Obesity Clinical Trial
Official title:
A Multi-Site Randomized Trial of a Commercial Weight Loss Program
This study will provide data on the response over 24 months to two commercial weight loss programs (center-based and telephone-based) compared to control conditions.
The first study aim is to test, in a randomized controlled trial, whether participation in
the multifaceted traditional center-based commercial weight loss intervention program and/or
the telephone-delivered commerical program is associated with a greater degree of weight
loss at six, 12, and 18 months and whether weight loss is maintained over a 24-month period
in overweight or obese women, compared to usual care or control conditions. This study
utilizes a randomized study design with subjects assigned to the center-based weight loss
program, telephone-delivered program, or a usual care control group. The second study aim is
to describe the effect of participation in the weight loss programs (versus control
conditions) on circulating lipids (fasting total plasma cholesterol and triglycerides,
low-density lipoprotein [LDL] cholesterol, and high-density lipoprotein [HDL] cholesterol),
carotenoids (a biomarker of vegetable and fruit intake), insulin, glucose, leptin,
C-reactive protein, and vitamin D, and cardiopulmonary fitness. The center-based
intervention involves in-person counseling and obtaining food items from the center, whereas
the telephone-delivered program involves telephone counseling with food delivered to the
home every two weeks.
Secondary aims of this study involve describing the characteristics associated with greater
weight loss and maintenance in each of the two intervention arms. The hypothesis to be
tested is that selected participant characteristics, such as older or younger age, might be
differentially associated with greater success across the two types of programs and
approaches.
Notably, the results of this study would contribute valuable data to the scientific
knowledge base regarding the various modalities of communication for behavioral
interventions (in-person versus telephone counseling). This is an important issue currently
being considered and debated among clinical and community-based behavioral and nutritional
scientists whose intervention efforts focus on promoting behavior change and positive
effects on health-related outcomes such as weight reduction.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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