Trial Outcomes & Findings for Activity, Adiposity, and Appetite in Adolescents 2 Intervention (NCT NCT05443347)

NCT ID: NCT05443347

Last Updated: 2026-02-12

Results Overview

he investigators will measure objective appetite responses using plasma ghrelin following a fixed-calorie meal.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

31 participants

Primary outcome timeframe

3 months

Results posted on

2026-02-12

Participant Flow

Participant milestones

Participant milestones
Measure
Structured Exercise
Adolescents randomized to the exercise will participate in a supervised structured exercise program (walking on a treadmill, cycling on a stationary bicycle, etc.) and expend an equivalent of 400 kcals/session (approximately 45-60 min/session) on three days/week. We will follow the protocol of Mentor Dr. Joseph Donnelly, with exercise prescriptions progressing from 150 kcal/session at intervention onset to reach the target exercise energy expenditure (EEEx) (400 kcal/session) at the end of month 3. EEEx will be assessed at baseline and monthly during the intervention to determine the duration of treadmill exercise required to achieve the EEEx goals. All supervised exercise will occur at the CCHLN on a treadmill with heart rate, speed, and grade monitored by an exercise specialist every five minutes. Aerobic exercise: Supervised aerobic exercise
Newsletter Control
Adolescents randomized to the newsletter control will receive with biweekly newsletters with "parenting tips, sample praise statements, and age-appropriate activities and recipes" identical to what has been used by others (Epstein et al., 2008), including existing group-based interventions with overweight/obese adolescents. Newsletter: Biweekly newsletter
Overall Study
STARTED
19
12
Overall Study
COMPLETED
14
11
Overall Study
NOT COMPLETED
5
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Activity, Adiposity, and Appetite in Adolescents 2 Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Structured Exercise
n=19 Participants
Adolescents randomized to the exercise will participate in a supervised structured exercise program (walking on a treadmill, cycling on a stationary bicycle, etc.) and expend an equivalent of 400 kcals/session (approximately 45-60 min/session) on three days/week. We will follow the protocol of Mentor Dr. Joseph Donnelly, with exercise prescriptions progressing from 150 kcal/session at intervention onset to reach the target exercise energy expenditure (EEEx) (400 kcal/session) at the end of month 3. EEEx will be assessed at baseline and monthly during the intervention to determine the duration of treadmill exercise required to achieve the EEEx goals. All supervised exercise will occur at the CCHLN on a treadmill with heart rate, speed, and grade monitored by an exercise specialist every five minutes. Aerobic exercise: Supervised aerobic exercise
Newsletter Control
n=12 Participants
Adolescents randomized to the newsletter control will receive with biweekly newsletters with "parenting tips, sample praise statements, and age-appropriate activities and recipes" identical to what has been used by others (Epstein et al., 2008), including existing group-based interventions with overweight/obese adolescents. Newsletter: Biweekly newsletter
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
19 Participants
n=41 Participants
12 Participants
n=1581 Participants
31 Participants
n=4626 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Age, Categorical
>=65 years
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Age, Continuous
16.3 years
STANDARD_DEVIATION 1.1 • n=41 Participants
15.6 years
STANDARD_DEVIATION 0.9 • n=1581 Participants
15.9 years
STANDARD_DEVIATION 1.1 • n=4626 Participants
Sex: Female, Male
Female
14 Participants
n=41 Participants
8 Participants
n=1581 Participants
22 Participants
n=4626 Participants
Sex: Female, Male
Male
5 Participants
n=41 Participants
4 Participants
n=1581 Participants
9 Participants
n=4626 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Asian
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=41 Participants
4 Participants
n=1581 Participants
7 Participants
n=4626 Participants
Race (NIH/OMB)
White
15 Participants
n=41 Participants
8 Participants
n=1581 Participants
23 Participants
n=4626 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=41 Participants
0 Participants
n=1581 Participants
1 Participants
n=4626 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Region of Enrollment
United States
19 participants
n=41 Participants
12 participants
n=1581 Participants
31 participants
n=4626 Participants

PRIMARY outcome

Timeframe: 3 months

The investigators will measure subjective appetite ratings using visual analog scales related to hunger following a fixed-calorie meal: Hunger, Area Under the Curve (AUC) Hunger and palatability were assessed using self-rated visual analogue scales (Rogers, P. J., \& Blundell, J. E. (1993). Intense sweeteners and appetite. The American Journal of Clinical Nutrition, 58(1), 120-122.) Scale is 0-100, with 0 equaling 'I am not hungry at all' and 100 equaling 'I have never been more hungry'. Area under the curve (AUC) was calculated for appetite variables by calculating the area of the response as you would a trapezoid.

