The goal of this experimental study is to develop and evaluate the effectiveness of a Mindful Eating Intervention (MEI) model integrated with the digital application EatsUp for improving body fat percentage among obese adolescents in Indonesia. The study aims to address the rising prevalence of adolescent obesity and its associated health risks, such as insulin resistance and cardiometabolic syndrome, by promoting mindful eating habits and healthy lifestyle behaviors. The main questions it aims to answer are: * Is the MEI model valid and acceptable for use among obese adolescents? * Does the MEI model reduce: * Body fat percentage? * Waist-to-height ratio (WHtR)? * Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)? * Does the MEI model improve eating behavior scores compared to a control group over 12 weeks? Participants will: * Use the EatsUp app, designed to monitor calorie intake/output and deliver mindful eating and nutrition education. * Receive training on mindfulness-based eating practices, along with guidance on balanced nutrition and physical activity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
64
Mindful Eating Intervention applied to Obesity treatment for Adolescent alongside with Nutrition and Physical Activity Education from Nutritionist and Psychologist
Nutrition and physical activity education from Nutritionist applied as Obesity treatment for Adolescent
Universitas Indonesia
Jakarta, Indonesia
Body Composition
Body composition measured in this study are Body Mass Index for Age (BMI-Age), Waist-to-Height Ratio (WHtR), Waist Circumference, Body Fat Percentage,
Time frame: From enrollment to the end of intervention at 12 weeks
Fasting Blood Sugar Levels
Blood glucose examination is carried out after fasting for 10 - 12 hours.
Time frame: From enrollment to the end of intervention at 12 weeks
Fasting Insulin Levels
Measures the amount of insulin in the blood during fasting.
Time frame: From enrollment to the end of intervention at 12 weeks
Insulin Resistance
HOMA-IR (Homeostatic Model Assessment for Insulin Resistance): Calculated using fasting glucose and insulin levels, with a threshold value (≥3.8) indicating insulin resistance.
Time frame: From enrollment to the end of intervention at 12 weeks
Mindful Eating Score
Mindful eating is assessed based on 5 domains: distraction, disinhibition, awareness, external cues, and emotional eating. Mindful Eating Questionnaire is scored by adding up responses to each item and dividing by the total number of items answered. The resulting score ranges from 1 to 4, with higher scores indicating more mindful eating.
Time frame: From enrollment to the end of intervention at 12 weeks
Eating Behavior
Psychosocial factors and attitudes that influence eating behavior such as food choices, dieting, and the presence of eating disorders measured using Adolescent Food Habit Checklist (AFHC)
Time frame: From enrollment to the end of intervention at 12 weeks
Binge Eating
Eating behavior disorder where a person tends to overeat and has difficulty controlling it is assessed from a total score of 16 statements using Binge Eating Scale Questionnaire. The total score ranges from 0 to 46, with higher scores correlating with more frequent and severe binge eating behaviors. Based on the total scores, it can be classified into distinct severity categories as follows: 1. Low Binge-Eating: Scores of 17 or lower; 2. Mild to Moderate Binge-Eating: Scores ranging from 18 to 26; 3. Severe Binge-Eating: Scores of 27 or higher, indicating a high frequency and severity of binge-eating symptoms.
Time frame: From enrollment to the end of intervention at 12 weeks
Sleep Quality
Sleep can produce a feeling of being fit, assessed based on duration, latency, efficiency and sleep disturbance as measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire.
Time frame: From enrollment to the end of intervention at 12 weeks
Physical Activity Level
Measurement of physical activity during the last 7 days using the International Physical Activity Questionnaire for Adolescent (IPAQ-A)
Time frame: From enrollment to the end of intervention at 12 weeks
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