NCT05784376

Brief Summary

Childhood obesity is a major public health concern worldwide and parents play a powerful role in children's eating behaviour. Most prior studies analysed parents and children's diet almost exclusively by evaluating food composition (i.e. calorie, macro- and micronutrient contents), with no or little attention paid to degree of food processing. The NOVA classification was proposed as a novel way to look at foods based on the degree of processing of foods rather than on their nutritional composition, postulating that processing may be as relevant to health as food composition. The term ultra-processed food (UPF) indicates industrially manufactured ready-to-eat or ready-to-heat formulations made mostly or entirely from substances extracted from foods or derived from food constituents often containing added flavours, colours, emulsifiers and other cosmetic additives. Most importantly, these industrial formulations are designed to maximize palatability and consumption through a combination of calorie-dense ingredients and chemical additives. Robust and well-conducted cohort studies worldwide found that a large dietary share of UPF is associated with shorter survival and an increased risk of non-communicable diseases. Given the rising popularity of UPF globally, and also in Mediterranean countries, the issue of food processing should be prioritized in relevant dietary recommendations with emphasis on consumption of minimally/unprocessed foods.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2023

Status
unknown

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

March 13, 2023

Completed
11 days until next milestone

First Posted

Study publicly available on registry

March 24, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

July 1, 2023

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2024

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2025

Completed
Last Updated

March 29, 2023

Status Verified

March 1, 2023

Enrollment Period

1 year

First QC Date

March 13, 2023

Last Update Submit

March 27, 2023

Conditions

Outcome Measures

Primary Outcomes (3)

  • Consumption of UPF in both parents and kids (changes in)

    3-day food records

    6 months

  • Nutrition knowledge levels of parents (changes in)

    Questionnaire to evaluate nutrition knowledge of parents

    6 months

  • Body weight of both parent and kids (>14 years) (changes in)

    self-reported height and weight

    6 months

Secondary Outcomes (3)

  • Adherence to the Mediterranean Diet in both parents and kids (changes in)

    6 months

  • Parental feeding practices (changes in)

    6 months

  • Psychological distress in parents (changes in)

    6 months

Interventions

Education-basedBEHAVIORAL

Nutrition education delivered via text messages through mobile applications (e.g. WhatsApp).

Eligibility Criteria

Age2 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

The Southern Italian Children, Adolescents and PaRents COhort Study on Nutrition and Health (ICARO Study) is designed as a web-based prospective cohort of children, adolescents and their parents/caregivers residing in Southern Italy. Participants' data will be collected through on-line questionnaires available on the Study's website, and updated every 6 months (i.e. dietary intake, anthropometric data and health status) or yearly (i.e. socio-demographics, lifestyle, and other environmental factors). Participants will be recruited through multimedia campaigns (regional newspapers, internet, social networks), contacts with schools also through the regional school system, professional channels (e.g. paediatricians, general practitioners), and targeted meetings with the general population.

You may qualify if:

  • parents/caregivers of 2-13 years old children, and adolescents aged 14-18 years at recruitment residing in Southern Italy.

You may not qualify if:

  • not being fluent in Italian language;
  • refusal to sign informed consent;
  • lack of an electronic device with internet access (i.e. computer, mobile phone).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Feeding BehaviorPediatric Obesity

Condition Hierarchy (Ancestors)

Behavior, AnimalBehaviorObesityOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Marialaura Bonaccio, PhD

    IRCCS Istituto Neurologico Mediterraneo Neuromed

    PRINCIPAL INVESTIGATOR
  • Licia Iacoviello, MD, PhD

    IRCCS Istituto Neurologico Mediterraneo Neuromed

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Marialaura Bonaccio, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 13, 2023

First Posted

March 24, 2023

Study Start

July 1, 2023

Primary Completion

June 30, 2024

Study Completion

June 30, 2025

Last Updated

March 29, 2023

Record last verified: 2023-03