Trial Outcomes & Findings for Healthy Bodies, Healthy Kids (NCT NCT01222494)

NCT ID: NCT01222494

Last Updated: 2018-10-15

Results Overview

Dual-Energy X-Ray Absorptiometry (DEXA) will be used to assess body fat at baseline and following 16 weeks of participation in a behavioral weight loss intervention.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

47 participants

Primary outcome timeframe

Baseline and 16 weeks

Results posted on

2018-10-15

Participant Flow

Participant milestones

Participant milestones
Measure
Antipsychotic Treated Educational Control
Antipsychotic treated participants randomized to this arm will receive diet and exercise education at monthly intervals with a study clinician or coordinator. Diet and Exercise Education: Participants assigned to this arm will receive monthly medically validated, individualized diet and exercise education by a trained research professional.
Antipsychotic Treated Weekly Behavioral Weight Loss
Antipsychotic treated participants randomized to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Non-antipsychotic Treated Weekly Behavioral Weight Loss
Participants assigned to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Overall Study
STARTED
7
19
21
Overall Study
COMPLETED
6
15
17
Overall Study
NOT COMPLETED
1
4
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Healthy Bodies, Healthy Kids

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Antipsychotic Treated Educational Control
n=7 Participants
Antipsychotic treated participants randomized to this arm will receive diet and exercise education at monthly intervals with a study clinician or coordinator. Diet and Exercise Education: Participants assigned to this arm will receive monthly medically validated, individualized diet and exercise education by a trained research professional.
Antipsychotic Treated Weekly Behavioral Weight Loss
n=19 Participants
Antipsychotic treated participants randomized to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Non-antipsychotic Treated Weekly Behavioral Weight Loss
n=21 Participants
Participants assigned to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
12.80 years
STANDARD_DEVIATION 2.21 • n=5 Participants
13.35 years
STANDARD_DEVIATION 2.57 • n=7 Participants
13.42 years
STANDARD_DEVIATION 2.46 • n=5 Participants
13.30 years
STANDARD_DEVIATION 2.43 • n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants
21 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
14 Participants
n=7 Participants
6 Participants
n=5 Participants
26 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
19 Participants
n=7 Participants
20 Participants
n=5 Participants
46 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
9 Participants
n=4 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
15 Participants
n=7 Participants
13 Participants
n=5 Participants
35 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Primary Diagnosis
Autism
4 Participants
n=5 Participants
11 Participants
n=7 Participants
0 Participants
n=5 Participants
15 Participants
n=4 Participants
Primary Diagnosis
Pervasive Development Disorder (PDD)
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Primary Diagnosis
Attention Deficit Hyperactivity Disorder (ADHD)
1 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
5 Participants
n=4 Participants
Primary Diagnosis
Mood Disorder
1 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Primary Diagnosis
Anxiety Disorder
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Primary Diagnosis
Psychosis
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Height
1.58 meters
STANDARD_DEVIATION 0.17 • n=5 Participants
1.58 meters
STANDARD_DEVIATION 0.15 • n=7 Participants
1.63 meters
STANDARD_DEVIATION 0.11 • n=5 Participants
1.60 meters
STANDARD_DEVIATION 0.14 • n=4 Participants
Weight
72.37 kilograms
STANDARD_DEVIATION 16.11 • n=5 Participants
77.08 kilograms
STANDARD_DEVIATION 32.60 • n=7 Participants
85.76 kilograms
STANDARD_DEVIATION 23.07 • n=5 Participants
80.26 kilograms
STANDARD_DEVIATION 26.62 • n=4 Participants
DEXA-Measured Body Composition
DEXA Total Percent Fat
45.40 percentage of body composition
STANDARD_DEVIATION 6.76 • n=5 Participants
41.76 percentage of body composition
STANDARD_DEVIATION 8.53 • n=7 Participants
42.24 percentage of body composition
STANDARD_DEVIATION 5.38 • n=5 Participants
42.51 percentage of body composition
STANDARD_DEVIATION 6.97 • n=4 Participants
DEXA-Measured Body Composition
