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Childhood ObesityCOPENCT04522921

Childhood Obesity - Prevention of Diabetes Through Changed Eating Patterns

A study testing Diet with a higher amount of protein (25E% per day), Increased follow-up contact after the 10-week intervention and Diet with a lower amount of protein (15E% per day) in people with Childhood Obesity and Overweight and Obesity, run by University of Aarhus at 2 sites in Denmark.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The main purpose of the present study is to perform a 10 weeks dietary intervention study with a follow-up for 52 weeks in children from 7-14 years of age with overweight or obesity. Read more about this study

Who is it for?
Ages 7 to 14 yearsHealthy volunteers can take part
What is being tested?
Diet with a higher amount of protein (25E% per day), Increased follow-up contact after the 10-week intervention and Diet with a lower amount of protein (15E% per day)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
211 participants
Where
2 sitesDenmark
Study dates
1 Oct 2020to 31 Dec 2032
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 7 to 14 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • The child attends a multi-component-overnight camp in Hobro or Fjordmark between October 2020 and March 2022.
  • The child is between 7 and 14 years of age (inclusive) while attending camp.
  • At least one parent/guardian submit written and oral consent to participate with his/her child.
  • Parent/legal guardian has submitted oral and written consent to participation of their child. In case of shared custody both parents must submit written and oral consent before their child can participate in the trial.

Who cannot join

  • The child has a disease, diagnose or eating disorder that require treatment.
  • The child or parent/guardian participate in another clinical trial or plan to do so in the near future.
  • The parent/guardian do not understand the written informed consent.
  • The child or parent/guardian are unwilling to or unable to comply with the study protocol and instruction given by the study staff.

Trial locations and contacts

2 sites in 1 country.

Denmark2 sites
  • Weight Loss Camp Hobro

    Hobro, 9500

  • Weight Loss Camp Fjordmark

    Kruså, 6340

Other trials in Denmark

About this study

Official title: Childhood Obesity - Prevention of Diabetes Through Changed Eating Patterns (The COPE-study) - An Non-randomized Intervention Trial Investigating the Efficacy of Dietary Changes in Protein

The main purpose of the present study is to perform a 10 weeks dietary intervention study with a follow-up for 52 weeks in children from 7-14 years of age with overweight or obesity. In a caloric restricted and increased physical activity setting the control group will consume a low-moderate protein (15E%/day) diet whereas the intervention group will consume a higher protein (25E%/day) diet. Secondary, the investigators want to investigate the effect of frequent follow-up after the intervention, and the overall effect of the lifestyle camp.

Compared to the low-moderate protein diet, the investigators hypothesis that a diet with higher consumption of protein-containing foods will more effectively induce weight loss (a reduction in BMI-SDS) or weight maintenance in children with overweight or obesity, and improve quality of life, and risk factors for type 2 diabetes.

Read the detailed description

The study will be performed in collaboration with the staff of the well-established multi-component-overnight camps (Julemærkehjem) in Denmark. The multi-component-overnight camps are intensive weight loss camps to which Danish schoolchildren, from 7-14 years of age, are referred to for 10-weeks intervention focusing on healthy lifestyle, healthy eating, new habits and increased physical activity.

The primary outcome is anthropometry (BMI-SDS, fat mass, fat-free mass). Secondary outcomes are metabolic health and questionnaires investigating quality of life, eating behavior traits, eating habits and eating-related problems i.e., overeating and loss of control eating.

The children will be measured at baseline, 10-weeks and at a 52-weeks follow-up visit.

Furthermore, participants will be invited to follow-up visits 3 years, 5 years, 7 years and 10 years, respectively.

Being tested
Diet with a higher amount of protein (25E% per day), Increased follow-up contact after the 10-week intervention, Diet with a lower amount of protein (15E% per day)
Keywords
Eating Behavior, Eating Habit, Quality of Life, Dietary Habits, Eating Disorders
Medical subject headings
Pediatric Obesity, Overweight, Obesity, Diabetes Mellitus, Feeding Behavior, Feeding and Eating Disorders

What participants receive

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

  • Diet with a higher amount of protein (25E% per day)Dietary supplement

    In a caloric restricted and increased physical activity setting, the participants will be served a higher protein (25E%/day) diet.

  • Increased follow-up contact after the 10-week interventionBehavioural

    Both the control-group and the intervention-group were offered an increased follow-up contact after camp.

  • Diet with a lower amount of protein (15E% per day)Dietary supplement

    In a caloric restricted and increased physical activity setting, the participants will be served a low-moderate protein (15E%/day) diet.

Study groups in NCT04522921
Study groupRoleWhat they receive
SARS CoV-groupOtherThis group should have been the control group. However, due to the COVID19 lockdown of the camps for 5 five weeks, with no control of diet and physical activity, this group could not act as control group. Therefore, this group has been excluded from longitudinal analyses.
Receives: Dietary Supplement: Diet with a lower amount of protein (15E% per day)
Control Group (CG)Active comparatorCurrent weight-loss diet (15E%/day protein) for the 10 weeks they attend the camp. Increased follow-up contact after camp.
Receives: Behavioral: Increased follow-up contact after the 10-week intervention; Dietary Supplement: Diet with a lower amount of protein (15E% per day)
Intervention group (IG)ExperimentalA higher protein diet (25E%/day) for the 10 weeks they attend the camp. Increased follow-up contact after camp.
Receives: Dietary Supplement: Diet with a higher amount of protein (25E% per day); Behavioral: Increased follow-up contact after the 10-week intervention

What is being measured

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

  1. Body Mass Index Standard Deviation Score (BMI-SDS)

    BMI-SDS was calculated using World Health Organization Anthro-Plus software.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  2. Body Weight (kg)

    Body weight (kg) was measured in light clothing without shoes using a Bioelectric impedance (InBody model 270, Hopkins Medical Products, Grand Rapids, MI, USA).

