Diet, Physical Activity, and Weight Trends Study



Status:Recruiting
Healthy:No
Age Range:18 - 29
Updated:11/24/2018
Start Date:June 12, 2018
End Date:December 31, 2019
Contact:Genevieve Prushinski
Email:gprushin@vols.utk.edu
Phone:865-974-0752

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The purpose of this investigation is to is to examine if self-weighing with feedback, in
which the feedback is matched to the timeframe of self-weighing, in the absence of a standard
behavioral intervention assists with the self-regulation of energy balance behaviors among
young adults. Participants will be randomized to one of three groups: 1) daily weighing; 2)
weekly weighing; 3) no weighing for 4 weeks.

All eligible participants will be scheduled for a baseline assessment at the Healthy Eating
and Activity Laboratory (HEAL) that will last approximately 60 minutes. During this
assessment, interested participants will sign the consent form. After signing the consent
from, eligibility will be confirmed by taking height and weight measures and completing
questionnaires assessing eating disorder risk and unhealthy weight control behaviors.
Participants will also be given questionnaires assessing self-esteem and mood. Demographic
information and contact information will be obtained. Next, eligible participants will be
registered for the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) and
provided instructions on how to complete 24-hour recalls using ASA24. Throughout the next
week, participants will be randomly emailed on three days to complete three 24-hour recalls
(1 weekend day, 2 weekdays). Participants will also be given a SenseWear Armband and provided
instructions on how to use and care for the Armband. Participants will be instructed to wear
the Armband for a minimum of 10 hours each day for the next week. At the conclusion of the
session, participants will be scheduled to return to HEAL lab one week later.

This session one week later will last approximately 30 minutes. The investigator will confirm
through ASA24 that the participant successfully completed three 24-hour recalls. To confirm
that the participant successfully wore the Armband for at least 10 hours on the days the
24-hour recalls were completed, the investigator will download the Armband data using
SenseWear software. After it has been confirmed that the participant completed these diet and
physical activity measures, the participant will be randomized to the daily weighing group,
weekly weighing group, or no weighing control group based on weight status. Participants in
all groups will be provided with a handout containing general nutrition information about how
to build a healthy eating pattern based on the 2015-2020 Dietary Guidelines for Americans.

Daily Weighing- Participants in the daily weighing group will be given a Yunmai SE Weight
Scale and instructions for its use. Next, participants will be given instructions to download
the Yunmai mobile app and create a user profile. Participants will be instructed to weigh
themselves using the Yunmai SE Scale and app one time each day upon rising from bed (and
before noon) after urination and in light clothing beginning in one week, every day for four
weeks. Participants will be instructed to only weigh themselves using the scale provided
during the duration of the study and to not allow others in their household use the scale. A
reminder text and email will be sent to the participant to remind them to begin weighing on
the assigned day. If on any day the participant has not weighed by 11am, the participant will
receive an email and text reminder. After 2 weights have been collected, participants will
begin to receive daily feedback on their change in weight and suggestions to maintain energy
balance. They will receive an email between 12-1pm with this feedback stating, "Your weight
today is _______. Your weight has (increased/decreased) _____ pounds since yesterday." If
their weight has increased, the email will also contain a message stating, "If your goal is
to maintain your weight, you may consider decreasing your energy balance by 150 calories" and
will include one example of how to decrease their energy balance by 150 calories. If
participants' weight has decreased, the participants will receive a message in addition to
their feedback on change in weight stating, "If your goal is to maintain your weight, you may
consider increasing your energy balance by 150 calories" and will include one example of how
to increase energy balance by 150 calories.

Weekly Weighing- Participants in the weekly weighing intervention group will be given a
Yunmai SE Weight Scale and instructions for its use. Next, participants will be given
instructions to download the Yunmai mobile app and create a user profile. Participants will
be instructed to weigh themselves using the Yunmai SE Scale and app one time each week upon
rising from bed (and before noon) after urination in light clothing beginning the following
day for four weeks. Participants will be instructed to only weigh themselves using the scale
provided during the duration of the study and to not allow others in their household use the
scale. If the participant has not weighed by 11am, the participant will receive an email and
text reminder. After two weights have been collected, participants will begin to receive
weekly feedback on their week and suggestions to maintain energy balance. Feedback and
suggestions will be given as previously described above.

No Weighing Control- Participants in the non-weighing control group will be asked to refrain
from weighing themselves for the next four weeks.

At the conclusion of the session, participants will be scheduled to return to HEAL lab three
weeks later. This session three weeks later will last approximately 5 minutes. Participants
will receive the Armband and be instructed to wear the Armband for a minimum of 10 hours each
day during for the next week and reminded on how to complete 24-hour recalls using ASA24.
Throughout the next week, participants will be randomly emailed on three days to complete
three 24-hour recalls (1 weekend day, 2 weekdays). At the end of session, the participants
will be scheduled to return to HEAL lab one week later. This session one week later will last
approximately 60 minutes. Participants will be weighed and measured and be asked to complete
follow-up questionnaires for eating attitudes, binge eating, unhealthy weight control
behaviors, mood, and self-esteem. Participants will also be asked questions regarding their
thoughts and feelings about self-regulation. Participants will also return the Armband and
Yunmai SE Scale (intervention groups only) to the researcher. Handouts generated from ASA24
and SenseWear software that summarize the participant's dietary intake data from ASA24 and
physical activity data from the Armband will be provided to the participants.

Inclusion Criteria:

- between the ages of 18 and 29 years

- body mass index (BMI) 19.0-29.9 kg/m^2

- weight goal of maintaining current weight/preventing weight gain

- own and iPhone or Android phone to download the Yunmai app for the scale used for
self-weighing

- daily access to a computer with internet to complete dietary assessments online
through ASA24

- regularly wake up before 12pm (noon) on weekdays (Monday-Friday) and weekend days
(Saturday-Sunday)

- present on campus for time period required to complete the study

Exclusion Criteria:

- self-reported previous or current diagnoses of an eating disorder, or at risk for an
eating disorder defined as a score of ≥20 on EAT-26 and/or a score >27 on BES, and/or
report of any extreme unhealthy weight control behaviors

- participating in a program that sets dietary or physical activity goals

- health condition that influences eating or physical activity or requires a therapeutic
diet or physical activity restrictions

- allergy to metal making the participant unable to wear BodyMedia SenseWear Armband.
We found this trial at
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Knoxville, Tennessee 37920
Phone: 865-974-6259
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Knoxville, TN
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