DEXA Total Percent Lean
52.12 percentage of body composition
STANDARD_DEVIATION 6.81 • n=5 Participants
55.48 percentage of body composition
STANDARD_DEVIATION 8.23 • n=7 Participants
55.01 percentage of body composition
STANDARD_DEVIATION 5.15 • n=5 Participants
54.77 percentage of body composition
STANDARD_DEVIATION 6.73 • n=4 Participants
Proton Density Fat Fraction (PDFF)
12.01 percentile
STANDARD_DEVIATION 7.82 • n=5 Participants
6.52 percentile
STANDARD_DEVIATION 8.21 • n=7 Participants
4.72 percentile
STANDARD_DEVIATION 8.61 • n=5 Participants
6.58 percentile
STANDARD_DEVIATION 8.54 • n=4 Participants
Carotid Intima Media Thickness
0.0494 centimeters
STANDARD_DEVIATION 0.0058 • n=5 Participants
0.0451 centimeters
STANDARD_DEVIATION 0.0074 • n=7 Participants
0.0504 centimeters
STANDARD_DEVIATION 0.0065 • n=5 Participants
0.0484 centimeters
STANDARD_DEVIATION 0.0070 • n=4 Participants
Body Mass Index (BMI)
28.72 kilograms per meter-squared
STANDARD_DEVIATION 2.09 • n=5 Participants
29.70 kilograms per meter-squared
STANDARD_DEVIATION 6.83 • n=7 Participants
31.86 kilograms per meter-squared
STANDARD_DEVIATION 5.25 • n=5 Participants
30.52 kilograms per meter-squared
STANDARD_DEVIATION 5.69 • n=4 Participants
Body Mass Index (BMI) Percentile
97.77 percentile
STANDARD_DEVIATION 1.03 • n=5 Participants
96.55 percentile
STANDARD_DEVIATION 3.30 • n=7 Participants
97.69 percentile
STANDARD_DEVIATION 2.16 • n=5 Participants
97.24 percentile
STANDARD_DEVIATION 2.60 • n=4 Participants
Body Mass Index (BMI) Z-Score
2.05 z-score
STANDARD_DEVIATION 0.23 • n=5 Participants
1.99 z-score
STANDARD_DEVIATION 0.47 • n=7 Participants
2.13 z-score
STANDARD_DEVIATION 0.38 • n=5 Participants
2.06 z-score
STANDARD_DEVIATION 0.40 • n=4 Participants
Waist Circumference
99.86 centimeters
STANDARD_DEVIATION 10.35 • n=5 Participants
99.45 centimeters
STANDARD_DEVIATION 19.35 • n=7 Participants
102.40 centimeters
STANDARD_DEVIATION 16.07 • n=5 Participants
100.83 centimeters
STANDARD_DEVIATION 16.58 • n=4 Participants
Baseline Fasting Laboratory Values
Glucose
93.71 mg/dl
STANDARD_DEVIATION 10.01 • n=5 Participants
91.32 mg/dl
STANDARD_DEVIATION 7.42 • n=7 Participants
87.62 mg/dl
STANDARD_DEVIATION 4.99 • n=5 Participants
90.02 mg/dl
STANDARD_DEVIATION 7.13 • n=4 Participants
Baseline Fasting Laboratory Values
Total Cholesterol
170.14 mg/dl
STANDARD_DEVIATION 9.67 • n=5 Participants
169.47 mg/dl
STANDARD_DEVIATION 37.55 • n=7 Participants
157.81 mg/dl
STANDARD_DEVIATION 29.09 • n=5 Participants
164.36 mg/dl
STANDARD_DEVIATION 31.10 • n=4 Participants
Baseline Fasting Laboratory Values
Triglycerides
114.43 mg/dl
STANDARD_DEVIATION 44.49 • n=5 Participants
106.26 mg/dl
STANDARD_DEVIATION 59.11 • n=7 Participants
99.14 mg/dl
STANDARD_DEVIATION 61.30 • n=5 Participants
104.30 mg/dl
STANDARD_DEVIATION 57.35 • n=4 Participants
Baseline Fasting Laboratory Values
HDL Cholesterol
45.00 mg/dl
STANDARD_DEVIATION 6.16 • n=5 Participants
46.95 mg/dl
STANDARD_DEVIATION 10.20 • n=7 Participants
50.71 mg/dl
STANDARD_DEVIATION 10.74 • n=5 Participants
48.34 mg/dl
STANDARD_DEVIATION 10.04 • n=4 Participants
Baseline Fasting Laboratory Values
LDL Cholesterol
102.29 mg/dl
STANDARD_DEVIATION 10.95 • n=5 Participants
101.68 mg/dl
STANDARD_DEVIATION 27.32 • n=7 Participants
87.24 mg/dl
STANDARD_DEVIATION 23.40 • n=5 Participants
95.32 mg/dl
STANDARD_DEVIATION 24.49 • n=4 Participants
Aberrant Behavior Checklist (ABC)
Total Score
53.43 units on a scale
STANDARD_DEVIATION 20.14 • n=5 Participants
35.61 units on a scale
STANDARD_DEVIATION 24.29 • n=7 Participants
6.81 units on a scale
STANDARD_DEVIATION 13.39 • n=5 Participants
25.17 units on a scale
STANDARD_DEVIATION 26.11 • n=4 Participants
Aberrant Behavior Checklist (ABC)
Irritability
18.57 units on a scale
STANDARD_DEVIATION 8.75 • n=5 Participants
11.06 units on a scale
STANDARD_DEVIATION 8.30 • n=7 Participants
2.19 units on a scale
STANDARD_DEVIATION 4.81 • n=5 Participants
8.15 units on a scale
STANDARD_DEVIATION 9.13 • n=4 Participants
Child Behavior Checklist (CBCL)
70.14 units on a scale
STANDARD_DEVIATION 26.34 • n=5 Participants
57.06 units on a scale
STANDARD_DEVIATION 28.39 • n=7 Participants
16.67 units on a scale
STANDARD_DEVIATION 15.20 • n=5 Participants
40.61 units on a scale
STANDARD_DEVIATION 31.80 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline and 16 weeks

Population: Modified Intent to Treat (ITT) sample with week 0 and week 16 data.

