Trial Outcomes & Findings for Pediatric Quality of Life Among Population With Body Mass Index (BMI) Greater Than or Equal to 85% (NCT NCT00714870)

NCT ID: NCT00714870

Last Updated: 2013-05-31

Results Overview

Using a validated quality of life questionnaire we analyzed change in child self-report scores comparing baseline questionnaire scores to end of study questionnaire scores for these categories: total (includes physical and psychosocial), physical, and psychosocial(includes emotional, social, and school). Scale information: The range is 0-100 in terms of points they could get for each category. They had the options of 0-4, 0 being the best. 0 would then be transformed to a score of 100, 1 to 75, 2 to 50, 3 to 25 and 4 to 0. Results are clinically significant if the difference in scores are higher than the Minimal Clinical Important Difference (MCID). MCID are as follows: Total Score: 4.36, Physical Health: 6.66, Psychosocial Health: 5.30.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

76 participants

Primary outcome timeframe

one year comparing change in questionnaire scores at baseline to results from questionnaire completed a year later

Results posted on

2013-05-31

Participant Flow

Participants with BMI % greater than or equal to 85% ages 9-20 were recruited from providers' offices between 2008-2012

Participants with endocrinologic conditions associated with weight gain were excluded from enrollment

Participant milestones

Participant milestones
Measure
Intervention: Nutrition and Exercise Program
intervention: this group will attend the nutrition and exercise program Behavioral nutrition and exercise program : The intervention consists of a behavioral nutrition and exercise program. Meetings occur monthly on a Saturday afternoon and last 4 hours. During this time we cover: 1)registration: monitoring of sedentary activities and liquid choices, motivational interviewing, exercise testing;2)exercise: includes strength training; 3) educational lectures; 4) didactic games and projects.
Control Group: Standard of Care at Pediatrician's Office
control group: this group will not attend the nutrition and exercise program
Overall Study
STARTED
49
27
Overall Study
COMPLETED
22
22
Overall Study
NOT COMPLETED
27
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention: Nutrition and Exercise Program
intervention: this group will attend the nutrition and exercise program Behavioral nutrition and exercise program : The intervention consists of a behavioral nutrition and exercise program. Meetings occur monthly on a Saturday afternoon and last 4 hours. During this time we cover: 1)registration: monitoring of sedentary activities and liquid choices, motivational interviewing, exercise testing;2)exercise: includes strength training; 3) educational lectures; 4) didactic games and projects.
Control Group: Standard of Care at Pediatrician's Office
control group: this group will not attend the nutrition and exercise program
Overall Study
Lost to Follow-up
22
5
Overall Study
patient unable to come b/c back pain
1
0
Overall Study
did not attend minimum of 4 sessions
4
0

Baseline Characteristics

Pediatric Quality of Life Among Population With Body Mass Index (BMI) Greater Than or Equal to 85%

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention: Nutrition and Exercise Program
n=22 Participants
intervention: this group will attend the nutrition and exercise program control group: this group will not attend the nutrition and exercise program Behavioral nutrition and exercise program : The intervention consists of a behavioral nutrition and exercise program. Meetings occur monthly on a Saturday afternoon and last 4 hours. During this time we cover: 1)registration: monitoring of sedentary activities and liquid choices, motivational interviewing, exercise testing;2)exercise: includes strength training; 3) educational lectures; 4) didactic games and projects.
Control Group
n=22 Participants
control group: this group will not attend the nutrition and exercise program
Total
n=44 Participants
Total of all reporting groups
Age, Categorical
<=18 years
21 Participants
n=99 Participants
22 Participants
n=107 Participants
43 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age Continuous
11.6 years
STANDARD_DEVIATION 2.1 • n=99 Participants
12 years
STANDARD_DEVIATION 2.3 • n=107 Participants
11.8 years
STANDARD_DEVIATION 2.2 • n=206 Participants
Sex: Female, Male
Female
8 Participants
n=99 Participants
12 Participants
n=107 Participants
20 Participants
n=206 Participants
Sex: Female, Male
Male
14 Participants
n=99 Participants
10 Participants
n=107 Participants
24 Participants
n=206 Participants
Region of Enrollment
United States
22 participants
n=99 Participants
22 participants
n=107 Participants
44 participants
n=206 Participants

PRIMARY outcome

Timeframe: one year comparing change in questionnaire scores at baseline to results from questionnaire completed a year later

Population: To detect an effect with greater than or equal to 80% power at a 0.05 two sided significant level, we concluded we needed 22 participants completing each group, intervention and control

Using a validated quality of life questionnaire we analyzed change in child self-report scores comparing baseline questionnaire scores to end of study questionnaire scores for these categories: total (includes physical and psychosocial), physical, and psychosocial(includes emotional, social, and school). Scale information: The range is 0-100 in terms of points they could get for each category. They had the options of 0-4, 0 being the best. 0 would then be transformed to a score of 100, 1 to 75, 2 to 50, 3 to 25 and 4 to 0. Results are clinically significant if the difference in scores are higher than the Minimal Clinical Important Difference (MCID). MCID are as follows: Total Score: 4.36, Physical Health: 6.66, Psychosocial Health: 5.30.

Outcome measures

Outcome measures
Measure
Intervention: Nutrition and Exercise Program
n=22 Participants
intervention: this group will attend the nutrition and exercise program control group: this group will not attend the nutrition and exercise program Behavioral nutrition and exercise program : The intervention consists of a behavioral nutrition and exercise program. Meetings occur monthly on a Saturday afternoon and last 4 hours. During this time we cover: 1)registration: monitoring of sedentary activities and liquid choices, motivational interviewing, exercise testing;2)exercise: includes strength training; 3) educational lectures; 4) didactic games and projects.
Control
n=22 Participants
Control group received the standard of care at pediatrician's office
Change in Child Self-report Health Related Quality of Life Scores After Intervention: Total, Physical and Psychosocial (Presented in This Order)
Mean change in scores: Total
7.8 units on a scale
Standard Deviation 16.8
-0.9 units on a scale
Standard Deviation 15.6
Change in Child Self-report Health Related Quality of Life Scores After Intervention: Total, Physical and Psychosocial (Presented in This Order)
Mean change in scores: Physical
9.1 units on a scale
Standard Deviation 22.5
-0.3 units on a scale
Standard Deviation 14.2
Change in Child Self-report Health Related Quality of Life Scores After Intervention: Total, Physical and Psychosocial (Presented in This Order)
Mean change in scores: Psychosocial
7.2 units on a scale
Standard Deviation 17.7
-1.2 units on a scale
Standard Deviation 17.6

Adverse Events

Intervention: Nutrition and Exercise Program

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Shirley Gonzalez

St. Elizabeth's Medical Center

Phone: 617-926-0114

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place