Evaluation of the correlation between diet quality, weight status, and mental health in schoolchildren, with an emphasis on the identification of plasma biomarkers.

ISRCTN ISRCTN12172320
DOI https://doi.org/10.1186/ISRCTN12172320
Submission date
09/03/2025
Registration date
12/03/2025
Last edited
10/06/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Obesity and mental health issues are growing concerns in children worldwide. Poor diet and excess weight can affect a child’s physical and mental well-being. However, it’s not always easy to tell when a child’s weight and diet might lead to problems later on. Many children with excess body fat are not diagnosed with obesity because their BMI may appear normal. This study will help us better understand these connections, particularly by identifying children who may be at risk despite having a normal BMI. This study aims to explore how children's diet quality, weight, and mental health are connected.

Who can participate?
Children aged 6-11 years old who attend school and have parental consent.

What does the study involve?
The study will involve a one-time evaluation where the InBody device will be used to measure body composition (including fat and muscle mass). The study will also use questionnaires to assess the children's mental health and gather information about their diet. Finally, a blood sample will be collected to check for plasma biomarkers that can give us further insight into their metabolic and inflammatory health.

What are the possible benefits and risks of participating?
The main goal of this study is to identify early signs of potential health problems related to diet, weight, and mental health. Understanding these connections better will help prevent obesity and related conditions in children. This research will contribute to improving children's health and well-being.

Participation in this study has minimal risks, including slight discomfort during blood sampling and potential emotional discomfort when responding to mental health questionnaires. All materials, including questionnaires and consent forms, are provided in Spanish. Participants will receive professional support if needed, and confidentiality is strictly maintained.

Where is the study run from?
The Institute for Obesity Research at Tecnológico de Monterrey, Mexico

When is the study starting and how long is it expected to run for?
May 2024 to September 2025

Who is funding the study?
The Institute for Obesity Research at Tecnológico de Monterrey, Mexico

Who is the main contact?
Dr Cipatli Ayuzo (Principal Investigator), cipatli@tecsalud.mx

Contact information

Prof Norma Cipatli Ayuzo Del Valle
Public, Scientific, Principal Investigator

Tecnológico de Monterrey
Batallon De San Patricio 1112
San Pedro Garza García
66440
Mexico

ORCiD logoORCID ID 0000-0002-8110-3532
Phone +528181850805
Email cipatli@tecsalud.mx
Dr Perla Perez-Trevino
Scientific

Tecnológico de Monterrey
Batallon De San Patricio 1112
San Pedro
66440
Mexico

ORCiD logoORCID ID 0000-0002-0076-5738
Phone +528182533814
Email perla.perez.trevino@tec.mx

Study information

Study designNon-interventional single-center cross-sectional study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Hospital
Study typeQuality of life, Screening
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEvaluating the new 2025 obesity classification framework in pediatric athletes: a comparative study with traditional BMI-based classification
Study objectivesThe 2025 obesity classification provides a more accurate assessment of pediatric obesity by distinguishing excess adiposity from muscle mass. This new approach will improve the identification of children at risk for metabolic complications, including those with a normal BMI but excess body fat, allowing for earlier intervention and targeted management strategies.
Ethics approval(s)

1. Approved 24/05/2024, Ethics Committee of the Hospital la Mision (Ave Hospital 112, Monterrey, 64718, Mexico; +52 8114924050; investigacion@hospitallamision.com), ref: HZHRMA-te01-001

2. Approved 30/05/2024, Hospital Zambrano (Batallon De San Patricio 1112, San Pedro, 66440, Mexico; +528188880000; gdejesus@tec.mx), ref: hzhrma-te01-001