Dual-Energy X-Ray Absorptiometry (DEXA) will be used to assess body fat at baseline and following 16 weeks of participation in a behavioral weight loss intervention.

Outcome measures

Outcome measures
Measure
Antipsychotic Treated Educational Control
n=6 Participants
Antipsychotic treated participants randomized to this arm will receive diet and exercise education at monthly intervals with a study clinician or coordinator. Diet and Exercise Education: Participants assigned to this arm will receive monthly medically validated, individualized diet and exercise education by a trained research professional.
Antipsychotic Treated Weekly Behavioral Weight Loss
n=15 Participants
Antipsychotic treated participants randomized to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Non-antipsychotic Treated Weekly Behavioral Weight Loss
n=17 Participants
Participants assigned to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
DEXA-measured Adiposity
0.76 kilograms
Standard Deviation 2.05
-0.43 kilograms
Standard Deviation 3.13
-2.79 kilograms
Standard Deviation 3.35

PRIMARY outcome

Timeframe: Baseline and 16 weeks

Population: Modified Intent to Treat (ITT) sample with week 0 and week 16 data.

1H Magnetic Resonance Spectroscopy (MRS) of liver will be used to assess intracellular triglyceride content at baseline and following 16 weeks of participation in a behavioral weight loss intervention.

Outcome measures

Outcome measures
Measure
Antipsychotic Treated Educational Control
n=6 Participants
Antipsychotic treated participants randomized to this arm will receive diet and exercise education at monthly intervals with a study clinician or coordinator. Diet and Exercise Education: Participants assigned to this arm will receive monthly medically validated, individualized diet and exercise education by a trained research professional.
Antipsychotic Treated Weekly Behavioral Weight Loss
n=12 Participants
Antipsychotic treated participants randomized to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Non-antipsychotic Treated Weekly Behavioral Weight Loss
n=16 Participants
Participants assigned to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Proton Density Fat Fraction (PDFF)
-0.62 percent
Standard Deviation 1.57
-0.41 percent
Standard Deviation 4.95
-1.75 percent
Standard Deviation 4.93

PRIMARY outcome

Timeframe: Baseline and 16 weeks

Population: Modified Intent to Treat (ITT) sample with week 0 and week 16 data.

9-13-MHZ B-mode Carotid Ultrasound will be used to assess intima media thickness at baseline and following 16 weeks of participation in a behavioral weight loss intervention.

Outcome measures

Outcome measures
Measure
Antipsychotic Treated Educational Control
n=6 Participants
Antipsychotic treated participants randomized to this arm will receive diet and exercise education at monthly intervals with a study clinician or coordinator. Diet and Exercise Education: Participants assigned to this arm will receive monthly medically validated, individualized diet and exercise education by a trained research professional.
Antipsychotic Treated Weekly Behavioral Weight Loss
n=10 Participants
Antipsychotic treated participants randomized to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Non-antipsychotic Treated Weekly Behavioral Weight Loss
n=17 Participants
Participants assigned to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Carotid Artery Intima Media Thickness (CIMT)
-0.0014 millimeters
Standard Deviation 0.0045
0.0032 millimeters
Standard Deviation 0.0098
0.0004 millimeters
Standard Deviation 0.0064

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and 16 weeks

Population: Modified Intent to Treat (ITT) sample with week 0 and week 16 data.

Change From Baseline in Aberrant Behavior Checklist - Irritability Subscale at 16 Weeks

Outcome measures

Outcome measures
Measure
Antipsychotic Treated Educational Control
n=6 Participants
Antipsychotic treated participants randomized to this arm will receive diet and exercise education at monthly intervals with a study clinician or coordinator. Diet and Exercise Education: Participants assigned to this arm will receive monthly medically validated, individualized diet and exercise education by a trained research professional.
Antipsychotic Treated Weekly Behavioral Weight Loss
n=15 Participants
Antipsychotic treated participants randomized to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Non-antipsychotic Treated Weekly Behavioral Weight Loss
n=16 Participants
Participants assigned to this arm will engage in an evidence-based, 16 week manualized behavioral weight loss intervention that includes weekly meetings and phone check-ins with a trained study therapist. Behavioral Weight Loss: This intervention is a family-based, behavioral weight loss program that has been employed in studies with overweight and obese children, as well as with children who have diabetes. For the proposed study, the program has been modified to fit the needs of disruptive and behaviorally disturbed youth and their families. The modified program includes 16 weeks of weekly visits with a study interventionist, and supplemental phone contacts as needed. Phone contacts will only replace in-person visits if absolutely necessary to achieve the visit.
Aberrant Behavior Checklist (ABC)
3.00 units on a scale
Standard Deviation 4.65
-1.27 units on a scale
Standard Deviation 5.82
-1.38 units on a scale
Standard Deviation 4.32

Adverse Events

Antipsychotic Treated Educational Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Antipsychotic Treated Weekly Behavioral Weight Loss

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-antipsychotic Treated Weekly Behavioral Weight Loss

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ginger Nicol

Washington University

Phone: 314-362-2461

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place