Brain Development Study): oscillatory power activity in hypothesized brain regions-of-interest and food intake in the laboratory

    During palatable (vs non-palatable) food cues attention bias paradigm

  • Experiment 2 (Hormone and Brain Development Study): oscillatory power activity in hypothesized brain regions-of-interest

    During palatable (vs non-palatable) food cues attention bias paradigm

  • Experiment 2 (Hormone and Brain Development Study): oscillatory power activity in hypothesized brain regions-of-interest

    During palatable (vs non-palatable) food cues attention bias paradigm

  • Experiment 2 (Hormone and Brain Development Study): oscillatory power activity in hypothesized brain regions-of-interest

    During social threat attention bias paradigm

  • +3 more secondary outcomes

Study Arms (2)

All pediatric participants

All pediatric participants in the study will be evaluated as one group

Parents of participants

Parents provide information about their children and supply DNA / blood samples for future analyses

Eligibility Criteria

Age8 Years - 100 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

community sample

You may qualify if:

  • Parents/Guardians will qualify if they meet the following criteria.
  • Age \>=18 years
  • Have a child enrolled in this protocol (15-CH-0096).

You may not qualify if:

  • Parents/Guardians will be excluded for the following reasons:
  • If their child is not eligible to participate in the study (see below)
  • If they are believed by the medical study team to have a medical or psychiatric problem that will not allow them to complete study procedures safely (these will be determined on a case-by-case basis)
  • Eligibility Criteria for Child Participants:
  • Volunteers will qualify if they meet the following criteria.
  • Age 8-17 years (NB: children may continue to participate as adults during follow-up).
  • Weight, height and BMI \>= 5th percentile for age and sex according to Centers for Disease Control and Prevention 2000 US standards.
  • Cognitively capable of completing study procedures (FSIQ \>= 70).
  • Good general health based on a normal history and physical examination (with the exception of overweight and minor, well-controlled illnesses).
  • Individuals will be excluded (and provided treatment referrals as needed) for the following reasons:
  • History of major cardiovascular disease or any other serious obesity-related complication as assessed during history and physical exam. Individuals with untreated or major illnesses relating to the endocrine and/or cardiovascular systems are excluded because these illnesses will likely influence outcomes. Such obesity-related comorbidities include hypertension (defined by age- sex- and height- specific standards; and fasting hyperglycemia consistent with diabetes (fasting glucose \> 126 mg/dL).
  • Presence of other major illnesses: renal, hepatic, gastrointestinal, most endocrinologic (e.g., Cushing syndrome, untreated hyper- or hypothyroidism), hematological problems or pulmonary disorders (other than asthma not requiring continuous medication). Non-serious medical illnesses, such as seasonal allergies, will be reviewed on a case-by-case basis.
  • Regular use of any medication known to affect body weight or eating behavior (e.g., many medications prescribed for attention deficit hyperactivity disorder, or ADHD). Medication use for non-serious conditions (e.g., acne) will be considered on a case-by-case basis.
  • Current pregnancy or a history of pregnancy. A negative pregnancy test before starting the study will be required for postmenarcheal girls.
  • Current and regular use of tobacco products and/or alcohol.
  • +15 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Institutes of Health Clinical Center

Bethesda, Maryland, 20892, United States

RECRUITING

Related Publications (8)

  • Tanofsky-Kraff M, Yanovski SZ, Wilfley DE, Marmarosh C, Morgan CM, Yanovski JA. Eating-disordered behaviors, body fat, and psychopathology in overweight and normal-weight children. J Consult Clin Psychol. 2004 Feb;72(1):53-61. doi: 10.1037/0022-006X.72.1.53.

    PMID: 14756614BACKGROUND
  • Tanofsky-Kraff M, Shomaker LB, Olsen C, Roza CA, Wolkoff LE, Columbo KM, Raciti G, Zocca JM, Wilfley DE, Yanovski SZ, Yanovski JA. A prospective study of pediatric loss of control eating and psychological outcomes. J Abnorm Psychol. 2011 Feb;120(1):108-18. doi: 10.1037/a0021406.

