Upgrade the Grains Study: Increasing Whole Grain Consumption in Low-income Children With Obesity
| Status: | Terminated |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 8 - 16 |
| Updated: | 2/15/2018 |
| Start Date: | June 22, 2016 |
| End Date: | August 2, 2016 |
The Metabolic Impact of Concurrent Food Insecurity and Obesity
This study will assess the impact of a randomized intervention aimed at increasing
consumption of whole grain foods among children from low-income households that participate
in the Special Nutrition Assistance Program (SNAP, or "food stamps"). A total of 60 obese
children (8 to 16 years) will be recruited from a clinical population (Healthy Eating Active
Living Program) at University of California San Francisco (UCSF) Benioff Children's Hospital
Oakland. Participants and their caregivers will all receive education about whole grain
foods, and will be randomized to either an intervention or control group. The intervention
group will receive a monthly reimbursement allotment of up to 10% of their usual SNAP benefit
for specific whole grain foods purchased during the three month study period. The control
group will not have the financial incentive for purchasing whole grain foods during the 12
week study period. The investigators will assess the feasibility of the intervention, the
impact of the intervention on household grocery purchases, and the impact on the child's
anthropometrics, dietary intake of whole grain foods (24-hour recall), and markers of
metabolic risk.
consumption of whole grain foods among children from low-income households that participate
in the Special Nutrition Assistance Program (SNAP, or "food stamps"). A total of 60 obese
children (8 to 16 years) will be recruited from a clinical population (Healthy Eating Active
Living Program) at University of California San Francisco (UCSF) Benioff Children's Hospital
Oakland. Participants and their caregivers will all receive education about whole grain
foods, and will be randomized to either an intervention or control group. The intervention
group will receive a monthly reimbursement allotment of up to 10% of their usual SNAP benefit
for specific whole grain foods purchased during the three month study period. The control
group will not have the financial incentive for purchasing whole grain foods during the 12
week study period. The investigators will assess the feasibility of the intervention, the
impact of the intervention on household grocery purchases, and the impact on the child's
anthropometrics, dietary intake of whole grain foods (24-hour recall), and markers of
metabolic risk.
RUN-IN PHASE (Weeks -4 to 0)
- Participants will participate in a "run-in phase" where they will be asked to keep all
grocery receipts for a 4 week period
RANDOMIZATION (Week 0)
- Child participants with caregivers who are able to successfully complete the run-in
phase are then randomized at that point to be either in the intervention arm or the
control arm.
- Patients will be block randomized by age group (8-11 and 12-16).
ACTIVE PHASE (Weeks 0-12)
- Participants will be given education about whole grains and whole grain preparation.
Intervention and control participant activities described elsewhere.
RETURN VISIT (Week 24)
- 12 weeks after the completion of the active phase of the study, patients will be asked
to return for a final visit at the research center, during which they will also have
blood tests and other study activities repeated for one final time.
- Participants will participate in a "run-in phase" where they will be asked to keep all
grocery receipts for a 4 week period
RANDOMIZATION (Week 0)
- Child participants with caregivers who are able to successfully complete the run-in
phase are then randomized at that point to be either in the intervention arm or the
control arm.
- Patients will be block randomized by age group (8-11 and 12-16).
ACTIVE PHASE (Weeks 0-12)
- Participants will be given education about whole grains and whole grain preparation.
Intervention and control participant activities described elsewhere.
RETURN VISIT (Week 24)
- 12 weeks after the completion of the active phase of the study, patients will be asked
to return for a final visit at the research center, during which they will also have
blood tests and other study activities repeated for one final time.
Inclusion Criteria:
- Obese (BMI greater than 95th percentile for age and gender)
- Low-income family currently participating in SNAP ("food stamps")
- Participant and caregiver speaks either English or Spanish
Exclusion Criteria:
- medications to lower lipid levels (statins), which would affect insulin sensitivity
(e.g. metformin, abilify) or which are known to affect serum cholesterol (e.g.
carbamazepine).
- Type II diabetes
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