Whole Foods for Teens: A Pilot Dietary Intervention to Reduce Body Adiposity in Adolescents With Obesity

Description

This study will address the following aims: Aim 1: Conduct an 8-week pilot RCT to examine the effects of a whole foods diet intervention on body adiposity in adolescents with obesity. Aim 1a (Primary): Evaluate intervention effectiveness on total fat mass following the 8-week intervention. Hypothesis 1a: Adolescents randomized to the whole foods intervention will have lower total fat mass (kg) at the 8-week follow-up than those in the control group. Aim 1b: Evaluate intervention effectiveness on anthropometric changes following the 8-week intervention. Hypothesis 1b: Adolescents randomized to the whole foods intervention will have lower weight, BMI-z scores and/or waist circumference at the 8-week follow-up than those in the control group. Secondary Aims: Aim 2: Conduct an 8-week pilot RCT to examine the effects of a whole foods diet intervention on diet quality in adolescent and parent pairs during the study period. Hypothesis 2: Adolescents and parents randomized to the whole foods intervention will have higher diet quality scores at the 8-week follow-up than those in the control group. Aim 3: Conduct post-intervention family focus groups to identify how individual/family needs and preferences and social determinants of health (SDOH) may be perceived barriers and/or facilitators of diet adherence to a whole foods diet pattern.

Conditions

Obesity, Childhood, Diet, Healthy, Body Weight Changes

Study Overview

Study Details

Study overview

This study will address the following aims: Aim 1: Conduct an 8-week pilot RCT to examine the effects of a whole foods diet intervention on body adiposity in adolescents with obesity. Aim 1a (Primary): Evaluate intervention effectiveness on total fat mass following the 8-week intervention. Hypothesis 1a: Adolescents randomized to the whole foods intervention will have lower total fat mass (kg) at the 8-week follow-up than those in the control group. Aim 1b: Evaluate intervention effectiveness on anthropometric changes following the 8-week intervention. Hypothesis 1b: Adolescents randomized to the whole foods intervention will have lower weight, BMI-z scores and/or waist circumference at the 8-week follow-up than those in the control group. Secondary Aims: Aim 2: Conduct an 8-week pilot RCT to examine the effects of a whole foods diet intervention on diet quality in adolescent and parent pairs during the study period. Hypothesis 2: Adolescents and parents randomized to the whole foods intervention will have higher diet quality scores at the 8-week follow-up than those in the control group. Aim 3: Conduct post-intervention family focus groups to identify how individual/family needs and preferences and social determinants of health (SDOH) may be perceived barriers and/or facilitators of diet adherence to a whole foods diet pattern.

Whole Foods for Teens: A Pilot Dietary Intervention to Reduce Body Adiposity in Adolescents With Obesity

Whole Foods for Teens: A Pilot Dietary Intervention to Reduce Body Adiposity in Adolescents With Obesity

Condition
Obesity, Childhood
Intervention / Treatment

-

Contacts and Locations

Nashville

Vanderbilt University School of Nursing, Nashville, Tennessee, United States, 37240

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. 10-18 years of age at time of initial screening;
  • 2. living at home full-time with the enrolled parent or caregiver (≥80% in primary residence);
  • 3. obesity defined as a body mass index (BMI) greater than or equal to 95th percentile for age and gender based on standardized CDC growth curves;
  • 4. reside within greater Middle Tennessee area and has enrolled parent/caregiver willing to drive to Vanderbilt University and Vanderbilt University Medical Center for study visits;
  • 5. are without medical conditions that would limit participation in a diet-related study (e.g., tube feeding, dysphagia, severe food allergy to 3 or more food groups causing anaphylaxis);
  • 6. are willing and able to participate in an 8-week diet study that encourages preparing and eating healthy foods and snacks for 8 weeks with parental or caregiver support;
  • 7. have parental or caregiver commitment to participate in the research study;
  • 1. adult parent or primary legal caregiver (greater than or equal to 25 years of age) of an enrolled adolescent;
  • 2. live with the adolescent full-time (≥80% in primary residence);
  • 3. have 1 or more metabolic risk factor(s) and/or metabolic condition(s) (e.g., overweight/obesity, hypertension, hypercholesterolemia or dyslipidemia, hyperglycemia \[elevated fasting blood glucose ≥100 mg/dL\] and/or prediabetes, history of gestational diabetes, polycystic ovarian syndrome, type 2 diabetes, non-alcoholic fatty liver disease);
  • 4. reside within greater Middle Tennessee area and are willing to drive to Vanderbilt University and Vanderbilt University Medical Center for study visits;
  • 5. are without medical conditions that would limit participation in a diet-related study (e.g., tube feeding, dysphagia, severe food allergy to 3 or more food groups);
  • 6. are able to participate in a study program that encourages preparing and eating healthy foods and snacks for 8 weeks with most preparation/cooking of meals/snacks at home;
  • 1. Outside of the specified age range;
  • 2. not living in the home of the enrolled parent or caregiver full time (≥80% in primary residence);
  • 3. BMI less than 95th percentile for age and gender;
  • 4. pregnant or lactating;
  • 5. no eligible enrolled parent or caregiver or lack of parental/caregiver commitment to participate in study;
  • 6. food allergy to 3 or more food groups; dietary restrictions or medical condition that prohibits participation in a diet study;
  • 7. use of medications that cause weight loss or diabetes medications;
  • 8. active participation in a weight loss or intense lifestyle modification program;
  • 9. limited English-language proficiency;
  • 10. participants unwilling or unable to give informed consent, accept random assignment, attend dietary counseling sessions, adhere to treatment prescription, or complete study measures;
  • 11. adolescents who display dissenting behaviors during baseline data collection;
  • 12. adolescents who do not otherwise meet the eligibility criteria listed in sections above as determined by pre-screen;
  • 1. not parent/ or legal caregiver;
  • 2. not living in a household full-time with enrolled adolescent (less than 80% time spent away from primary residence);
  • 3. lack of metabolic condition(s) per inclusion criteria;
  • 4. special dietary restrictions, food allergies, or medical conditions that prohibit participation in a diet-related study;
  • 5. limited English-language proficiency;
  • 6. participants unwilling or unable to give informed consent, accept random assignment, attend dietary counseling sessions, adhere to treatment prescription, or complete study measures;
  • 7. parent or caregivers who do not otherwise meet the eligibility criteria listed in sections above as determined by pre-screen;

Ages Eligible for Study

10 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Vanderbilt University,

Nadia M Sneed, PhD, MSN, PRINCIPAL_INVESTIGATOR, Vanderbilt University

Study Record Dates

2026-06-30