Improving Sleep As a Method for Enhancing Decision-Making and Reducing Problematic Eating Behaviors in Adolescents with Obesity
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adolescent Overweight
- Sponsor
- Drexel University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Percent of 95th percentile BMI
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
This study is being performed to understand the effects of a lifestyle modification and sleep intervention on weight loss outcomes in adolescence. The main question the study aims to answer is:
- What are the initial effects of a lifestyle modification and sleep intervention, including effects on weight, eating behaviors and dietary intake, and sleep?
Participants will:
- Participate in remote, group-based, weekly weight loss and sleep coaching for 16 weeks.
- Complete study assessments at baseline (pre-intervention), mid-intervention, and post-intervention.
- Complete daily sleep diaries for three 7-day periods at each assessment point.
Detailed Description
In this study, the investigators will develop, refine, and test a 16-session group-based lifestyle modification intervention for adolescents with overweight and obesity augmented with a sleep intervention. The investigators will develop the manual and pilot the intervention in an initial set of adolescents (n=10). The investigators will collect feedback from adolescents, parents, and clinicians, which will inform manual refinements. The investigators will complete an open trial (n=40) of the refined manual. For both phases, the investigators will recruit adolescents (ages 14-18) with overweight or obesity who endorse at least 1 type of sleep disturbance (i.e., too little, poor quality, poorly timed, or inconsistent sleep). Assessments of sleep, decision-making, problematic eating behaviors, energy intake, and weight will occur at baseline (week 0), mid-intervention (week 8) and post-intervention (week 16).
Investigators
Stephanie Manasse
Assistant Professor
Drexel University
Eligibility Criteria
Inclusion Criteria
- •Ages 14-18
- •Fluent in English
- •BMI percentile ≥ 85th percentile for sex-and-age
- •Has a parent or guardian who is willing and able to participate
- •Has at least one sleep disturbance. Eligible sleep disturbances are: a. Advanced sleep timing (sleep onset 11:00pm or later for 14-16 year-olds or 11:20pm or later for 17-18 year-olds at least 3 times per week), b. Difficulty falling asleep (taking ≥ 30 mins to get to sleep 3 or more nights per week), c. Short sleep (obtaining \< 7.5 hours of sleep per night 3 or more nights per week), and d. Sleep irregularity (having more than 2 hours of variability in sleep-wake schedule across one week
Exclusion Criteria
- •Experience of weight loss of ≥ 5% of body weight in the past 6 months
- •Current use of insomnia medication
- •Having recently begun or changed the dosage of any medication known to affect appetite or body composition within the last 3 months
- •Currently taking weight loss medications
- •Currently taking insulin
- •Diagnosed diabetes (type 1)
- •Any condition prohibiting physical activity
- •Diagnosis of an eating disorder
- •Diagnosis of obstructive sleep apnea
- •Recent or ongoing problem with drug abuse, alcohol abuse, or addiction
Outcomes
Primary Outcomes
Percent of 95th percentile BMI
Time Frame: From enrollment to the end of the study (approximately 4 months)
Height and weight will be measured at each assessment and used to calculate percent of 95th percentile BMI.
Tri-ponderal mass index
Time Frame: From enrollment to the end of the study (approximately 4 months)
The investigators will also calculate tri-ponderal mass index (TMI; i.e., mass divided by height cubed) from measurements of height and weight.
Body fat percentage
Time Frame: From enrollment to the end of the study (approximately 4 months)
Body fat percentage will also be derived from the Aria Air scale.
Secondary Outcomes
- Dietary intake(From enrollment to the end of the study (approximately 4 months))
- Eating Disorder Examination(From enrollment to the end of the study (approximately 4 months))
- Eating Disorder Examination Questionnaire(From enrollment to the end of the study (approximately 4 months))
- Average total sleep time(From enrollment to the end of the study (approximately 4 months))
- Average bed time(From enrollment to the end of the study (approximately 4 months))
- Average sleep latency(From enrollment to the end of the study (approximately 4 months))
- Average weekday-weekend bed time shift(From enrollment to the end of the study (approximately 4 months))
- Pittsburgh Sleep Quality Index(From enrollment to the end of the study (approximately 4 months))
- Morningness Eveningness Questionnaire(From enrollment to the end of the study (approximately 4 months))
- Insomnia Severity Index(From enrollment to the end of the study (approximately 4 months))
- Sleep - Fitbit data(From enrollment to the end of the study (approximately 4 months))