Stress Reactivity Study in Adolescents

Stress Clinical Trial

— SRAS  

Official title:

Stress-induced Eating Behavior: Implications for Pediatric Obesity Disparities

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03997149
• Other study ID #: HUM00078153
• Status: Completed
• Phase: N/A
• Start date: December 12, 2013
• Est. completion date: April 30, 2017

Study information

• Verified date: June 2019
• Source: University of Michigan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this study was to examine the glucocorticoid and behavioral responses to a psychological stressor in obese African-American and non-Latino white adolescents. Participants were exposed to the Trier Social Stress Test (TSST) and a control condition on separate days. Immediately following each condition, participants were provided with snacks to eat at their leisure. Reactivity was assessed via salivary cortisol and alpha-amylase area under the curve (AUC), and adolescents were categorized as high or low reactors.

Description:

In the United States, pediatric obesity has more than tripled in the last 30 years, particularly among certain racial/ethnic groups including African-Americans. This disparity is partially attributable to greater exposure to psychological stress reported in this group (relative to non-Latino whites). Chronic psychological stress leads to weight gain directly through prolonged exposure to biological stress mediators such as cortisol and indirectly through behavioral pathways involving cortisol-induced increases in food consumption. An exciting arena of scientific advancements is focusing on identifying the specific pathways through which chronic stress influences eating behavior with emerging evidence to suggest that food intake, which is commonly increased during periods of stress, may serve as one key mechanism linking stress and obesity, particularly in African-American youth who are disproportionately exposed to chronic stress and have greater access to, and consumption of, energy-dense palatable foods. It is critical to advance understanding of the interplay between stress and food intake in understanding racial/ethnic disparities in pediatric obesity because stress eating represents a modifiable health behavior. That is, increased food intake during periods of elevated stress can be targeted for intervention in ways that may ameliorate the deleterious effects of stress on obesity risk. This project investigated the role of stress eating as a pathway linking chronic stress and obesity in African-American and non-Latino white adolescents.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: April 30, 2017
• Est. primary completion date: March 13, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 14 Years to 19 Years

Eligibility

Inclusion Criteria:

• Overweight and obese adolescents ages 14- 19 years

Exclusion Criteria:

• Currently pregnant

• Had been enrolled in a weight loss program in the last 6 months

• Were current smokers (e.g., tobacco, marijuana, vaping)

• Were diagnosed with a mental health condition (e.g, depression)

• Were diagnosed with a chronic condition known to affect weight, appetite, blood glucose or insulin levels (e.g., diabetes)

• Were taking medications known to affect metabolic processes (e.g., growth hormone, ritalin, metformin, etc)

• Had food allergies, intolerances, or other dietary restrictions

Related Conditions & MeSH terms

• Eating Behavior
• Stress

Intervention

Behavioral:
• Acute Laboratory Stressor
The TSST was 20 minutes long and consisted of a five-minute instructional period where participants listened to a pre-recorded tape; a five-minute speech preparation period; a five-minute challenging serial subtraction task; and a five-minute videotaped public speaking task in front of a panel of three evaluative, non-affirming judges dressed in white coats.
• Low affect video
The 20-minute TSST was replaced with a 20-minute low-affect educational film screening.

Locations

Country	Name	City	State
United States	Childhood Disparities Research Laboratory	Ann Arbor	Michigan

Sponsors (1)

Lead Sponsor	Collaborator
University of Michigan

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Heart rate area under the curve	Heart rate was taken throughout the control and stress conditions. Area under the curve was calculated from the initial heart rate collected to the final heart rate sample collected [AUC=(x2+x1)/(t2-t1) + (x3+x2)/(t3-t2) + (xk+xj)/(tk-tj)].	2 hours
Other	Blood pressure area under the curve	Blood pressure was taken throughout the control and stress conditions. Area under the curve was calculated from the initial blood pressure reading collected to the final blood pressure reading collected [AUC=(x2+x1)/(t2-t1) + (x3+x2)/(t3-t2) + (xk+xj)/(tk-tj)].	2 hours
Primary	Food consumption	Change in grams of each food consumed during the control and stress conditions were recorded and calories were calculated using the corresponding nutritional labels.	2 hours
Secondary	Salivary cortisol area under the curve	During the control and stress conditions, saliva samples were taken at times 10, 25, 58, 88 and 118 minutes after arrival to analyze cortisol responses to the TSST. Area under the curve was calculated from the initial cortisol sample collected to the final cortisol sample collected: [AUC=(x2+x1)/(t2-t1) + (x3+x2)/(t3-t2) + (xk+xj)/(tk-tj)].	2 hours
Secondary	Salivary alpha amylase area under the curve	During the control and stress conditions, saliva samples were taken at times 10, 25, 58, 88 and 118 minutes after arrival to analyze alpha amylase responses to the TSST. Area under the curve was calculated from the initial alpha-amylase sample collected to the final alpha amylase sample collected [AUC=(x2+x1)/(t2-t1) + (x3+x2)/(t3-t2) + (xk+xj)/(tk-tj)].	2 hours