NIH "EARLY" Trials Seek to Use Technology to Help Young Adults Achieve Healthy Weights
Obesity in childhood has become an major health issue. Obese children often carry their excess weight into young adult years and beyond. Looking for a way to change this, the National Institutes of Health's National Heart, Lung, and Blood Institute (NHLBI) has funded seven clinical trials that combine behavioral weight management programs with technologies such as text messaging, online social networking, and Bluetooth-enabled scales.
It is hoped that by using technology, the Early Adult Reduction of Weight through Lifestyle Intervention (EARLY) Trials will engage young adults, defined as ages 18-35, in protecting their future heart health. Several of the trials have begun seeking participants who are interested in preventing weight gain and/or losing weight through healthy eating and physical activity.
The trials are receiving a total of $36 million over five years and are partially supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Trials steering committee chair Leslie Lytle, Ph.D., who is leading a trial that features Web-based social networking among community college students, stated "We expect the use of technology will help us reach young adults at risk of weight gain and inspire them to stay at a healthy weight."
Previous NHLBI research has shown that people aged 18-49 gain an average of 1-2 pounds each year, with the largest weight gain of 3 pounds per year occurring in 20-29-year-olds. Such weight gain can lead to high blood pressure, high blood cholesterol, diabetes, and other risk factors for cardiovascular disease.
The following individual trials will help reach young adults aged 18-35. All seven trials are expected to start enrollment by spring 2011.
- Treating Adults at Risk for Weight Gain with Interactive Technology (TARGIT) at the University of Tennessee, Memphis, will use the iPod Touch, webinars, and podcasts to deliver a behavioral weight loss intervention to young adults who are trying to quit smoking. Delivered in conjunction with an effective tobacco quit line, TARGIT will be the first combined tobacco cessation-weight management program targeted to young adults. There will be 330 participants. ClinicalTrials.gov ID: NCT01199185. Participant contact: (901) 448-8400 or www.targitstudy.org
- Innovative Approaches for Diet, Exercise, and Activity (IDEA) at the University of Pittsburgh will test how a weight loss intervention enhanced with text message reminders and wearable exercise monitors improves weight loss as compared to a standard intervention. There will be 480 young adult participants. ClinicalTrials.gov ID: NCT01131871. Participant contact: (412) 488-4184 or www.idea.pitt.edu
- eMoms Roc: Electronically Mediated Weight Interventions for Pregnant and Postpartum Women at Cornell University/University of Rochester, N.Y., will test Internet-based programs to promote the health of pregnant and postpartum women. These e-interventions will focus on diet, physical activity, weight, and other issues of interest to childbearing women. The 3,500 participants will be ethnically and socioeconomically diverse women in their first 20 weeks of pregnancy. eMoms Roc is co-funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Participant contact: http://www.emomsroc.org/
- Choosing Healthy Options in College Environments and Settings (CHOICES) at the University of Minnesota, Minneapolis, will test a for-credit course that includes Web-based social networking to prevent unhealthy weight gain in 440 student participants attending two-year community colleges. ClinicalTrials.gov ID: NCT01134783. Participant contact: (612) 624-2374 or Megan Treziok ([email protected])
- Cell Phone Intervention for You (CITY) at Duke University, Durham, N.C., will test two weight loss approaches against a control in a total of 360 participants. In one approach, participants will use cell phones for self-monitoring and social networking. In the other, they use cell phones for self-monitoring only and also receive personal coaching. ClinicalTrials.gov ID: NCT01092364. Participant contact: (919) 681-CITY (2489) or www.dukecitystudy.org
- Social/Mobile Approaches to Reducing Weight (SMART) at the University of California, San Diego, will test a behavioral intervention that uses mobile phones, Facebook, and the Web. The goal is to help 380 overweight or obese university student participants lose weight. ClinicalTrials.gov ID: NCT01200459. Participant contact: [email protected]
- Study of Novel Approaches for Prevention (SNAP) at Brown University/Miriam Hospital will test a Web-based weight management intervention against a control in 600 young adult participants. The goal is to help participants self-regulate their weight by either making large changes in their eating and exercise habits to lose weight, or making small changes to prevent or reverse weight gain. ClinicalTrials.gov ID: NCT01183689. Participant contact: www.snapstudy.org
People interested in participating in one of the trials are encouraged to contact each site directly. More information can be found at www.clinicaltrials.gov.
To schedule an interview with an NHLBI spokesperson, contact the NHLBI Communications Office at 301-496-4236 or [email protected]
National Institute of Health Press Release