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  3. Body Fat (%)

    Body fat (%) was measured in light clothing without shoes using a Bioelectric impedance (InBody model 270, Hopkins Medical Products, Grand Rapids, MI, USA).

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  4. Skeletal Muscle Mass (kg)

    Skeletal muscle mass (kg) was measured in light clothing without shoes using a Bioelectric impedance (InBody model 270, Hopkins Medical Products, Grand Rapids, MI, USA).

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

Secondary outcomes (17)
  1. Body Height (m)

    Height (m) was measured using a fixed wall measuring tape.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  2. Systolic Blood Pressure

    Blood pressure was measured with the right arm placed at heart level using an automatic non-invasive blood pressure monitor (Omron M3, Kyoto, Japan).

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  3. Diastolic Blood Pressure

    Blood pressure was measured with the right arm placed at heart level using an automatic non-invasive blood pressure monitor (Omron M3, Kyoto, Japan).

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  4. P-cholesterol

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  5. HDL Cholesterol

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  6. LDL Cholesterol

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  7. P-tryglyceride

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  8. ALAT

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  9. ASAT

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  10. GGT

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  11. Basic Phosphatase

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  12. HbA1c

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  13. P-glucose

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  14. Albumin

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  15. CD163

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  16. Platelets

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

  17. Uric Acid

    Educated bio-analysts were responsible for collecting blood samples in a subsample of children.

    Measured: Mean changes from baseline to 10-weeks (post camp intervention)

Timeline

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

  1. First posted21 Aug 2020
  2. Study start1 Oct 2020
  3. Primary completion30 Jun 2023
  4. Study completion31 Dec 2032 (estimated)

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
Prevention
Allocation
Non-randomised
Intervention model
Factorial
Model description
1. SARS CoV group (former control group): Current weight-loss diet (15E%/day protein) for the 10 weeks they attend the camp, however, due to a COVID19 lockdown of the camps, these children were sent home for five weeks, and therefore excluded from longitudinal comparison between the groups. 2. Control group (CG): Current weight-loss diet (15E%/day protein) for the 10 weeks they attend the camp. 2\) Intervention group (IG): A higher protein diet (25E%/day) for the 10 weeks they attend the camp.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
211 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04522921
Sponsor's protocol ID
The COPE-study
Acronym
COPE
Status last verified
Apr 2026
First submitted
13 Aug 2020
Last updated
29 Apr 2026
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jakobsen DD, Brader L, Bruun JM. Effect of a higher protein diet and lifestyle camp intervention on childhood obesity (The COPE study): results from a nonrandomized controlled trail with 52-weeks follow-up. Eur J Nutr. 2024 Sep;63(6):2173-2184. doi: 10.1007/s00394-024-03420-z. Epub 2024 May 9.

    PubMed 38724826
  • Jakobsen DD, Jarvholm K, Brader L, Bruun JM. Long-term changes in eating-related problems and quality of life in children with overweight and obesity attending a 10-week lifestyle camp. Obes Res Clin Pract. 2024 May-Jun;18(3):209-215. doi: 10.1016/j.orcp.2024.04.002. Epub 2024 May 4.

    PubMed 38705820
  • Pauls DD, Clausen L, Bruun JM. Eating behavior profiles in children following a 10-week lifestyle camp due to overweight/obesity and low quality of life: A latent profile analysis on eating behavior. Eat Behav. 2025 Apr;57:101971. doi: 10.1016/j.eatbeh.2025.101971. Epub 2025 Mar 24.

    PubMed 40157300
  • Aagaard I, Jakobsen DD, Bruun JM. Association between quality of life and emotional overeating - a cross-sectional study in Danish children attending a multicomponent lifestyle camp. Eur J Pediatr. 2023 Dec;182(12):5493-5499. doi: 10.1007/s00431-023-05206-7. Epub 2023 Sep 30.

    PubMed 37777600
  • Orry S, Dalstrup Jakobsen D, Kristensen NM, Meldgaard Bruun J. Uric acid and sCD163 as biomarkers for metabolic dysfunction and MAFLD in children and adolescents with overweight and obesity. J Pediatr Endocrinol Metab. 2023 Jun 8;36(7):643-649. doi: 10.1515/jpem-2023-0228. Print 2023 Jul 26.

    PubMed 37285233
  • Christofersen GD, Pauls DD, Bruun JM. Appetitive traits and long-term risk of disordered eating: a 3-year follow-up in children with overweight and obesity. Eat Weight Disord. 2026 May 20;31(1):68. doi: 10.1007/s40519-026-01868-y.

    PubMed 42159618

Questions about this trial

What is this clinical trial studying?

A study testing Diet with a higher amount of protein (25E% per day), Increased follow-up contact after the 10-week intervention and Diet with a lower amount of protein (15E% per day) in people with Childhood Obesity and Overweight and Obesity, run by University of Aarhus at 2 sites in Denmark.

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 4 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Denmark. 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?

Yes. Results are posted in the registry (first posted 22 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Body Mass Index Standard Deviation Score (BMI-SDS) (time frame: Mean changes from baseline to 10-weeks (post camp intervention)). The study lists 4 primary outcomes in all. 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 NCT04522921, which also lists 6 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 29 Apr 2026.

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