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The goal of this experimental study is to develop and evaluate the effectiveness of a Mindful Eating Intervention (MEI) model integrated with the digital application EatsUp for improving body fat percentage among obese adolescents in Indonesia. The study aims to address the rising prevalence of adolescent obesity and its associated health risks, such as insulin resistance and cardiometabolic syndrome, by promoting mindful eating habits and healthy lifestyle behaviors.
The main questions it aims to answer are:
Is the MEI model valid and acceptable for use among obese adolescents?
Does the MEI model reduce:
Does the MEI model improve eating behavior scores compared to a control group over 12 weeks?
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nutrition and Physical Activity with Mindful Eating Intervention | Experimental | The intervention group receiving nutrition and physical activity with mindful eating intervention |
|
| Nutrition and Physical Activity Education | Experimental | The control group receiving only nutrition and physical activity education |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nutrition and Physical Activity Education with Mindful Eating Intervention | Behavioral | Mindful Eating Intervention applied to Obesity treatment for Adolescent alongside with Nutrition and Physical Activity Education from Nutritionist and Psychologist |
| Measure | Description | Time Frame |
|---|---|---|
| Body Composition | Body composition measured in this study are Body Mass Index for Age (BMI-Age), Waist-to-Height Ratio (WHtR), Waist Circumference, Body Fat Percentage, | From enrollment to the end of intervention at 12 weeks |
| Fasting Blood Sugar Levels | Blood glucose examination is carried out after fasting for 10 - 12 hours. | From enrollment to the end of intervention at 12 weeks |
| Fasting Insulin Levels | Measures the amount of insulin in the blood during fasting. | From enrollment to the end of intervention at 12 weeks |
| Insulin Resistance | HOMA-IR (Homeostatic Model Assessment for Insulin Resistance): Calculated using fasting glucose and insulin levels, with a threshold value (≥3.8) indicating insulin resistance. | From enrollment to the end of intervention at 12 weeks |
| Mindful Eating Score | Mindful eating is assessed based on 5 domains: distraction, disinhibition, awareness, external cues, and emotional eating. Mindful Eating Questionnaire is scored by adding up responses to each item and dividing by the total number of items answered. The resulting score ranges from 1 to 4, with higher scores indicating more mindful eating. | From enrollment to the end of intervention at 12 weeks |
| Eating Behavior | Psychosocial factors and attitudes that influence eating behavior such as food choices, dieting, and the presence of eating disorders measured using Adolescent Food Habit Checklist (AFHC) | From enrollment to the end of intervention at 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aryono Hendarto, PhD | Indonesia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitas Indonesia | Jakarta | Indonesia |
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| Nutrition and Physical Activity Education | Behavioral | Nutrition and physical activity education from Nutritionist applied as Obesity treatment for Adolescent |
|
| Binge Eating | Eating behavior disorder where a person tends to overeat and has difficulty controlling it is assessed from a total score of 16 statements using Binge Eating Scale Questionnaire. The total score ranges from 0 to 46, with higher scores correlating with more frequent and severe binge eating behaviors. Based on the total scores, it can be classified into distinct severity categories as follows:
| From enrollment to the end of intervention at 12 weeks |
| Sleep Quality | Sleep can produce a feeling of being fit, assessed based on duration, latency, efficiency and sleep disturbance as measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. | From enrollment to the end of intervention at 12 weeks |
| Physical Activity Level | Measurement of physical activity during the last 7 days using the International Physical Activity Questionnaire for Adolescent (IPAQ-A) | From enrollment to the end of intervention at 12 weeks |
| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001522 | Behavior, Animal |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D009752 | Nutritional Status |
| ID | Term |
|---|---|
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D006304 | Health Status |
| D003710 | Demography |
| D011154 | Population Characteristics |
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