Research Component

Research Overview

While the program serves as a standalone intervention for adolescents with BMI >35, it also functions as the framework for a rigorous PhD research project examining specific physiological adaptations to exercise in this population.

Research Participants

A subset of program participants who meet specific criteria will be invited to participate in the research component:

  • BMI >140% of the 95th percentile (severe obesity)
  • Ages 13-18
  • No contraindications to exercise testing
  • Parent/guardian consent and participant assent
  • Ability to complete additional testing sessions

Additional Measurements

Research participants will undergo additional assessments beyond the standard program measurements:

  • Cardiorespiratory Function

    • VO₂ testing
    • Spirometry
    • Exercise capacity assessment

  • Metabolic Parameters

    • Fasting blood glucose and insulin
    • HOMA-IR calculation
    • Continuous glucose monitoring (subset)

  • Body Composition

    • DEXA scan
    • Waist and hip circumference
    • Body fat percentage

  • Physical Activity Patterns

    • Accelerometry
    • Validated physical activity questionnaires

Research Questions

The PhD project aims to answer several key questions:

  1. How does a structured, remote exercise intervention affect cardiorespiratory function in adolescents with severe obesity?

  2. What is the relationship between exercise adherence and changes in insulin resistance in this population?

  3. What physiological and psychological factors predict successful adherence to the exercise program?

  4. How do changes in cardiorespiratory function correlate with changes in quality of life measures?

Benefits for Participants

Research participants receive several additional benefits:

  • Comprehensive physiological assessment
  • More detailed feedback on progress
  • Contribution to scientific knowledge
  • Additional one-on-one consultations with research team
  • Personalized reports of all measurements

Ethical Considerations

The research component has been designed with careful attention to ethical considerations:

  • Age-appropriate assent procedures
  • Clear explanation of all testing procedures
  • Option to participate in the program without the research component
  • Ability to withdraw from research at any time without losing program access
  • Privacy and confidentiality protections