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N/A N=50 Randomized Single-blind Treatment

Time Limited Eating in Adolescents (Time LEAd): a Pilot Study

Obesity, Childhood

Enrolled (actual)
50
Serious AEs
0.0%
Results posted
Apr 2023
Primary outcome: Primary: Percent Change in BMI in Excess of the 95th Percentile (%BMIp95) — -3.27; -3.76; -4.85 percent — p=0.4

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Low sugar and carbohydrate diet (Behavioral); Time Limited Eating (Behavioral); Continuous Glucose Monitor (Device)
Age
Pediatric, Adult · 14+ yrs
Sex
All
Sponsor
Children's Hospital Los Angeles
Primary completion
Jan 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change in BMI in Excess of the 95th Percentile (%BMIp95)
-3.27; -3.76; -4.85 0.4
SECONDARY
Average Glucose
0.5; -7.1; -4.2 0.2

Summary

The investigators propose a randomized controlled trial in 90 children (age 13-21y) with obesity recruited from clinical programs at the Children's Hospital Los Angeles (CHLA). Patients will be randomized to one of three treatment groups for a 12-week intervention: Group 1) Low sugar and carbohydrate diet (LSC, <90 gm carbohydrate (CHO)/day, <25 gm added sugar/day) + blinded CGM (used to monitor adherence and glycemic outcomes without real time feedback). Group 2) LSC+TLE (16-hour fast/8-hour feed for 3 days per week) + blinded CGM, Group 3) LSC+TLE+ real time feedback via CGM (to evaluate effect of providing CGM data on intervention efficacy).

Eligibility Criteria

Inclusion Criteria

  • age 14-18
  • BMI> 85th percentile
  • parent, guardian or family member ages 18 years and older willing to participate

Exclusion Criteria

  • Insulin requirement
  • previous diagnosis of Prader Willi Syndrome, brain tumor or hypothalamic obesity
  • serious mental conditions (e.g. developmental or intellectual disability or previously diagnosed eating disorder or positive screen at consent visit)
  • physical, mental of other inability to participate in the assessments (e.g. inability to wear CGM, inability to be in the imaging modality without sedation, or inability to eat by mouth)
  • previous or planned bariatric surgery
  • current use of medication that impacts weight or executive functioning (e.g., antipsychotics, sedatives, hypnotics, off-label obesity medication)
  • current psychotherapy regarding weight or eating behavior
  • current participation in other interventional studies. In our experience, children younger than 13 years of age and older than 21 years would require different intervention/counseling strategies.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03954223). 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.

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