Obesity Clinical Trial
Official title:
Reducing Sugar-Sweetened Beverage Consumption in Overweight Adolescents
The primary aim of this study is to examine the effect of a multi-component intervention, designed to reduce consumption of sugar-sweetened beverages, on weight gain, total energy intake, and diet quality in adolescents. The secondary aim is to evaluate whether outcomes of the intervention differ between adolescents for whom 100% fruit juice vs. other products (i.e., soda, fruit punch, lemonade, iced tea, coffee drinks, energy drinks, sports drinks) constitutes the primary source of sugar from beverages.
We are partnering with community organizations (including high schools) in the greater
Boston area and a major regional supermarket. Participants will be 240 high school students
who drink at least 1 serving of sugar-sweetened beverage (including 100% fruit juices) per
day and who have a BMI ≥ 85th percentile. They will be randomly assigned to an intervention
or control group. The intervention, of 1-year duration, will target the home/family
environment in combination with a behavioral intervention provided during brief check-in
visits. The environment will be changed by delivering non-caloric beverages to the homes of
adolescents who regularly consume sugar-sweetened beverages. Parents will be counseled by
telephone to serve as role models in consuming non-caloric beverages. The behavioral
intervention for the adolescents will include didactic and experiential components during
the check-in visits. Study outcomes will be assessed at baseline, 1 year (end of
intervention period), and 2 years (end of follow-up period).
Additional relevant material based on the original proposal (NIH grant application) is
provided below:
Each outcome will be compared between groups using a general linear model, adjusted for
baseline covariates that could affect body weight: sex, race, ethnicity (Hispanic vs
non-Hispanic), household income, parents' education, BMI, beverage consumption
(sugar-sweetened, artificially sweetened, unsweetened), energy intake (total,
sugar-sweetened beverages, fruit juice), physical activity level, and daily television
viewing. Each covariate will be tested for confounding, mediation, and interaction effects
on the primary outcome. Stratum-specific estimates of the group difference will be
constructed for any covariates showing significant interaction.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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