Trial Outcomes & Findings for Neurocognitive Benefits of a Weight Management Program (NCT NCT04202133)

NCT ID: NCT04202133

Last Updated: 2025-02-10

Results Overview

Changes in BOLD fMRI response to high-calorie food images

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

61 participants

Primary outcome timeframe

Change from baseline to 16 weeks

Results posted on

2025-02-10

Participant Flow

Participant milestones

Participant milestones
Measure
WW (Formerly Weight Watchers)
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Overall Study
STARTED
31
30
Overall Study
COMPLETED
30
26
Overall Study
NOT COMPLETED
1
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neurocognitive Benefits of a Weight Management Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
WW (Formerly Weight Watchers)
n=31 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=30 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Total
n=61 Participants
Total of all reporting groups
Age, Continuous
42 years
STANDARD_DEVIATION 8.7 • n=99 Participants
40.1 years
STANDARD_DEVIATION 11.1 • n=107 Participants
41.1 years
STANDARD_DEVIATION 9.9 • n=206 Participants
Sex: Female, Male
Female
31 Participants
n=99 Participants
30 Participants
n=107 Participants
61 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=99 Participants
3 Participants
n=107 Participants
6 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=99 Participants
27 Participants
n=107 Participants
55 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
16 Participants
n=99 Participants
15 Participants
n=107 Participants
31 Participants
n=206 Participants
Race (NIH/OMB)
White
13 Participants
n=99 Participants
13 Participants
n=107 Participants
26 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Changes in BOLD fMRI response to high-calorie food images

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=29 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=22 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Blood Oxygen Level-dependent (BOLD) Response to High-calorie Foods Cues Minus Neutral Objects in Left Anterior Cingulate Cortex
-0.05 percent BOLD signal change
Standard Error 0.05
-0.16 percent BOLD signal change
Standard Error 0.06

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Changes in scores on the Reward-Based Eating Drive Scale; range of 0-52; higher scores indicate higher reward-related eating

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=30 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=26 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Reward-based Eating
-3.9 units on a scale
Standard Error 1.4
-0.7 units on a scale
Standard Error 1.5

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Changes in scores on the Food Cravings Questionnaire- Trait (lack of control over eating), range=6-36, higher scores indicate greater cravings

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=31 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=30 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Food Cravings- Trait (Lack of Control Over Eating)
-2.7 score on a scale
Standard Error 0.8
-0.1 score on a scale
Standard Error 0.9

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Population: Data not analyzed due to technical error with coding of the task that resulted in the data being unusable

Changes in scores on the Leeds Food Preference Questionnaire

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Changes in scores on the Eating Behaviors Questionnaire (liking for high-calorie foods); visual analog scores ranging from 0-100 with higher scores indicating a worse outcome

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=31 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=30 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Eating Behaviors
-3.2 units on a scale
Standard Error 2.1
1.0 units on a scale
Standard Error 2.3

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Change in hippocampal volume

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=29 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=22 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Hippocampal Volume
-84.9 mm^3
Standard Error 154.8
42.8 mm^3
Standard Error 172.9

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Population: Data not analyzed due to technical error due to coding in N-bask task in E-Prime that resulted in the data being unusable

Changes in BOLD fMRI response to the N-back task

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Changes in scores on the Eating Behaviors Questionnaire (liking for low-calorie foods); visual analog scores ranging from 0-100 with higher scores indicating a better outcome

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=31 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=30 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Eating Behaviors (Low-calorie Foods)
0.7 units on a scale
Standard Error 2.3
-0.8 units on a scale
Standard Error 2.3

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks

Population: Data not analyzed due to technical error due to coding in N-bask task in E-Prime that resulted in the data being unusable

Change in reaction time (seconds) on the N-back task

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks

Percent weight change

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=31 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=30 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Percent Weight
-4.7 percentage of initial weight loss
Standard Error 4.9
0.2 percentage of initial weight loss
Standard Error 3.5

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks

Population: Intention to treat

Changes in eating behavior as measured by the Eating Inventory (Cognitive restraint, disinhibited eating, and hunger subscales, summed scores, higher values indicate greater restraint/disinhibition/hunger). The cognitive restraint scale includes 21 items (range 0-21). Higher scores demonstrate more awareness of one's eating and success in restricting dietary intake for weight control. The disinhibited eating scale includes 16 items (range 0-16). Higher scores signify more overeating tendencies. The hunger scale has 14 items and higher scores indicate more perceived hunger (range 0-14). Subscales were analyzed separately.

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=30 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=26 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Eating Behavior
Hunger
-0.9 score on a scale
Standard Error 0.4
-0.7 score on a scale
Standard Error 0.5
Eating Behavior
Disinhibition
-1.5 score on a scale
Standard Error 0.4
-0.4 score on a scale
Standard Error 0.5
Eating Behavior
Cognitive restraint
3.5 score on a scale
Standard Error 0.6
0.3 score on a scale
Standard Error 0.7

SECONDARY outcome

Timeframe: Change from baseline to 16 weeks

Population: Intention to treat

Changes in eating behavior as measured by the Power of Food Scale; higher scores indicate greater hedonic hunger. Range of scores is 1-5

Outcome measures

Outcome measures
Measure
WW (Formerly Weight Watchers)
n=30 Participants
16-weeks of the group-based WW program WW (formerly Weight Watchers): The WW intervention will consist of weekly group workshops for 16 weeks with WW Coaches and Guides.
Waitlist Control
n=26 Participants
16-weeks on waitlist then participants will be provided with 16-weeks of the group-based WW program Waitlist: The waitlist group will have a 16-week waitlist period. After the waitlist period, they will be offered the WW intervention
Power of Food
-0.4 score on a scale
Standard Error 0.6
-0.1 score on a scale
Standard Error 0.7

Adverse Events

WW (Formerly Weight Watchers)

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

Waitlist 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. Ariana Chao

University of Pennsylvanai

Phone: 215-746-7183

Results disclosure agreements

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