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The prevalence of obesity has steadily increased in the United States. This can lead to the worsening of type 2 diabetes mellitus, hypertension, sleep apnea, coronary artery disease and osteoarthritis. The medical management of obesity involves dietary counseling and education, behavioral counseling with goal setting, and exercise. Patients with short sleep periods in the range of 5 to 7 hours per night are often heavier than normal sleepers even after controlling for other factors. We hypothesize that the addition of focused counseling on healthy sleeping to counseling on healthy eating (dieting) and healthy exercise can help women lose weight.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diet, exercise, sleep hygiene counseling | Experimental | Subjects will meet with a dietitian and a physician and receive counseling on diet restriction, exercise goals, and good sleep hygiene. Subjects will identify goals in each domain and keep a calendar of the success with achieving these goals. |
|
| Diet and exercise counseling | Active Comparator | Subjects will meet with a dietitian and a physician and receive counseling on calorie restriction and exercise. They will identify goals in each domain and keep a calendar to determine their success with achieving these goals. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diet and exercise counseling | Behavioral | Not needed |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Weight loss | Patients will be monitored for weight loss over a six month study period. We estimate that the sleep hygiene intervention group will lose 10 pounds more than the control group. | Six months |
| Measure | Description | Time Frame |
|---|---|---|
| Functional capacity | We will measure functional capacity using gait speed, timed "Get-up and Go" test, and standing balance at baseline and at six months. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Lipid profile | We will measure cholesterol, LDL, HDL, triglycerides, and hemoglobin A 1 c at baseline and six months. | Six months |
| Quality of life indices | We will measure quality of life indices using questionnaires at baseline and six months. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kenneth M Nugent, MD | Texas Tech University Health Sciences Center | Principal Investigator |
| Dolores M Buscemi, MD | Texas Tech University Health Sciences Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Texas Tech Health Sciences Center - Physicians Pavillion, Internal Medicine Clinic | Lubbock | Texas | 79430 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D015431 | Weight Loss |
| D000070263 | Sleep Hygiene |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D004032 | Diet |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D009043 | Motor Activity |
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| Diet, exercise, sleep hygiene counseling |
| Behavioral |
None needed |
|
| Six months |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001836 | Body Weight Changes |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |