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ObesityNCT01474759

Portion Size Strategies for Management of Body Weight

A study testing Advice on diet, physical activity, and behavior change, Instruction in food portion size and Provision of pre-portioned foods in people with Obesity, run by Penn State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary aim of this research is to determine the efficacy of two portion-control strategies to achieve sustainable dietary and behavior changes and to promote weight loss and maintenance. Read more about this study

Who is it for?
Ages 20 to 65 years, women only
Conditions the study is for
Obesity
What is being tested?
Advice on diet, physical activity, and behavior change, Instruction in food portion size and Provision of pre-portioned foods
Could I receive a placebo?
No, everyone receives an active treatment
How many people
186 participants
Where
1 siteUnited States
Study dates
Jul 2012to Mar 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 65 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Body mass index of 28 to 45 kg/m squared
  • Able to safely engage in physical activity (walking)
  • Able to attend regular instructional sessions at University Park, Pennsylvania

Who cannot join

  • have a medical condition diagnosed by a physician that precludes participation
  • report symptoms indicative of depression or disordered eating
  • report serious food allergies or intolerance
  • current or planned participation in a weight-loss program
  • pregnant or lactating or planning to become pregnant in the next 18 months

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Penn State University Laboratory for the Study of Human Ingestive Behavior

    University Park, Pennsylvania, 16803

Other trials in United States

About this study

The primary aim of this research is to determine the efficacy of two portion-control strategies to achieve sustainable dietary and behavior changes and to promote weight loss and maintenance. A randomized controlled trial will test two approaches to managing portion sizes: one that gives individuals skills and tools to help them make appropriate portion choices, and another that focuses on consumption of pre-portioned foods in order to limit exposure to large portions in the personal food environment. A third group will receive a basic nutritional program to promote weight loss.

The second aim of the research is to determine the effects of the programs on knowledge and consumption of appropriate portions, as assessed by innovative assessment methods and multiple-pass dietary recalls. The third aim is to conduct exploratory analyses of individual factors that may influence the response to the portion-control interventions, such as psychosocial indicators, blood biomarkers, and measures of adherence to the interventions. The expected outcome of the project is that it will lead to the development of specific, evidence-based strategies to help control portion sizes in order to manage weight.

Conditions
Obesity
Being tested
Advice on diet, physical activity, and behavior change, Instruction in food portion size, Provision of pre-portioned foods, Advice on healthy eating for weight loss
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Advice on diet, physical activity, and behavior changeBehavioural

    Individuals will participate in individual sessions with Registered Dietitians providing basic instruction in principles of weight loss. The program will instruct individuals on the principles of healthy eating and nutrition during calorie restriction. These materials include one module with general information on the importance of limiting portion sizes. The program will also include instruction on physical activity and behavioral strategies for weight loss.

  • Instruction in food portion sizeBehavioural

    Individuals assigned to this program will participate in individual instructional sessions with specialized materials and tools that address food selection and choosing appropriate portion sizes of various foods.

  • Provision of pre-portioned foodsOther

    Individuals assigned to this program will be provided with commercially available pre-portioned foods and will be taught effective ways to incorporate them into their daily diet.

  • Advice on healthy eating for weight lossBehavioural

    Individuals assigned to this program will participate in individual instructional sessions that address principles of healthy eating while on a calorie-restricted diet.

Study groups in NCT01474759
Study groupRoleWhat they receive
Portion size instructionExperimentalAdvice on diet, physical activity, and behavior change. Instruction in food portion size.
Receives: Behavioral: Advice on diet, physical activity, and behavior change; Behavioral: Instruction in food portion size
Pre-portioned foodsExperimentalAdvice on diet, physical activity, and behavior change. Provision of pre-portioned foods.
Receives: Behavioral: Advice on diet, physical activity, and behavior change; Other: Provision of pre-portioned foods
ComparisonActive comparatorAdvice on diet, physical activity, and behavior change. Advice on healthy eating for weight loss.
Receives: Behavioral: Advice on diet, physical activity, and behavior change; Behavioral: Advice on healthy eating for weight loss

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in body weight

    Body weight will be measured at multiple time points during the 12-month trial; the main outcome will be the weight trajectory across this time

    Measured: Months 0 to 12

Secondary outcomes (10)
  1. Change in portion size selection, perception, and knowledge

    Computerized assessment of various foods (for self-selected portion sizes, estimation of calorie content, and satiety value) and general knowledge about portion size

    Measured: Months 0, 3, 6, & 12

  2. Change in portion size consumption

    Portion sizes consumed in various food categories as assessed by diet recalls and diet records

    Measured: Months 0, 3, 6, & 12

  3. Change in blood biomarkers

    Fasting lipids, glucose, insulin, and calculated insulin resistance

    Measured: Months 0, 3, 6, & 12

  4. Change in waist circumference

    Measured: Months 0, 3, 6, & 12

  5. Change in blood pressure

    Measured: Months 0, 3, 6, & 12

  6. Change in dietary intakes

    Energy intake, nutrient intakes, dietary energy density, food group intakes, and diet quality from three days of 24-hour diet recalls

    Measured: Months 0, 3, 6, 9, & 12

  7. Change in step counts

    Daily step counts from pedometers

    Measured: Months 0, 3, 6, 9, & 12

  8. Change in attitudes and behaviors related to food and eating

    Self-reported eating attitudes and behaviors on multiple questionnaires

    Measured: Months 0, 1, 3, 6, & 12

  9. Change in psychosocial characteristics

    Questionnaires measuring psychosocial characteristics including impulsivity, variety-seeking, and self-efficacy

    Measured: Months 0, 3, 6, & 12

  10. Intervention adherence

    Number of sessions attended, number of diet and activity records completed, and frequency of using intervention strategies during the entire trial

    Measured: Month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Nov 2011 (estimated)
  2. Study startJul 2012
  3. Primary completionMar 2015
  4. Study completionMar 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
186 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01474759
Sponsor's protocol ID
PortionSize101
Other IDs
R01DK059853
Status last verified
May 2015
First submitted
15 Nov 2011
Last updated
15 May 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Roe LS, Rolls BJ. Which strategies to manage problem foods were related to weight loss in a randomized clinical trial? Appetite. 2020 Aug 1;151:104687. doi: 10.1016/j.appet.2020.104687. Epub 2020 Mar 29.

    PubMed 32234531
  • James BL, Loken E, Roe LS, Rolls BJ. The Weight-Related Eating Questionnaire offers a concise alternative to the Three-Factor Eating Questionnaire for measuring eating behaviors related to weight loss. Appetite. 2017 Sep 1;116:108-114. doi: 10.1016/j.appet.2017.04.023. Epub 2017 Apr 22.

    PubMed 28442337

Questions about this trial

What is this clinical trial studying?

A study testing Advice on diet, physical activity, and behavior change, Instruction in food portion size and Provision of pre-portioned foods in people with Obesity, run by Penn State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 May 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in body weight (time frame: Months 0 to 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01474759, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 May 2015.

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