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Mood and Behavior Changes Among Overweight Adolescent Females

Primary Purpose

Obesity, Depression

Status
Withdrawn
Phase
Locations
United States
Study Type
Observational
Intervention
Dietary and physical activity modifications
Sponsored by
University of Kentucky
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an observational trial for Obesity focused on measuring Overweight; self-esteem; depression

Eligibility Criteria

10 Years - 14 Years (Child)FemaleAccepts Healthy Volunteers

Inclusion Criteria: Girls 10 through 14 years of age who are in good general health and have a BMI in the 85th to 95th percentile or greater than the 95th percentile Availability of a parent or guardian to ensure the child attends all monthly clinic visits and who will be available to attend the monthly educational sessions if the child is assigned to the intervention group Exclusion Criteria: Cardiac or pulmonary conditions such as cystic fibrosis, congenital heart disease, or other conditions that would impair ability to do fitness testing Physical challenges such as deformities that would impair ability to perform physical activities Use of medications such as corticosteroids, seizure medication, or other central nervous system (CNS) medications that would interfere with daily physical activity

Sites / Locations

  • University of Kentucky

Outcomes

Primary Outcome Measures

Decreased body mass index; increased physical activity

Secondary Outcome Measures

Improved self-esteem; improved depression scale score; decreased risk-taking behavior

Full Information

First Posted
August 4, 2005
Last Updated
November 7, 2016
Sponsor
University of Kentucky
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1. Study Identification

Unique Protocol Identification Number
NCT00127374
Brief Title
Mood and Behavior Changes Among Overweight Adolescent Females
Official Title
Mood and Behavior Changes Among Overweight Adolescent Females
Study Type
Observational

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Withdrawn
Why Stopped
withdrawn due to non-response. PI left university
Study Start Date
January 2005 (undefined)
Primary Completion Date
September 2006 (Actual)
Study Completion Date
September 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
University of Kentucky

4. Oversight

5. Study Description

Brief Summary
The specific aims of this study are to document the co-existence of depression, low self-esteem, and high-risk behaviors among overweight and at-risk for overweight female adolescents; and decrease the prevalence of high-risk behaviors by improving depressive symptoms/signs and self-esteem through weight management intervention strategies that encourage long-term mental and physical well being. The proposed research will test the following hypotheses: Overweight and at-risk for overweight female adolescents have poor self-esteem that may mask depression and mediate high-risk behaviors; and Improved weight perception decreases participation in high-risk behavior secondary to improved self-esteem and depression.
Detailed Description
How adolescents view (self-concept) and value themselves (self-esteem) may predict future adjustment and success in life. Self-concept comprises assessment of scholastic, athletic and job competence, social acceptance, physical appearance, romantic appeal, behavioral conduct, close friendship, and global self-worth. Self-esteem is the feeling of self-acceptance, goodness, and worthiness. It influences daily activities, motivation and behavior. Adolescents are very vulnerable to low self-esteem. Generally, boys have higher self-esteem than girls; higher weight students have lower self-concept; and post-menarcheal females have the poorest opinion of their physical appearance. Higher body mass index (BMI) predicts more negative self-concept. Body image and physical appearance contribute to general physical self-concept and self-esteem. Regardless of race, gender, age, and socioeconomic status individuals are discriminated against on the basis of weight. Weight-based stigmatization influences self-perception and the perceptions of significant others. Sustained low self-esteem may precipitate anxiety, depression, under achievement, poor motivation and inadequate interpersonal relations. Obese adolescents are stigmatized by peers. They may attempt to protect their self-image by participating in high-risk behaviors. Obese adolescent girls are more likely to report adverse social, educational and psychological correlates than obese boys. Overweight girls, but not overweight boys, manifest more depressive symptoms than their normal-weight peers. Gender differences in clinical depressive syndromes may emerge in early childhood as opposed to puberty as previously thought. Early stigmatization of obese children may explain their lower self-esteem and greater shame, humiliation, and perceived teasing compared with their nonobese peers. Studies have found increased psychopathology among clinical samples of obese children and demonstrated improvements in psychological functioning with weight loss. Implementing lifestyle changes during early adolescence, ages 10 to 13 years, and middle adolescence, ages 14 to 16 years, may hold the key for preventing obesity and depression. The study population will consist of approximately 100 overweight or at-risk for overweight female volunteers, 10 - 14 years old.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity, Depression
Keywords
Overweight; self-esteem; depression

7. Study Design

Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Behavioral
Intervention Name(s)
Dietary and physical activity modifications
Primary Outcome Measure Information:
Title
Decreased body mass index; increased physical activity
Secondary Outcome Measure Information:
Title
Improved self-esteem; improved depression scale score; decreased risk-taking behavior

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
10 Years
Maximum Age & Unit of Time
14 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Girls 10 through 14 years of age who are in good general health and have a BMI in the 85th to 95th percentile or greater than the 95th percentile Availability of a parent or guardian to ensure the child attends all monthly clinic visits and who will be available to attend the monthly educational sessions if the child is assigned to the intervention group Exclusion Criteria: Cardiac or pulmonary conditions such as cystic fibrosis, congenital heart disease, or other conditions that would impair ability to do fitness testing Physical challenges such as deformities that would impair ability to perform physical activities Use of medications such as corticosteroids, seizure medication, or other central nervous system (CNS) medications that would interfere with daily physical activity
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joan R Griffith, MD
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States

12. IPD Sharing Statement

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Mood and Behavior Changes Among Overweight Adolescent Females

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