Family Based Treatment for Weight Loss With Breakfast Prescription

The purpose of this application is to evaluate the acceptability and initial efficacy of
consumption of an egg breakfast, compared to a cereal breakfast, in the context of
Family-based Behavioral Treatment (FBT) with overweight and obese children and their parents.
Investigators will randomize 66 parents and their overweight and obese child (85-99.9%BMI) to
FBT+egg or FBT+cereal groups. Families will eat their assigned breakfast (eggs or cereal) 5
out of 7 days during the 4 month FBT treatment. However, all other aspects of FBT will be the
same in the two groups. Children and parents will complete assessments at three time points;
baseline, post-treatment and 4-months post-treatment.

Inclusion Criteria:

1. Children between the ages of 8 and 12 years old;

2. BMI ≥85th% and <100% overweight

3. Children with parents who are willing to attend 16 weekly group sessions and be
randomized to either treatment arm;

4. Have at least one parent who is overweight or obese (BMI≥25);

5. Children and parent who endorse liking of both eggs and cereal

6. Parents who speak English at a 5th grade level.

Exclusion Criteria:

1. Children with serious medical conditions that affect their weight;

2. Children taking medication that affect appetite or weight;

3. Children with severe developmental delay or disability that would affect
participation;

4. Children or parents with psychological illness that would limit treatment
participation;

5. Families who plan to move out of the area within the time frame of the study.