Daily headlines warn of the escalating pandemic of childhood obesity.
A new study utilizes common telecommunication technology — the web and cell phones — to help overweight adolescents who are at risk for Type 2 Diabetes, and their families.
The intervention motivates the teens to make permanent changes in diet and behavior, without drugs, supplements or costs.
The investigational study, called PACE (Patient-centered Assessment and Counseling for Exercise and Nutrition) Teen Study is still enrolling at risk volunteers.
“These kids have a compelling problem with their weight. It’s not something that can be addressed in a few weeks or months,” said PACE project principal investigator Kevin Patrick, M.D., M.S., professor of Family and Preventive Medicine, University of California, San Diego School of Medicine.
Changing behavior means learning and applying new skills to approach diet and activity then months of practice to develop the healthy behavioral habit.
The program is based on a “stop light” system, giving the participants nutritional and activity-level choices according to a green, yellow or red light ranking.
For example, green light foods, such as fruits and vegetables, are lowest in calories and highest in vitamins, minerals and fiber. Green light activities, such as biking or rollerblading, add the most steps to the participant’s day, thus burning more calories. Yellow and red category foods and activities have fewer benefits.
Health Coaches also send challenges via email, asking the teens to set and reach certain goals.
Individuals go online everyday to look up their activities and goals. While the responsibility is mostly on the teen, the family did the activities together and also learned about nutrition.
For example, just because it says “multigrain” doesn’t mean it’s really healthy. So familes learn to read labels for fat and fiber levels to make better decisions.
“I think it’s clear that the adolescents who are going to be most successful are the ones who have support from the people they are living with,” said PACE project co-investigator Michael Gottschalk, M.D., Ph.D.
“This is an environmental change and a lot of times, it’s the environment itself that is creating part of the problem.”
An estimated 73 million Americans, one-third of the adult population, have some form of diabetes. Not long ago it was a disease seen primarily in adults over age 45, but today, the National Institutes of Health (NIH) estimates that about 177,000 young people under 20 years of age have diabetes.
Who Can Participate?
• Be between the ages of 12 and 16 years old
• Live in San Diego County
• Be considered overweight with at least two risk factors for Type 2 Diabetes
• Be referred to the study by a provider within either Rady’s Children’s Hospital, Children’s Primary Care Medical Group (CPCMG) or Kaiser Permanente
• Speak English
• Have access to the internet and know how to use it
• Have at least one parent willing to participate in the study with the teen
This study, funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the National Institutes of Health, is being conducted in conjunction with the Pediatric Adolescent Endocrinology and Diabetes Clinic at Rady Children’s Hospital and Health Center, Children’s Primary Care Medical Group practices and Pediatric/Adolescent Medicine Departments at seven Kaiser Permanente sites.
For enrollment information please call Jennifer Covin at 858-457-7282.