Obesity Clinical Trial
— FACILITYOfficial title:
FACILITY (Feeding the fAmiLy: the Intergenerational approaCh to fIght obesiTY)
The FACILITY STUDY is aimed at evaluating maternal and children social, cultural, economic and lifestyle-related risk factors for the development of childhood overweight, obesity and early adiposity rebound (EAR). This study consists of two phases: a cross-sectional phase and a retrospective case-control study.
Status | Not yet recruiting |
Enrollment | 269 |
Est. completion date | December 2025 |
Est. primary completion date | December 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 2 Years and older |
Eligibility | Inclusion Criteria for mothers: - Age = 18 years old; - Admitted to the Department of Pediatrics, Buzzi Children's Hospital, Milan, Italy; - Written and signed informed consent. Exclusion Criteria for mothers: - Mother had not written and signed informed consent; - Inability to understand the Italian and English language. Inclusion Criteria for children: - Age > 2 years and < 18 years old; - Admitted to the Department of Pediatrics, Buzzi Children's Hospital, Milan, Italy; - Mother and father/legal guardian had written and signed informed consent. Exclusion Criteria for children: - Endocrine disorders (hypothyroidism, hypercortisolism, growth hormone deficiency); - Central nervous system damage (hypothalamic-pituitary damage because of surgery or trauma); - Genetic diseases either monogenic (leptin deficiency, MC4R mutation) or pleiotropic genetic syndromes (Prader-Willi, Bardet-Biedl); - Mother and father/legal guardian had not written and signed informed consent. |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
---|---|
Buzzi Children's Hospital | University of Pavia |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Prevalence of childhood overweight and obesity | Number of children with overweight or obesity divided by the total number of children.
Diagnosis: BMI percentile in the Center for Diseases Control (CDC) growth chart (overweight: 85th-95th percentile/2-3 Z score; obesity = 95th percentile/= 3 Z score). |
Day 1 | |
Secondary | Mediterranean diet adherence for dyads | For mothers, Medi-Lite questionnaire (total score ranges between 0-18. A higher score represents higher adherence to the Mediterranean diet);
For children, KIDMED questionnaire (total score ranges between 0-12. A higher score indicates higher adherence to the Mediterranean diet). |
Day 1 | |
Secondary | Dietary patterns of mothers | Structured interview (mother's perception of her current diet, possible dietary restrictions, traditional food/dishes consumed, influence of living in Italy on the dietary pattern). | Day 1 | |
Secondary | Physical activity for dyads | For mothers, International Physical Activity Questionnaire short form (the questionnaire provides the total weekly Physical Activity level in metabolic equivalents (METs)/min/week; the categories are: low, moderate and vigorous physical activity).
For children aged = 14 years old: structured interview (minutes and/or hours of daily physical activity). Results will be compared with WHO guidelines. For children aged 15 - 17 years old, International Physical Activity Questionnaire for Adolescents (the questionnaire provides the total weekly Physical Activity level in metabolic equivalents (METs)/min/week; the categories are: low, moderate and vigorous physical activity). |
Day 1 | |
Secondary | Sleep quality for dyads | For mothers, Pittsburgh Sleep Quality Index questionnaire (total score ranges between 0-21. A higher score represents lower sleep quality).
For children, structured interview (sleep and wake-up times, sleep regularity, average number of hours of sleep per night, difficulty falling asleep, daytime sleepiness). |
Day 1 | |
Secondary | Smoking habits for dyads | For mothers and for children aged 12 - 18 years old, structured interview: current smoking of traditional tobacco or electronic cigarettes or heated tobacco products (HTP) per day; smoking history. Based on smoking declaration, participants will be categorized as: never smoker (i.e., never smoked), past smoker (i.e., current nonsmoker), current smoke (i.e., current user of tobacco or electronic cigarette or HTP products)). | Day 1 | |
Secondary | Alcohol consumption for dyads | For mothers and for children aged 12 - 18 years old, structured interview: current weekly alcohol consumption. Based on alcohol consumption declaration, participants will be categorized as: abstainers (i.e., subjects who do not drink alcohol, zero Units of Alcohol (U.A.)), occasional drinkers (i.e., subjects who drink less than 1 U.A./week), and daily drinkers (i.e., subjects who regularly drink alcohol, more than 1 U.A./week). | Day 1 | |
Secondary | Sedentary screen time for children | For children, structured interview (in free time on school days: evaluation of time spent on computer, TV/movie, cell phone in leisure time on the weekend: evaluation of time spent on computer, TV/movie, cell phone). | Day 1 | |
Secondary | Socio-economic status for mothers | For mothers: education level (none, elementary, middle school, high school, degree), nationality, profession/job, income, and housing status (owned, rented, sub-rented, social housing, guest, other, don't answer). | Day 1 | |
Secondary | Family relationships for mothers | For mothers, Child-Parent Relationship Scale - Short Form questionnaire (higher scores indicates greater challenges in family relationships). Total score is calculated by sum. Higher total score for the closeness scale indicates higher closeness between mother and child. Higher total score for the conflict scale indicates a more conflictual relationship between mother and child. | Day 1 | |
Secondary | Personal social capital for mothers | For mothers, Personal Social Capital Scale questionnaire (higher scores represents higher personal social capital). The summation of the two subscale (bonding capital score and bridging capital score) yield to the total social capital score. Higher total score indicates a higher social capital score. | Day 1 | |
Secondary | Neighborhood food environment for mothers | For mothers, spatial analysis of data on location of food stores types | Day 1 | |
Secondary | Social environment for mothers | For mothers,spatial analysis of cultural services | Day 1 | |
Secondary | Social participation for mothers | For mothers, structured interview (activities in which the mother takes part: type and frequency of cultural, religious and recreational activities). | Day 1 | |
Secondary | Weight of dyads | weight (kg) | Day 1 | |
Secondary | Height of dyads | height (m) | Day 1 | |
Secondary | Waist circumference of dyads | waist circumference (cm) | Day 1 |
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