Foundations for Health

Young adulthood is recognized as a key time to focus on health promotion/disease prevention,
as this time is when young individuals begin to transition to independence and thus are
adopting health behaviors that will be carried into later adulthood. Unfortunately, this time
period is often marked by decreases in physical activity and dietary quality. Working with
young adults as they establish their first independent living situation can help set the
foundation for behaviors that may aid with lifelong weight management and chronic disease
prevention. Foundations for Health is the first study to examine the effect of a web-based
lifestyle modification program in combination with culinary skills or lifestyle skills
training sessions on weight loss, dietary intake, and meal preparation behaviors using a
reduced energy dense diet in young adults with a family history of diabetes. Foundations for
Health will provide a 12-week weight loss intervention for overweight and obese young adults,
aged 18 to 35 years. Study participants will be randomly assigned to one of two conditions:
1) a web-based behavioral intervention that decreases dietary energy density and increases
physical activity; and 2) the same intervention combined with a hands-on culinary skills
training program designed to increase food purchasing and meal self-preparation and
consumption of meals low in energy density. The primary aims of this feasibility study are:
1) determine if the web-based plus culinary training condition has a greater increase in food
purchasing, meal preparation/cooking behaviors, and intake of self-made meals; and a greater
decrease in consumption of "convenience meals" than the web-based condition at 3 months; and
2) determine if the web-based plus culinary training condition has a greater decrease in
dietary energy density and percent energy from fat and a greater increase in fruit and
vegetable consumption than the web-based condition at 3 months.

Inclusion Criteria:

- Age between 18 and 35 years old.

- BMI between 25 and 45 kg/m2.

- Have type 2 diabetes or an adult family member, first or second degree relative, with
type 2 diabetes.

- Have a cooking and food preparation area, along with cooking utensils, available in
their current living situation.

- Consume > 3 restaurant/fast food meals/week.

- Regular and reliable internet access via a computer.

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).20

- Report not being able to walk for two blocks.

- Report major psychiatric diseases or organic brain syndromes.

- 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.

- Intend to have bariatric surgery within the time frame of the investigation.

- Intend to move outside of the metropolitan area 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 percent body fat < 20% for females or < 13% for males.

- Live with an adult who is responsible for food purchasing and/or meal preparation.

- Have purchased a full meal plan from a college dining services program.

- Do not have regular access to transportation (needed for food purchases).

- Do not provide email contact information that is needed for access to web- based
program.

- Report consuming > 10 self-made lunches or dinners per week.