Preventing Type 2 Diabetes in Black Emergent Adult Women At-Risk for Binge-Eating Disorder

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Black Americans are disproportionately affected by diabetes, with nearly double the rates of type 2 diabetes mellitus (T2DM), compared to non-Hispanic White adults. Though numerous factors affect these disparities, one modifiable risk factor may be that of binge eating (BE), which increases risk for binge-eating disorder (BED), which is associated with severe obesity, and often precedes a T2DM diagnosis, beginning in childhood or adolescence. Nearly 30% of Black women with obesity report binge eating episodes. Furthermore, given that binge and overeating may disparately increase the odds of obesity in Black adults (15-fold increase vs. 6-fold increase in White adults), reducing this behavior will be critical to prevent continued disparities in T2DM diagnosis. Given that Black women have the highest rates of obesity in the nation (57%), report disparate rates of weight gain between young adulthood and mid adulthood, and report disparate rates of emotional eating in adolescence, which is a risk factor for BE, one pathway to reducing disparities in T2DM risk in Black women may be to reduce binge eating and prevent weight gain in emerging adulthood (ages 18-25).

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Maximum Age: 25
Healthy Volunteers: t
View:

• Black women

• between 18-25 years of age

• BMI ≥ 25 kg/m\^2

• At least one binge eating episode weekly

• Prediabetic

• Have access to a smartphone

Locations
United States
North Carolina
UNC-Chapel Hill
RECRUITING
Chapel Hill
Contact Information
Primary
Tyisha Harper- Cooks, MBA
tyharper@unc.edu
704-250-5085
Time Frame
Start Date: 2025-06-30
Estimated Completion Date: 2030-12
Participants
Target number of participants: 100
Treatments
Experimental: Appetite Awareness Training (AAT) and Diabetes Prevention Program (DPP)
Participants are randomized into the AAT and DPP groups and receive content from both programs for 12 months.
Experimental: Diabetes Prevention Program (DPP) only
Participants are randomized into the DPP group and will be able to access the program's content.
Sponsors
Collaborators: American Diabetes Association
Leads: University of North Carolina, Chapel Hill

This content was sourced from clinicaltrials.gov