Health condition(s) or problem(s) studiedEvaluation of nutritional status in Mexican children
InterventionThis non-interventional single-center cross-sectional study will evaluate the correlation between diet quality, weight status, and mental health in schoolchildren. Participants will undergo a single assessment, including dietary intake analysis, anthropometric measurements, and mental health screening. Additionally, plasma biomarkers related to metabolic and inflammatory status will be analyzed. Statistical analyses will explore associations between these variables to identify potential risk factors and early indicators of health outcomes.
Intervention typeMixed
Primary outcome measureDiet quality and weight status (including excess adiposity and BMI) in schoolchildren measured using the InBody device, which uses bioelectrical impedance analysis (BIA) at one timepoint
Secondary outcome measures1. Diet quality measured using the Children’s Diet Quality Questionnaire (Cuestionario de Calidad de la Dieta en Niños, validated in Spanish) at baseline.
2. Mental health measured using the Children’s Anxiety and Depression Scale (Escala de Ansiedad y Depresión en Niños) at one timepoint
3. Plasma biomarkers associated with metabolic and inflammatory processes measured using ELISA and targeted metabolomic assays (LC-MS/MS and NMR) in blood at baseline.
Overall study start date24/05/2024
Completion date04/09/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupChild
Lower age limit5 Years
Upper age limit11 Years
SexBoth
Target number of participants120
Total final enrolment111
Key inclusion criteria1. Schoolchildren aged 6-11 years
2. Parental/guardian consent for participation
3. Ability to follow study procedures, including completing questionnaires and undergoing assessments
4. Willingness to provide a blood sample for plasma biomarker analysis
Key exclusion criteria1. Current chronic medical conditions that could affect weight, diet, or mental health (e.g., diabetes, psychiatric disorders, metabolic conditions)
2. Use of medications or supplements that may significantly alter metabolic or mental health status
Date of first enrolment04/09/2024
Date of final enrolment04/12/2024

Locations

Countries of recruitment

  • Mexico

Study participating centre

Hospital Zambrano Hellion
Batallon De Sa Patricio 1112
San Pedro
66440
Mexico

Sponsor information

Tecnológico de Monterrey
University/education

Batallon De San Patricio 1112
San Pedro
66440
Mexico

Phone +52 8115163692
Email gdejesusgarcia@tec.mx
Website https://tec.mx/es/investigacion/instituto-de-investigacion-sobre-obesidad
ROR logo "ROR" https://ror.org/03ayjn504

Funders

Funder type

Not defined

Instituto Tecnológico y de Estudios Superiores de Monterrey
Private sector organisation / Other non-profit organizations
Alternative name(s)
Tecnológico de Monterrey, Tec de Monterrey, Monterrey Institute of Technology, Monterrey Institute of Technology and Higher Education, ITESM, Tec
Location
Mexico

Results and Publications

Intention to publish date01/06/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planScientific Journals:
The study results will be submitted to peer-reviewed journals focused on pediatrics, nutrition, and obesity, such as Pediatric Obesity or Appetite.

Conference Presentations:
Findings will be presented at national and international conferences related to pediatric health, obesity, and mental health.

Institutional Dissemination:
Results will be shared within the Institute for Obesity Research at Tecnológico de Monterrey and through the university’s communications channels.

Media Outreach:
Key findings will be shared with local and national media outlets to raise awareness about the study’s implications for child health.

Community Engagement:
The research team will work with participating schools to share the findings and promote better health practices within the community.

Social Media and Online Platforms:
Summaries of the study will be shared through the research team’s social media accounts to reach a wider audience.
IPD sharing planThe study will use RedCap for secure data collection and management, ensuring participant confidentiality. Individual participant data will not be shared publicly or with third parties without explicit consent, except in cases required by law or ethical review. De-identified data may be shared with other researchers upon request, in accordance with institutional guidelines and ethical standards, and only for research purposes related to obesity, nutrition, or mental health. Any data sharing will be done through secure platforms, ensuring privacy and data protection.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file version 1 12/04/2024 12/03/2025 No No
Protocol file 12/03/2025 No No
Results article 22/05/2025 27/05/2025 Yes No
Results article 22/05/2025 10/06/2025 Yes No

Additional files

46970_Investigator Brochure for the TecMind01 Protocol_v1_12April2024.pdf
46970_Protocol.pdf

Editorial Notes

10/06/2025: Publication reference added.
27/05/2025: Publication reference added.
13/03/2025: Internal review.
12/03/2025: Study's existence confirmed by the Ethics Committee of the Hospital la Mision.