Adolescent Obesity Clinical Trial
Official title:
Lifestyle Intervention of Obese Teenagers (LITE) Program: A Randomized Controlled Trial of Usual Care + LITE Versus Usual Care to Treat Obesity in Children 10-16 Years Who Are Referred to KKH Weight Management Clinic
Background: Family-based lifestyle intervention programmes have been known to reduce
overweight and improve cardiovascular risk in adolescent obesity [1]. This study was designed
to address the gap in service provision of a family based weight management program for
overweight and obese adolescents. The LITE (Lifestyle Intervention for obese teenagers) group
program is a 6-month, family-based behavioural lifestyle intervention, specifically designed
to treat obesity in adolescents 10-16 years referred to the Weight Management Clinic. The
main principles underpinning LITE program are that parents are identified as the agents of
change responsible for implementing lifestyle change in the family .
Methods: The study design is a two-arm randomized controlled trial that recruited 60
overweight and obese adolescents 10-16 year olds that attended Kandang Kerbau Women and
Children's Hospital(KKH) weight management clinic. Adolescents with secondary cause for
obesity are excluded. Participants are randomized to LITE program with usual care or usual
care.
Briefly, the LITE program involves four x 180 min weekly sessions, followed by three x 90 min
monthly sessions, for adolescents and parents. The key aspects covered in the LITE program
are in keeping with Health Promotion Board guidelines for the management of overweight and
obesity and include healthy food choices and eating patterns, increasing physical activity
and reducing sedentary behavior. The parenting aspects aim to support and increase parental
capacity to implement and maintain the lifestyle changes. The program takes a solution
focused approach with families identifying small changes that they would like to try each
week instead of a child-centric approach.
Outcome measurement are assessed at 3 and 6 months post baseline and include anthropometric
measurements, physical activity, dietary intake, metabolic profile, improvement in positive
parenting behaviour and measurement of family support.
Primary outcome is change in body mass index (BMI) z-score at 6 months. Secondary aim is to
evaluate the changes in waist-height ratio and fat percentage change and improvement in
positive parenting behaviour.
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