Healthy Weight Clinic for Pediatric Obesity

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Massachusetts General Hospital, Boston, MA
Pediatric Obesity+1 More
Healthy Weight Clinic - Behavioral
Eligibility
< 65
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a program of care can help people lose weight.

See full description

Eligible Conditions

  • Pediatric Obesity

Treatment Effectiveness

Effectiveness Progress

1 of 3

Other trials for Pediatric Obesity

Study Objectives

This trial is evaluating whether Healthy Weight Clinic will improve 2 primary outcomes and 8 secondary outcomes in patients with Pediatric Obesity. Measurement will happen over the course of 0-12 months.

0-12 months
Change in Child BMI at 12 months
Change in Child BMI percent of the 95th percentile at 12 months
Change in Child Binge Eating at 12 months based on Questionnaire
Change in Child Nutrition at 12 months based on Questionnaire
Change in Child Parental Stress at 12 months based on Questionnaire
Change in Child Physical Activity at 12 months based on Questionnaire
Change in Child Quality of Life at 12 months based on Sizing Them Up Questionnaire
Change in Child Screen Time at 12 months based on Questionnaire
Change in Child Sleep at 12 months based on Questionnaire
Change in Family Food Insecurity at 12 months based on Hunger Vital Signs Questionnaire

Trial Safety

Safety Progress

1 of 3

Other trials for Pediatric Obesity

Trial Design

1 Treatment Group

Clinically Based: Healthy Weight Clinic
1 of 1
Experimental Treatment

This trial requires 200 total participants across 1 different treatment group

This trial involves a single treatment. Healthy Weight Clinic is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Clinically Based: Healthy Weight Clinic
Behavioral
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Healthy Weight Clinic
2016
N/A
~410

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 0-12 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 0-12 months for reporting.

Who is running the study

Principal Investigator
L. G. F. M.
Lauren G. Fiechtner M.D., Director of Nutrition, Division of Gastroenterology and Pediatric Health Outcomes Research
Massachusetts General Hospital

Closest Location

Massachusetts General Hospital - Boston, MA

Eligibility Criteria

This trial is for patients born any sex aged 65 and younger. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
child is age 2 through 18 years at referral
child's BMI meets or exceeds the 85th percentile for age and sex
parent can read and respond to interviews and questionnaires in English or Spanish
received care at one of the participating pilot sites

Patient Q&A Section

What are the signs of obesity?

"Obesity can occur within all racial groups. Being overweight is caused by a low level of physical activity and overeating. Being obese is caused by either being physically inactive or consuming high levels of saturated fat." - Anonymous Online Contributor

Unverified Answer

What are common treatments for obesity?

"There is no cure for obesity. Treatment of obesity for health benefits is highly dependent on the patient's underlying medical conditions, with dietary modifications and exercise being the two most commonly used interventions. Although a broad variety of weight loss approaches have been used in the past, the most recent evidence suggests that a restrictive diet and exercise are the two most effective treatments." - Anonymous Online Contributor

Unverified Answer

What causes obesity?

"Obesity is a complex disease caused by an assortment of factors, of which genetic, environmental, behavioural and economic are the most significant. The genetic component is particularly large, and is likely to be more important than other factors. We discuss the role of dietary factors as well as the role of obesity as a metabolic syndrome component. The epidemiology of obesity is complex, with risk factors being strongly correlated." - Anonymous Online Contributor

Unverified Answer

How many people get obesity a year in the United States?

"It is estimated that around 26 million Americans will be at an increased risk for obesity in the United States. More than one-fourth of American adults will be classified as obesity." - Anonymous Online Contributor

Unverified Answer

Can obesity be cured?

"Given the evidence that shows only modest effects of diets in the short term and the inherent difficulty of achieving or maintaining a significant weight loss, researchers and health professionals are urgently needed to understand the precise mechanisms of diet-induced adiposity to determine how to achieve maximum weight loss." - Anonymous Online Contributor

Unverified Answer

What is obesity?

"Obesity is a multifaceted complex trait. Obesity is a result of the interaction of both positive and negative gene-environment interactions. Even though it is difficult to determine the genetics of obesity, current studies have identified specific genetic factors that contribute to a child's weight gain. Obesity can now be treated to reduce the complications that come with high weights because of the development of new therapeutic drugs." - Anonymous Online Contributor

Unverified Answer

Has healthy weight clinic proven to be more effective than a placebo?

"Healthy Weight Clinic, administered in primary care, is effective in terms of weight loss, and is equally effective when used for a short (1-2 month) or long (4-6 month) term. Results from a recent paper also indicate that an early intervention (≤3 months) can be as effective as the placebo, and that this intervention can produce a lower BMI than a standard treatment." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of obesity?

"The cause of obesity remains unclear. It is unlikely that most cases of obesity are a combination of hereditary and environmental factors, but it is possible that a combination of the two factors could play a major role in the development of obesity. In any case, as the global prevalence of obesity continues to increase, it is likely that it will become a more important and more contentious issue in the future." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating obesity?

"Since 1981, more than 30 medications have been approved by the FDA to facilitate weight loss. While initial pharmacology studies showed good results with barbiturate or clomipramine, few studies showed sustained weight loss, and few provided long-term follow-up data. There have also been several Phase III clinical trials that suggest that drugs, including sibutramine, orlistat, and amorelin may result in weight loss over 1 year with minimal side effects. The next step will be to understand how these drugs work so they can be developed for use in obese patients; more study, however, with longer observation periods and a wider spectrum of patients will be necessary before these drugs can be recommended for clinical use." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of healthy weight clinic?

"We believe that a healthy weight clinic can help many patients overcome weight gain and obesity. Although there is no clear cut definition of the 'benefits' of healthy weights clinics in the English-speaking research literature, our results suggest that it is an effective intervention that is likely to be sustained for at least 6 months." - Anonymous Online Contributor

Unverified Answer

What is the latest research for obesity?

"Many studies and reports on the obese are not current; therefore, many of the current research findings may not be completely applicable. For example, new weight-loss approaches using diet pills, dieting (or "detoxification"); and medical or surgical methods to treat people who have an enlarged waist or large belly are not yet widely accepted in the medical industry; and many of the studies being conducted and reported on in the scientific literature may not be applicable to people who have an enlarged waist or large belly." - Anonymous Online Contributor

Unverified Answer

What does healthy weight clinic usually treat?

"Health care services are using varying definitions of obesity and the criteria for referrals are based mostly on perceived health considerations. This may result in undertreatment and undertreatment. The provision of weight management care in primary care may have greater impact than expected by providing more support for physical activity and dietary intake recommendations." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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