UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000055004
Receipt number R000062839
Scientific Title Body weight and eating attitudes influence improvement of depressive symptoms n children and pre-adolescents with eating disorders: a prospective multicenter cohort study
Date of disclosure of the study information 2024/07/22
Last modified on 2024/07/17 23:41:41

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Basic information

Public title

Depressive symptoms in children and pre-adolescents with eating disorders: a prospective multicenter cohort study

Acronym

Depressive symptoms and pediatric eating disorders

Scientific Title

Body weight and eating attitudes influence improvement of depressive symptoms n children and pre-adolescents with eating disorders: a prospective multicenter cohort study

Scientific Title:Acronym

Effects of weight and eating attitudes on depression in pediatric eating disorders

Region

Japan


Condition

Condition

Eating disorders

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to evaluate body weight, eating attitudes, psychosocial factors, and depression in children with eating disorders at the initial phase and to determine whether depressive symptoms improve prospectively with changes in as weight and eating behavior after treatment.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in BMI-SD, ChEAT26, outcome scale, and CDI were assessed after 12 months of treatment.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

7 years-old <=

Age-upper limit

15 years-old >=

Gender

Male and Female

Key inclusion criteria

The registration period lasted two years, from April 2014 to March 2016. Patients with eating disorders under the age of 16 were enrolled, and consent was obtained after the study protocol was explained to the patient and their guardians in the research manual.

Key exclusion criteria

Patients who did not provide informed consent to participate in this study were excluded.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yuichi
Middle name
Last name Suzuki

Organization

Fukushima Medical University School of Medicine

Division name

Department of Pediatrics

Zip code

9601295

Address

1 Hikariga-oka, Fukushima, Fukushima 960-1295, Japan

TEL

0245471295

Email

susan@fmu.ac.jp


Public contact

Name of contact person

1st name Yuichi
Middle name
Last name Suzuki

Organization

Fukushima Medical University School of Medicine

Division name

Department of Pediatrics

Zip code

9601295

Address

1 Hikariga-oka, Fukushima, Fukushima 960-1295, Japan

TEL

0245471295

Homepage URL


Email

susan@fmu.ac.jp


Sponsor or person

Institute

Fukushima Medical University

Institute

Department

Personal name



Funding Source

Organization

he Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Division of Medical Research Promotion

Address

1 Hikariga-oka, Fukushima, Fukushima 960-1295, Japan

Tel

0245471790

Email

liaison@fmu.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

13211

Org. issuing International ID_1

the medical ethics committee of Kurume University School of Medicine

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 07 Month 22 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/31528200/

Publication of results

Partially published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/31528200/

Number of participants that the trial has enrolled

91

Results

After 12 months of treatment, depressive symptoms were evaluated in 62 of the 91 cases assessed initially. A paired-sample t-test showed a significant decrease in CDI scores after 12 months and a significant increase in BMI-SDS. Multiple regression analysis revealed that initial BMI-SDS and ChEAT26 scores were beneficial for CDI recovery. Additionally, initial BMI-SDS was useful for predicting BMI-SDS recovery after 12 months.

Results date posted

2024 Year 07 Month 17 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The male to female ratio was 8:83, with females accounting for 93.4% of the cohort. The average BMI was 13.5 (SD: 1.6), and the average BMI-SDS was -3.5 (SD: 1.7). The free T3 levels, which reflect nutritional status, were low at 1.67 pg/mL (SD: 0.84). The prevalence of AN was 70.3% (64/91); the other 29.7% (27/91) were cases of ARFID, and the autism spectrum disorder comorbidity diagnosed based on DSM-5 criteria was 12.1% (11/91). The average ChEAT26 score was 20.7 points (SD: 15.5), and the outcome score was 15.7 points (SD: 4.5). The average CDI score was 17.5 points (SD: 8.5), with 24.2% of the cases exceeding the cutoff value (23/24) for Japanese children.

Participant flow

91 patients with eating disorders who had CDI at the initial visit (all patients), 62 patients who had CDI after 12 months of treatment (the follow-up group), and 29 patients who dropped out during the observation period (the dropout group)

Adverse events

no adverse events

Outcome measures

Changes in CDI score, BMI-SDS, ChEAT26 score, and outcome scale from the initial phase to the 12-month follow-up

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 01 Month 01 Day

Date of IRB

2013 Year 01 Month 18 Day

Anticipated trial start date

2014 Year 04 Month 01 Day

Last follow-up date

2016 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Among the 91 patients with eating disorders who had CDI at the initial visit (all patients), 62 patients who had CDI after 12 months of treatment (the follow-up group), and 29 patients who dropped out during the observation period (the dropout group), there were no significant differences in age at the initial visit, male-to-female ratio, BMI, and BMI-SDS, free T3 levels, the prevalence of AN and autism spectrum disorder comorbidity, the ChEAT26 score, the outcome score, and the CDI score.


Management information

Registered date

2024 Year 07 Month 17 Day

Last modified on

2024 Year 07 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000062839


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name