Family Based Treatment for Weight Loss With Breakfast Prescription

University of California, San Diego66 enrolled

Overview

The purpose of this study is to evaluate whether a behavioral weight loss group in conjunction with a prescribed breakfast can help children between 8 and 12 years of age change their behaviors to help them lose weight and become healthier.

The purpose of this application is to evaluate the acceptability and initial efficacy of consumption of an egg breakfast, compared to a cereal breakfast, in the context of Family-based Behavioral Treatment (FBT) with overweight and obese children and their parents. Investigators will randomize 66 parents and their overweight and obese child (85-99.9%BMI) to FBT+egg or FBT+cereal groups. Families will eat their assigned breakfast (eggs or cereal) 5 out of 7 days during the 4 month FBT treatment. However, all other aspects of FBT will be the same in the two groups. Children and parents will complete assessments at three time points; baseline, post-treatment and 4-months post-treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Obesity Overweight Overeating Weight Childhood Obesity

Interventions

Family Based Behavioral TreatmentBEHAVIORAL

The intervention for both groups will be a 4-month Family-Based Behavioral Treatment (FBT), which includes dietary changes, physical activity changes, and behavioral therapy. Treatment is provided in separate parent and child groups. Families will learn to reduce caloric consumption and increase caloric expenditure (physical activity). Behavior therapy includes stimulus control, self-monitoring, goal setting and contracting, parenting skills, skills for managing high-risk situations, and maintenance and relapse prevention. Families will self-monitor caloric intake, breakfast consumption, physical activity, and hunger and satiety throughout the day.

Eligibility

Sex: ALLMin age: 8 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children between the ages of 8 and 12 years old; 2. BMI ≥85th% and \<100% overweight 3. Children with parents who are willing to attend 16 weekly group sessions and be randomized to either treatment arm; 4. Have at least one parent who is overweight or obese (BMI≥25); 5. Children and parent who endorse liking of both eggs and cereal 6. Parents who speak English at a 5th grade level. Exclusion Criteria: 1. Children with serious medical conditions that affect their weight; 2. Children taking medication that affect appetite or weight; 3. Children with severe developmental delay or disability that would affect participation; 4. Children or parents with psychological illness that would limit treatment participation; 5. Families who plan to move out of the area within the time frame of the study.

Locations (1)

Center for Healthy Eating and Activity Research

La Jolla, California, United States

Outcomes

Primary Outcomes

Ratings of acceptability intervention

Time frame: 4 months

Ratings of liking intervention

Time frame: 4 months

Secondary Outcomes

Child weight

Measured by Body Mass Index (BMI)

Time frame: 8 months

Parent weight

Measured by Body Mass Index (BMI)

Time frame: 8 months

Data from ClinicalTrials.gov

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