    PMID: 21114355BACKGROUND
  • Tanofsky-Kraff M, Cohen ML, Yanovski SZ, Cox C, Theim KR, Keil M, Reynolds JC, Yanovski JA. A prospective study of psychological predictors of body fat gain among children at high risk for adult obesity. Pediatrics. 2006 Apr;117(4):1203-9. doi: 10.1542/peds.2005-1329.

    PMID: 16585316BACKGROUND
  • Parker MN, Tanofsky-Kraff M, Bloomer BF, Te-Vazquez J, Adekola PE, Nwosu EE, Lazareva J, Jones JL, Moore A, Schvey NA, Brady SM, Yang SB, Turner SA, Yanovski JA, Kelly NR. The Effect of Experimentally Induced Cognitive Fatigue on Energy Intake Among Youth With and Without Recent Reported Dietary Restraint. Int J Eat Disord. 2025 Oct;58(10):2003-2008. doi: 10.1002/eat.24508. Epub 2025 Jul 16.

  • Parker MN, Kelly NR, Moore A, Loch LK, Vazquez JT, Bloomer BF, Nwosu EE, Lazareva J, Yang SB, Courville AB, Moursi NA, Brady SM, Olsen CH, Shank LM, Tanofsky-Kraff M, Yanovski JA. Cognitive fatigue did not significantly influence youth's total energy intake or snack food consumption during a randomized trial. J Behav Med. 2025 Aug;48(4):683-693. doi: 10.1007/s10865-025-00577-8. Epub 2025 Jun 9.

  • Smith MR, Bittner JMP, Loch LK, Haynes HE, Bloomer BF, Te-Vazquez J, Bowling AI, Brady SM, Tanofsky-Kraff M, Chen KY, Yanovski JA, Cheon BK. Independent and Interactive Associations of Subjective and Objective Socioeconomic Status With Body Composition and Parent-Reported Hyperphagia Among Children. Child Obes. 2024 Sep;20(6):394-402. doi: 10.1089/chi.2023.0086. Epub 2023 Nov 9.

  • Rubin AG, Schvey NA, Shank LM, Altman DR, Swanson TN, Ramirez E, Moore NA, Jaramillo M, Ramirez S, Davis EK, Broadney MM, LeMay-Russell S, Byrne ME, Parker MK, Brady SM, Kelly NR, Tanofsky-Kraff M, Yanovski JA. Associations between weight-based teasing and disordered eating behaviors among youth. Eat Behav. 2021 Apr;41:101504. doi: 10.1016/j.eatbeh.2021.101504. Epub 2021 Mar 29.

  • Schvey NA, Shank LM, Tanofsky-Kraff M, Ramirez S, Altman DR, Swanson T, Rubin AG, Kelly NR, LeMay-Russell S, Byrne ME, Parker MN, Broadney MM, Brady SM, Yanovski SZ, Yanovski JA. Weight-based teasing in youth: Associations with metabolic and inflammatory markers. Pediatr Obes. 2021 Mar;16(3):e12729. doi: 10.1111/ijpo.12729. Epub 2020 Oct 15.

Related Links

MeSH Terms

Conditions

ObesityFeeding BehaviorFractures, StressBulimia

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsBehavior, AnimalBehaviorFractures, BoneWounds and InjuriesHyperphagiaSigns and Symptoms, Digestive

Study Officials

  • Bobby K Cheon

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

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 17, 2015

First Posted

March 18, 2015

Study Start

April 21, 2015

Primary Completion (Estimated)

December 12, 2030

Study Completion (Estimated)

December 31, 2030

Last Updated

April 16, 2026

Record last verified: 2026-04-08

Data Sharing

IPD Sharing
Will share

All individual participant data sets that underlie results in a publication are to be shared.

Shared Documents
STUDY PROTOCOL, ICF, CSR
Time Frame
NIH subject data will become available starting 6 months after publication of a results paper and will be available from the NIH site for 2 years.
Access Criteria
NIH data with personal identifiers removed will be shared upon reasonable request to the PI, who will review requests. A data sharing agreement will be required to be negotiated with NICHD before sharing takes place.

Locations