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Sponsored by: |
Brooke Army Medical Center |
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Information provided by: | Brooke Army Medical Center |
ClinicalTrials.gov Identifier: | NCT00632346 |
The purpose of this study is to determine if there is an association between a variety of adverse childhood experiences and overweight and obesity. The adverse childhood experiences that will be examined include childhood abuse (physical, emotional, sexual), childhood neglect (physical, emotional), and household dysfunction (domestic violence, parental marital discord, and household members with a history of substance abuse, mental illness, and criminal behavior). Because this study will be performed at a military treatment facility, additional military unique experiences to include frequent residential mobility and parental deployment will also be examined.
Hypotheses/Research Questions: Overweight and obese young adults are more likely to report having experienced adverse childhood experiences and household dysfunction than their peers of normal weight. In addition, the more severely overweight or obese the patient, the more likely the patient is to report a higher number of previous adverse childhood experiences. Thus, there is a graded relationship between the severity of overweight/obesity and the number of adverse childhood experiences.
Condition |
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Overweight Obesity |
Study Type: | Observational |
Study Design: | Ecologic or Community, Retrospective |
Official Title: | Relationship of Adverse Childhood Experiences (Childhood Abuse, Neglect, and Household Dysfunction) to the Severity of Overweight and Obesity in Young Adults in a Military Dependent Population. |
Enrollment: | 200 |
Study Start Date: | September 2007 |
Estimated Study Completion Date: | February 2008 |
Estimated Primary Completion Date: | February 2008 (Final data collection date for primary outcome measure) |
Groups/Cohorts |
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1 group
200 patients presenting to the Adolescent Medicine Clinic at Brooke Army Medical Center between the ages of 18 and 23 years-old.
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Previous studies have clearly demonstrated that there is an association between childhood adversities and a variety of eating and weight problems. The research can be extended by assessing the cumulative effects of adverse childhood experiences on the severity of overweight and obesity rather than focusing on individual categories of events. In addition, we can learn much by extending the research to include all overweight and obese patients, not just those who have a known underlying comorbid psychiatric disorder such as bulimia nervosa or binge eating disorder.
Lastly, the research on obesity and adverse childhood experiences should be extended to include younger subjects because obesity is now a public health problem of epidemic proportion in the United States, and it is now affecting younger and younger individuals.
The study proposed in this protocol will accomplish the goals of 1) assessing the cumulative effects of adverse childhood experiences, 2) assessing the association of these events with varying degrees of overweight and obesity, and 3) assessing this association in a younger population than that previously examined.
Ages Eligible for Study: | 18 Years to 23 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Sampling Method: | Non-Probability Sample |
Male and female patients between the ages of 18 and 23 years of age who present to the Brooke Army Medical Center Adolescent Medicine Clinic(regardless of their gender, height, weight, blood pressure, reason for appointment, or health status)
Inclusion Criteria:
All patients presenting to the Adolescent Medicine clinic during the study period,
Exclusion Criteria:
Only patients 18 years of age or older will be identified for possible participation in this study because such patients are not minors and could participate without parental consent.
Therefore, patients above the age of 23 years will also be excluded.
United States, Texas | |
Adolescent Medicine Clinic, Brooke Army Medical Center | |
Fort Sam Houston, Texas, United States, 78234 |
Principal Investigator: | Heather L Elizondo Vega, MD | U.S. Army, Brooke Army Medical Center, Adolescent Medicine Clinic, Department of Pediatrics |
Responsible Party: | Brooke Army Medical Center (U.S. Army) ( Heather Elizondo Vega, CPT, USA, MC (Adolescent Medicine Fellow) ) |
Study ID Numbers: | C.2007.160 |
Study First Received: | February 29, 2008 |
Last Updated: | March 7, 2008 |
ClinicalTrials.gov Identifier: | NCT00632346 History of Changes |
Health Authority: | United States: Federal Government; United States: Institutional Review Board |
childhood abuse overweight obesity BMI as a young adult childhood physical abuse childhood emotional abuse childhood sexual abuse childhood physical neglect |
childhood emotional neglect childhood witnessing of domestic violence parental marital discord household members with substance abuse household members with mental illness household members with criminal behavior cumulative adverse childhood experiences |
Body Weight Signs and Symptoms Obesity Mental Disorders |
Nutrition Disorders Overnutrition Overweight |
Body Weight Signs and Symptoms Obesity |
Nutrition Disorders Overnutrition Overweight |