Childhood Overweight and ObesityHOT vs COTNCT05038683
Holbæk Obesity Treatment (HOT) Versus Conventional Obesity Treatment (COT) in Children With Overweight or Obesity.
A study testing Holbæk Obesity Treatment and Conventional Obesity Treatment in people with Childhood Overweight and Obesity, run by Holbaek Sygehus at 5 sites in Denmark.
Trial summary
The HOT versus COT trial aims to compare the effectiveness of two different lifestyle interventions for treatment of childhood overweight and obesity with the purpose of informing future clinical practice guidelines within this field. Read more about this study
- Who is it for?
- Ages 6 to 11 years
- Conditions the study is for
- Childhood Overweight and Obesity
- What is being tested?
- Holbæk Obesity Treatment and Conventional Obesity Treatment
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 554 participants
- Where
- 5 sitesDenmark
- Study dates
- 26 Oct 2022to Jan 2027
- Phase
- Interventional
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 6 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Overweight or obesity defined as BMI corresponding to or above the 90th percentile for age and sex (International Obesity Task Force cut-offs).
- Age six to < 12 years at enrolment.
- Signed informed consent from both parents or legal guardians.
Who cannot join
- Participation in multidisciplinary obesity treatment (i.e. treatment involving more than one type of healthcare profession) within the past 12 months.
- Having a sibling already enrolled in the HOT versus COT trial.
- Both parents or legal guardians unable to communicate in Danish (written or oral).
- Child unable to communicate in Danish (oral).
- Current or previous clinical diagnosis of either anorexia or bulimia according to ICD-10.
Trial locations and contacts
5 sites in 1 country. Contact the study team or a site near you to ask about taking part.
5 sites in 1 country
Denmark5 sites, 5 recruiting
- Recruiting
Municipality heath center, Ballerup
Ballerup Municipality, Ballerup, 2750
Lotte Stentz, RN
- Recruiting
Municipality health center, Frederikssund Kommune
Frederikssund, Frederikssund, 3600
Bodil M Gjøl, RN
- Recruiting
Municipality heath center, Lejre
Lejre, 4330
Susan Tanzer, RN
- Recruiting
Municipality health center, Guldborgsund
Nykøbing Falster, Guldborgsund, 4800
Hanne Ryttesgaard, RN
- Recruiting
Municipality heath center, Solrød
Solrød Strand, 2680
Marthinne Düring, RN
About this study
Official title: Holbæk Obesity Treatment (HOT) Versus Conventional Obesity Treatment (COT) in Children With Overweight or Obesity. An Investigator-initiated, Multi-center, Randomized, Parallel Group, Clinical Superiority Trial With Blinded Outcome Assessment. HOT Versus COT Trial.
The HOT versus COT trial aims to compare the effectiveness of two different lifestyle interventions for treatment of childhood overweight and obesity with the purpose of informing future clinical practice guidelines within this field. The aim is to conduct this investigation in an optimal trial design with the lowest possible risk of bias.
Read the detailed description
Obesity is a chronic, progressive, and severe disease that compromises growth, development, and the general health and well-being of children, adolescents, and adults all around the globe. Current treatment within this field varies considerably, but the prevailing concept is that treatment should be lifelong with a focus on implementing and maintaining changes regarding diet, physical activity, sedentary behavior, sleep, etc. The Holbæk Obesity Treatment (HOT) is built on the understanding that obesity is a complex chronic disease regulated by a neuroendocrine system, where weight-reducing actions initiate counteractive mechanisms to defend fat mass. Conventional obesity treatment (COT) is based on a view that obesity results from energy imbalances and focuses on motivation, few changes at a time, and a narrative approach towards healthy energy intake and physical activity. These two approaches represent fundamentally different treatments of overweight and obesity.
- Conditions
- Childhood Overweight and Obesity
- Being tested
- Holbæk Obesity Treatment, Conventional Obesity Treatment
- Medical subject headings
- Pediatric Obesity, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Holbæk Obesity TreatmentBehavioural
Obesity is a chronic, progressive, severe, recidivistic, and complex disease, which mandates that children and adolescents with overweight or obesity have access to a professional medical healthcare service as other pediatric chronic diseases, implying a lifelong course of treatment. The HOT method is further based on the physiological insight into the endocrine regulation of fat mass; especially on how the body adapts when it is challenged by weight loss. These insights include an understanding where the body shifts into an energy-preserving mode when the individual is initiating weight-reducing actions, such as a reduced caloric intake or an increased level of physical activity, which has numerous impacts on communication and pedagogy.
HOT is administered by healthcare nurses and dietitians at healthcare centers in Danish municipalities. Each treatment will be conducted as face-to-face sessions totalling a range of six to 12 hours for 12 months.
Conventional Obesity TreatmentBehavioural
Obesity is viewed as a chronic disease that is ultimately thought to result from an imbalance between energy intake and energy expenditure. However, multiple factors, both environmental and genetic, are thought to influence the disease as well. As obesity reflects energy imbalances, the treatment plan should be designed to induce a slightly negative energy balance by focusing on diet, physical activity, and inactivity through behavior change. Taking one step at a time, will in the end lead to the same energy balance result (i.e. weight loss) and will be more sustainable for the participant whose motivation is absolutely pivotal in this process.
COT is administered by healthcare nurses and dietitians at healthcare centers in Danish municipalities. Each treatment will be conducted as face-to-face sessions totalling a range of six to 12 hours for 12 months.
| Study group | Role | What they receive |
|---|---|---|
| HOT | Experimental | Holbæk Obesity Treatment Receives: Behavioral: Holbæk Obesity Treatment |
| COT | Active comparator | Conventional Obesity Treatment Receives: Behavioral: Conventional Obesity Treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
BMI SDS
BMI SDS assessed according to the International Obesity Task Force cut-offs.
Measured: End of intervention (12 months)
Quality of life (PedsQL)
Quality of life assessed by Pediatric Quality of Life Inventory (PedsQL)
Measured: End of intervention (12 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Sep 2021
- Study start26 Oct 2022
- Primary completionJan 2027 (estimated)
- Study completionJan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Childhood Overweight and ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 554 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Holbaek Sygehus
- Sponsor type
- University, hospital or other
- Collaborators
- Copenhagen Trial Unit, Center for Clinical Intervention Research, University of Copenhagen, Statens Serum Institut, University of Florida, Leeds Beckett University, University of Minnesota, Hebrew University of Jerusalem, Frederiksberg University Hospital
- Responsible party
- Sponsor
- Investigators
- Jens-Christian Holm, Ph.d., MD, Study chair, The Children's Obesity Clinic, Department of Pediatrics, Holbæk Hospital, Part of Copenhagen University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05038683
- Sponsor's protocol ID
- HOT vs COT trial
- Acronym
- HOT vs COT
- Status last verified
- Apr 2025
- First submitted
- 7 Sep 2021
- Last updated
- 20 Apr 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: After the results have been published, the aim is to make a depersonalised dataset publicly available on e.g. ClinicalTrials.gov and/or the European Union (EU) Zenodo database (https://zenodo.org/). The final choice will reflect which platform(s) that are compliant with current legislation at that time.