Dynamo: a Tailored Lifestyle Promotion Intervention Among Pediatric Patients With Cardiometabolic Risk Factors (CIRCUIT)
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Purpose
The Dyn@mo lifestyle intervention (CHU Sainte-Justine, Quebec, Canada) targets children and adolescents aged 6 to 17 years old with cardiometabolic risk factors, such as obesity, hypertension, disorders in glucose regulation or dyslipidemia. Its primary goal is to promote physical activity and reduce sedentary time to improve childrens' cardiometabolic profile. To do so, the intervention relies on gathering data on mobility and physical activity using wearable sensors. These data provide a detailed picture of real-life conditions and physical activity levels, improving the health care professional's ability to tailor counseling. The investigators are presently in the implementation phase of this intervention.
| Condition | Intervention |
|---|---|
|
Obese |
Behavioral: Sensor based PA intervention Behavioral: Traditional PA counseling |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Implementing Dynamo: a Tailored Lifestyle Promotion Intervention Among Pediatric Patients With Cardiometabolic Risk Factors |
- Change in physical activity levels [ Time Frame: Baseline and 1 year ] [ Designated as safety issue: No ]Physical activity will be measured using accelerometry and we will use time spent in moderate to vigorous physical activity as our primary measure of PA
- Change in blood pressure [ Time Frame: Baseline and 1 year ] [ Designated as safety issue: No ]Both systolic and diastolic blood pressure will be measured
- Change in glucose homeostasis [ Time Frame: Baseline and 1 year ] [ Designated as safety issue: No ]Both fasting blood glucose, and glucose 2hr post load (oral glucose tolerance test) will be measured
- Change in lipid status [ Time Frame: Baseline and 1 year ] [ Designated as safety issue: No ]LDL, HDL, triglycerides and total cholesterol will be measured at baseline and after 1 year of follow-up
- Change in body mass index [ Time Frame: Baseline and 1 year ] [ Designated as safety issue: No ]We will measure height and weight at baseline and at 1 year of follow-up and calculate differences in body mass index over the 1 year period
| Estimated Enrollment: | 100 |
| Study Start Date: | January 2015 |
| Estimated Study Completion Date: | January 2019 |
| Estimated Primary Completion Date: | January 2018 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Sensor based PA intervention
Children will be equipped with a heart rate monitor, a GPS receiver and an accelerometer for collection of heart rate, mobility and physical activity free-living data during a 7-day period. This will provide a 'spatio-behavioural diagnosis' using a map-based interactive web application. This data will be used to developed a tailored plan to promote physical activity in the child's every day environment.
|
Behavioral: Sensor based PA intervention
Children will be equipped with a heart rate monitor, a GPS receiver and an accelerometer for collection of heart rate, mobility and physical activity free-living data during a 7-day period. This will provide a 'spatio-behavioural diagnosis' using a map-based interactive web application. This data will be used to developed a tailored plan to promote physical activity in the child's every day environment.
|
|
Traditional PA counseling
In this arm, while children will wear the same sensors as in the intervention arm, the intervention will not rely on data gathered using the wearable sensors. Rather, a traditional physical activity counseling strategy will be adopted in this control group.
|
Behavioral: Traditional PA counseling
Children will be encouraged to enhance their physical activity levels using traditional behavioral approaches.
|
Eligibility| Ages Eligible for Study: | 6 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- children ages 6 to 18 years of age with a BMI > 95th percentile for age and sex
Exclusion Criteria:
- children with a physical or psychological condition that would impair their ability to participate in physical activity
Contacts and Locations| Contact: Melanie Henderson | 514-345-4735 | |
| Contact: Tracie A Barnett | 514-345-4931 ext 5461 |
| Canada, Quebec | |
| CHU Sainte-Justine | Not yet recruiting |
| Montreal, Quebec, Canada, H3T 1C5 | |
| Contact: Melanie Henderson 514-345-4735 | |
| Principal Investigator: Melanie Henderson | |
More Information
No publications provided
| Responsible Party: | Melanie Henderson, Endocrinologist and Assistant Clinical Professor, St. Justine's Hospital |
| ClinicalTrials.gov Identifier: | NCT01736748 History of Changes |
| Other Study ID Numbers: | CIRCUIT 1 |
| Study First Received: | November 26, 2012 |
| Last Updated: | November 28, 2012 |
| Health Authority: | Canada: Canadian Institutes of Health Research |
Keywords provided by St. Justine's Hospital:
|
obesity physical activity metabolism |
environment obese children, as defined by a body mass index > 95th percentile for age and sex |
ClinicalTrials.gov processed this record on May 23, 2013