The Leisure-time Activity and Nutrition Program (LEAN)

The University of Tennessee, Knoxville

Status: Completed

Conditions: Obesity

Treatments: Behavioral: Dietary; Behavioral: Physical Activity; Behavioral: TV Watching + Physical Activity

Study type: Interventional

Funder types: Other

Identifiers

NCT01142206

7521B

Details and patient eligibility

About

The purpose of this investigation is to conduct an 8-week pilot study to examine the effects of two different leisure-time activity prescriptions on dietary intake, leisure-time activities, and weight loss in 30 adults receiving an 8-week behavioral weight loss intervention.

Full description

In adult observational studies, TV viewing has been positively related to overweight and obesity. It is theorized that TV watching influences eating and activity behaviors, such that with greater TV watching less physical activity and greater consumption of energy occurs, producing a positive energy balance state. While no experimental research has been conducted with adults examining the influence of reducing TV watching on weight status, experimental research conducted with children does indicate that lower levels of TV watching can produce reduced energy intake and greater levels of physical activity. Most importantly, family-based, behavioral childhood obesity interventions that have targeted reducing sedentary behaviors (which includes TV watching) have found that as compared to targeting increasing physical activity during treatment, similar increases in activity and fitness occur, but that greater weight loss and greater increases in liking for physical activity occur when sedentary behaviors, as compared to physical activity, are targeted in family-based behavioral childhood weight control programs.

All participants in the investigation will receive a standard 8-week behavioral obesity intervention. The intervention will include a reduced caloric prescription (1200-1500 kcal/day) and fat gram prescription (30% or less kcals from fat). One condition will receive an activity goal (200 minutes/week of moderate-intense physical activity [Physical Activity]), while the other condition will receive a TV watching goal (10 hours/week) and a physical activity goal (200 minutes/week of moderate-intense physical activity [TV + Physical Activity]. Participants will be assessed at 0 and 9 weeks (pre- and post-intervention) on measures of dietary intake, physical activity, TV watching, time-use, motivation, liking of physical activity and TV watching, and weight.

Enrollment: 28 patients

Sex: All

Ages: 21 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Body mass index (BMI) between 25 and 45 kg/m2
• Watch > 16 hours per week of TV
• Engage in < 100 minutes of moderate-intense physical activity per week

Exclusion criteria

• Report a heart condition, chest pain during periods of activity or rest, or loss of consciousness on the Physical Activity Readiness Questionnaire (PAR-Q).
• Individuals self-reporting joint problems, prescription medication usage related to heart conditions, or other medical conditions that could limit exercise will be required to obtain written physician consent to participate.
• Report being unable to walk for 2 blocks (1/4 mile) without stopping.
• Report no TVs in the home or 5 or more TVs in the home viewed by the participant (TVs in participant's children's bedrooms will not be counted)
• Are unwilling to have TV Allowances attached to TVs in the home.
• Report other household members are unwilling to use the TV Allowance.
• Report major psychiatric diseases or organic brain syndromes via a phone screen.
• Are currently participating in a weight loss program and/or taking weight loss medication or lost > 5% of body weight during the past 6 months.
• Are currently participating in a program to increase physical activity and/or decrease TV watching time.
• Intend to move to another city within the time frame of the investigation.
• Are pregnant, lactating, less than 6 months post-partum, or plan to become pregnant during the time frame of the investigation.
• Have had gastric surgery for weight loss.
• Are unwilling to attend weekly sessions.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 2 patient groups

Physical Activity

Active Comparator group

Description:

A standard behavioral weight loss intervention with a physical activity prescription of 200 minutes of moderate intensity physical activity per week.

Treatment:

Behavioral: Physical Activity

Behavioral: Dietary

Physical Activity & TV Watching

Experimental group

Description:

A standard behavioral weight loss intervention with a physical activity prescription of 200 minutes of moderate intensity physical activity per week and an additional prescription of reducing TV watching to 10 hours per week or less.

Treatment:

Behavioral: Physical Activity

Behavioral: TV Watching + Physical Activity

Behavioral: Dietary