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N/A Completed N=638 Randomized Double-blind Treatment

SMART 2.0: Social Mobile Approaches to Reducing weighT in Young Adults

Overweight and Obesity
Source: ClinicalTrials.gov NCT03907462 ↗
Enrolled (actual)
638
Serious AEs
1.3%
Results posted
Apr 2025
Primary outcomePrimary: Change in Weight — -0.333; 0.737; 1.202 Kilograms

Summary

The SMART 2.0 study is a 24-month trial designed to evaluate the impact of the intervention with technology and personal health coaching or with technology alone on objectively measured weight among overweight young adults in a university setting over 24 months compared to a control group. The investigators hypothesize that both interventions will significantly improve weight compared to the control group, and the group receiving personal health coaching will experience the greatest improvement.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Weight
-0.333; 0.737; 1.202
SECONDARY
Change in Body Mass Index
-0.213; 0.015; 0.418
SECONDARY
Percent Weight Change
-0.265; 0.955; 1.437
SECONDARY
Percentage of Participants Who Lost at Least 3% of Their Weight From Baseline
SECONDARY
Percentage of Participants Who Lost at Least 5% of Their Weight From Baseline
35; 28; 27
SECONDARY
Change in Waist Circumference
SECONDARY
Change in Waist-to-hip Ratio
-0.622; -0.064; 0.141
SECONDARY
Change in Body Composition
SECONDARY
Change in Bone Mineral Density
SECONDARY
Change in Systolic Blood Pressure
SECONDARY
Change in Diastolic Blood Pressure
SECONDARY
Change in Cardiorespiratory Fitness
SECONDARY
Change in Flexibility
SECONDARY
Change in Grip Strength
SECONDARY
Physical Activity
SECONDARY
Change in Physical Activity
SECONDARY
Sleep
SECONDARY
Change in Sleep
SECONDARY
Resting Heart Rate
SECONDARY
Change in Resting Heart Rate
SECONDARY
Sedentary Behavior
SECONDARY
Change in Sedentary Behavior
SECONDARY
Diet History Questionnaire III
SECONDARY
Weight Management Practices
SECONDARY
Strategies for Weight Management Questionnaire
SECONDARY
Assessment of Eating Behaviors
SECONDARY
Daily Meal Patterns
SECONDARY
Healthy Eating: Change Strategies
SECONDARY
Physical Activity: Change Strategies
SECONDARY
Physical Activity Neighborhood Environment
SECONDARY
Social Support for Healthy Eating Habits
SECONDARY
Social Support for Physical Activity
SECONDARY
Depression
SECONDARY
Anxiety
SECONDARY
Self-esteem
SECONDARY
Quality of Well-being
SECONDARY
Body Image

Eligibility Criteria

Inclusion Criteria

  • Age 18 to 35 years
  • Intending to be available for a 24 month intervention
  • Affiliated with either University of California, San Diego (UCSD), San Diego State University (SDSU), or California State University, San Marcos (CSUSM) as a student, faculty, or staff
  • Willing and able to use social media
  • Willing and able to use a smartphone and text messaging
  • Willing and able to use the wearable, scale, and corresponding app
  • Willing and able to attend measurement visits over the 2 year intervention
  • Willing and able to engage in moderate to vigorous physical activity
  • Overweight or obese, but not severely obese (25 >= BMI < 40 kg/m2)

Exclusion Criteria

  • Any comorbidities of obesity that require a clinical referral including eating disorders, pseudotumor cerebri, sleep apnea or hypoventilation syndrome, orthopedic problems, and meeting American Diabetes Association criteria for diabetes
  • Psychiatric or medical conditions that prohibit compliance with the study protocol
  • Had a cardiovascular event (heart attack, stroke, episode of heart failure, or revascularization procedure) within the last 6 months
  • Currently being treated for a malignancy (other than non-melanoma skin cancer)
  • Currently being treated and/or have an eating disorder
  • Planning to have a weight loss surgery in the next 24 months (e.g., liposuction, lap band, gastric bypass)
  • Pregnant, gave birth within the last 6 months, currently lactating or breastfeeding within the last 3 months, or actively planning pregnancy within the next 24 months
  • Prescribed physical activity and/or dietary changes
  • Prescribed medications that alter weight
  • Enrolled in or planning to enroll in a weight loss program during the study period
  • Lost more than 15 pounds within the past 3 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03907462). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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