Treatment for Pediatric Obesity

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Children's Hospital of Richmond at VCU Healthy Lifestyles Center, Henrico, VA
Pediatric Obesity+1 More
Eligibility
< 18
All Sexes
Eligible conditions
Select

Study Summary

Parent Involvement in Adolescent Obesity Treatment

See full description

Eligible Conditions

  • Pediatric Obesity

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Treatment will improve 1 primary outcome, 8 secondary outcomes, and 4 other outcomes in patients with Pediatric Obesity. Measurement will happen over the course of 4 months [0 - 4 month].

Month 12
Weight control practices
Month 4
Parent weight loss
4 months [0-4 month]
Autonomy Support
Child Feeding
Home Environment
Parent Child Relationship
Parent Self-efficacy
Parenting Style
Role Modeling
Social Support
Month 12
Adolescent weight loss maintenance
Month 12
Dietary intake
Physical activity

Trial Safety

Trial Design

2 Treatment Groups

TEENS+Parents as Coaches
1 of 2
TEENS+Parent Weight Loss
1 of 2
Active Control

This trial requires 420 total participants across 2 different treatment groups

This trial involves 2 different treatments. Treatment 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.

TEENS+Parents as Coaches
Behavioral
Parents are taught strategies to support and facilitate child weight management via family-based change. Each visit includes group psychoeducation and discussion, focused on strategies to facilitate healthy weight management in their child(ren). Topics include role modeling, strategies for healthy lifestyle changes, and how to be a coach to your teen. They receive personalized feedback throughout the program. All adolescents participate in a group-based empirically supported behavioral weight management treatment, that includes dietary and physical activity goals, and instructions to self-monitor key information. Adolescents will receive training in core behavioral weight loss strategies (e.g. goal setting, stimulus control) and techniques to help them achieve these goals. They also receive personalized feedback throughout the program.
TEENS+Parent Weight Loss
Behavioral
Parents are given a weight loss goal of 1-2 lbs/week, and specific calorie and fat prescriptions, PA goals, and instructions to self-monitor key information. Parents receive training in core behavioral weight loss strategies (e.g. goal setting, stimulus control) and techniques to help them achieve these goals. They also receive personalized feedback throughout the program. All adolescents participate in a group-based empirically supported behavioral weight management treatment, that includes dietary and physical activity goals, and instructions to self-monitor key information. Adolescents receive training in core behavioral weight loss strategies (e.g. goal setting, stimulus control) and techniques to help them achieve these goals. They also receive personalized feedback throughout the program.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 12 months [0-4 mo; 4-12 mo]
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 12 months [0-4 mo; 4-12 mo] for reporting.

Closest Location

Children's Hospital of Richmond at VCU Healthy Lifestyles Center - Henrico, VA

Eligibility Criteria

This trial is for patients born any sex aged 18 and younger. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
BMI ≥ 85th percentile for age and gender according to the CDC Growth Charts
Age 12 to 16
Must reside with the primary participating parent
18 - 60 years of age
BMI ≥ 25 kg/m2
Must reside with the adolescent

Patient Q&A Section

What are the signs of obesity?

"The signs and symptoms of obesity vary significantly from individual to individual depending on body weight. A careful physical examination is essential in the evaluation of obesity and the detection of obesity-related diseases, and the clinician can consider all" - Anonymous Online Contributor

Unverified Answer

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

"Results from a recent clinical trial provides the estimates of the annual numbers of youth who are obese, and can be used for policy-oriented and political discussions with the federal departments of health and the federal agencies involved in the education and health promotion of youth. In order to maximize the prevention of obesity among youth, we need to work on this epidemic issue." - Anonymous Online Contributor

Unverified Answer

What is obesity?

"Obesity is a condition in which an individual has an elevated body mass index (BMI) value compared to the World Health Organisation (2000) reference criteria. It increases the risk of obesity-associated illnesses such as diabetes mellitus and cancer of the colon, liver and pancreatic islets. More than half of all obese individuals are unaware or cannot correctly attribute their weight to their excessive eating of food items exceeding recommendations." - Anonymous Online Contributor

Unverified Answer

What causes obesity?

"Genetic factors play a significant role in obesity. Obesity is also due to behavioral factors in which people eat large amounts of fast-fat foods that are high in carbohydrates and simple sugars. Behavioral factors can be minimized with the use of dieters and exercise. However, these factors can be exacerbated in genetically predisposed individuals by stress hormones, stress, smoking, alcohol abuse, sleep disturbances, obesity or other health issues, and exposure to pesticides or pollutants in our environment." - Anonymous Online Contributor

Unverified Answer

What are common treatments for obesity?

"Obesity may be treated with diet and exercise, diet alone or bariatric surgery. Weight loss after bariatric surgery is not common despite many patients being in a'satisfied' weight range." - Anonymous Online Contributor

Unverified Answer

Has treatment proven to be more effective than a placebo?

"Findings from a recent study demonstrates that weight loss is not only more effective than a placebo, it is more effective with prescription medicines. Most of our patients achieved a 5-10 % weight loss. Patients with a BMI in the obese range who are able to achieve a weight loss over 5–10% are likely to persist in a weight loss program, and thus achieve a greater long-term weight reduction and lower blood pressure. This suggests that treatment can be more effective than a placebo since more patients would likely be able to achieve an actual weight loss." - Anonymous Online Contributor

Unverified Answer

Have there been other clinical trials involving treatment?

"Results from a recent paper of this open-label trial suggest that further placebo-controlled randomized clinical trials of pioglitazone (a sulfonylurea) in overweight and obese individuals with type 2 diabetes were warranted." - Anonymous Online Contributor

Unverified Answer

Does obesity run in families?

"Obesity continues to be an issue in the family. The majority of children in the series were overweight, and many were obese. It is important for parents to be aware that obesity in one family member can make obesity more challenging within the family and more likely to develop in the children." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets obesity?

"Obesity rises rapidly in young adulthood, from 20 years of age onwards, but not until one looks at the age-expectancy pattern. The reason for this can be found in the timing of the onset of the most dangerous risk factors (smoking and sedentariness) in different age groups. The prevalence of overweight and obesity has been associated with a number of personal and environmental risk factors such as socioeconomic status, schooling, and family socio-ecological environment." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating obesity?

"There are several new discoveries that show promising results for overcoming obesity. A new avenue for research could be the use of anti-obesity drugs, which inhibit the PPARγ/γ-activated signalling or induce the SIRT/LKB1-activated signalling, two important signalling systems for counteracting the effects of PPARγ and SREBP. Another avenue for research could be the use of GPR40 analogues; a receptor, that in obese patients was shown to stimulate food intake and adipose tissue growth. This type of drug might lead to new treatments for obesity." - 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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