Outcome measures

Outcome measures
Measure
Structured Exercise
n=14 Participants
Adolescents randomized to the exercise will participate in a supervised structured exercise program (walking on a treadmill, cycling on a stationary bicycle, etc.) and expend an equivalent of 400 kcals/session (approximately 45-60 min/session) on three days/week. We will follow the protocol of Mentor Dr. Joseph Donnelly, with exercise prescriptions progressing from 150 kcal/session at intervention onset to reach the target exercise energy expenditure (EEEx) (400 kcal/session) at the end of month 3. EEEx will be assessed at baseline and monthly during the intervention to determine the duration of treadmill exercise required to achieve the EEEx goals. All supervised exercise will occur at the CCHLN on a treadmill with heart rate, speed, and grade monitored by an exercise specialist every five minutes. Aerobic exercise: Supervised aerobic exercise
Newsletter Control
n=11 Participants
Adolescents randomized to the newsletter control will receive with biweekly newsletters with "parenting tips, sample praise statements, and age-appropriate activities and recipes" identical to what has been used by others (Epstein et al., 2008), including existing group-based interventions with overweight/obese adolescents. Newsletter: Biweekly newsletter
Appetite- Subjective
6282 score*minute
Standard Error 1075
8738 score*minute
Standard Error 1171

PRIMARY outcome

Timeframe: 3 months

Population: Plasma ghrelin values were not assessed. Blood samples needed for assessment were not obtained due to lack of staff. Samples will not be collected in the future.

he investigators will measure objective appetite responses using plasma ghrelin following a fixed-calorie meal.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: 3 months

The investigators will measure objective and subjective appetite responses as described above adjusted by insulin sensitivity (glucose infusion rate, mg/kg/min) as assessed in the euglycemic hyperinsulinemic clamp technique.

Outcome measures

Outcome measures
Measure
Structured Exercise
n=14 Participants
Adolescents randomized to the exercise will participate in a supervised structured exercise program (walking on a treadmill, cycling on a stationary bicycle, etc.) and expend an equivalent of 400 kcals/session (approximately 45-60 min/session) on three days/week. We will follow the protocol of Mentor Dr. Joseph Donnelly, with exercise prescriptions progressing from 150 kcal/session at intervention onset to reach the target exercise energy expenditure (EEEx) (400 kcal/session) at the end of month 3. EEEx will be assessed at baseline and monthly during the intervention to determine the duration of treadmill exercise required to achieve the EEEx goals. All supervised exercise will occur at the CCHLN on a treadmill with heart rate, speed, and grade monitored by an exercise specialist every five minutes. Aerobic exercise: Supervised aerobic exercise
Newsletter Control
n=11 Participants
Adolescents randomized to the newsletter control will receive with biweekly newsletters with "parenting tips, sample praise statements, and age-appropriate activities and recipes" identical to what has been used by others (Epstein et al., 2008), including existing group-based interventions with overweight/obese adolescents. Newsletter: Biweekly newsletter
Appetite- Adjusted
7482 score on a scale*min
Standard Error 1094
8269 score on a scale*min
Standard Error 1094

Adverse Events

Structured Exercise

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

Newsletter Control

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Structured Exercise
n=19 participants at risk
Adolescents randomized to the exercise will participate in a supervised structured exercise program (walking on a treadmill, cycling on a stationary bicycle, etc.) and expend an equivalent of 400 kcals/session (approximately 45-60 min/session) on three days/week. We will follow the protocol of Mentor Dr. Joseph Donnelly, with exercise prescriptions progressing from 150 kcal/session at intervention onset to reach the target exercise energy expenditure (EEEx) (400 kcal/session) at the end of month 3. EEEx will be assessed at baseline and monthly during the intervention to determine the duration of treadmill exercise required to achieve the EEEx goals. All supervised exercise will occur at the CCHLN on a treadmill with heart rate, speed, and grade monitored by an exercise specialist every five minutes. Aerobic exercise: Supervised aerobic exercise
Newsletter Control
n=12 participants at risk
Adolescents randomized to the newsletter control will receive with biweekly newsletters with "parenting tips, sample praise statements, and age-appropriate activities and recipes" identical to what has been used by others (Epstein et al., 2008), including existing group-based interventions with overweight/obese adolescents. Newsletter: Biweekly newsletter
General disorders
Sore arm following IV
0.00%
0/19 • Average of 117 days
8.3%
1/12 • Number of events 1 • Average of 117 days
General disorders
Skin reaction to activity monitor
0.00%
0/19 • Average of 117 days
8.3%
1/12 • Number of events 1 • Average of 117 days

Additional Information

Dr. Robin Shook

Children's Mercy

Phone: 816-234-9251

Results disclosure agreements

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