A gender-sensitised weight-loss and healthy living program for men with overweight and obesity in Australian Football League settings (Aussie-FIT): A pilot randomised controlled trial
Autoři:
Dominika Kwasnicka aff001; Nikos Ntoumanis aff001; Kate Hunt aff001; Cindy M. Gray aff005; Robert U. Newton aff006; Daniel F. Gucciardi aff001; Cecilie Thøgersen-Ntoumani aff001; Jenny L. Olson aff001; Joanne McVeigh aff001; Deborah A. Kerr aff010; Sally Wyke aff005; Philip J. Morgan aff011; Suzanne Robinson aff010; Marshall Makate aff010; Eleanor Quested aff001
Působiště autorů:
Physical Activity and Well-being Research Group, Curtin University, Perth, Australia
aff001; School of Psychology, Curtin University, Perth, Australia
aff002; SWPS University of Social Sciences and Humanities, Wroclaw, Poland
aff003; Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom
aff004; Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
aff005; Exercise Medicine Research Institute, Edith Cowan University, Perth, Australia
aff006; School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
aff007; School of Occupational Therapy, Speech Therapy & Social Work, Curtin University, Perth, Australia
aff008; Movement Physiology Laboratory, School of Physiology, University of Witwatersrand, Johannesburg, South Africa
aff009; School of Public Health, Curtin University, Perth, Australia
aff010; Priority Research Centre in Physical Activity and Nutrition, School of Education, University of Newcastle, Newcastle, Australia
aff011
Vyšlo v časopise:
A gender-sensitised weight-loss and healthy living program for men with overweight and obesity in Australian Football League settings (Aussie-FIT): A pilot randomised controlled trial. PLoS Med 17(8): e32767. doi:10.1371/journal.pmed.1003136
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pmed.1003136
Souhrn
Background
Recent evidence shows that sport settings can act as a powerful draw to engage men in weight loss. The primary objective of this pilot study was to test the feasibility of delivering and to evaluate preliminary efficacy of Aussie-FIT, a weight-loss program for men with overweight/obesity delivered in Australian Football League (AFL) settings, in preparation for a future definitive trial.
Methods and findings
This 6-month pilot trial took place in Perth, Australia. Participants were overweight/obese (Body Mass Index [BMI] ≥ 28 kg/m2), middle-aged (35–65 years old) men. Participants were recruited in May 2018, and the intervention took place between June and December 2018. The intervention involved 12 weekly 90-min face-to-face sessions, incorporating physical activity, nutrition, and behaviour change information and practical activities delivered by coaches at 2 clubs. Data were collected at baseline and immediately postintervention. For trial feasibility purposes, 6-month follow-ups were completed. Outcomes were differences in weight loss (primary outcome) and recruitment and retention rates, self-reported measures (for example, psychological well-being), device-measured physical activity, waist size, and blood pressure at 3 months. Within 3 days of advertising at each club, 426 men registered interest; 306 (72%) were eligible. Men were selected on a first-come first-served basis (n = 130; M age = 45.8, SD = 8; M BMI = 34.48 kg/m2, SD = 4.87) and randomised by a blinded researcher. Trial retention was 86% and 63% at 3- and 6-month follow-ups (respectively). No adverse events were reported. At 3 months, mean difference in weight between groups, adjusted for baseline weight and group, was 3.3 kg (95% CI 1.9, 4.8) in favour of the intervention group (p < 0.001). The intervention group’s moderate-to-vigorous physical activity (MVPA) was higher than the control group by 8.54 min/day (95% CI 1.37, 15.71, p = 0.02). MVPA among men attracted to Aussie-FIT was high at baseline (intervention arm 35.61 min/day, control arm 38.38 min/day), which may have limited the scope for improvement.
Conclusions
Aussie-FIT was feasible to deliver; participants increased physical activity, decreased weight, and reported improvements in other outcomes. Issues with retention were a limitation of this trial. In a future, fully powered randomised controlled trial (RCT), retention could be improved by conducting assessments outside of holiday seasons.
Trial registration
Australian New Zealand Clinical Trials Registry: ACTRN12617000515392.
Klíčová slova:
Alcohol consumption – Blood pressure – Body weight – Physical activity – Randomized controlled trials – Sleep – Sports – Weight loss
Zdroje
1. World Health Organization. Obesity and overweight [Internet]. [cited 2019 Jun 3]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
2. National Health and Medical Research Council. Clinical Practice Guidelines for the management of overweight and obesity. [Internet]. [cited 2019 Jun 3]. Available from: https://www.nhmrc.gov.au/about-us/publications/clinical-practice-guidelines-management-overweight-and-obesity
3. Australian Institute of Health and Welfare. A picture of overweight and obesity in Australia. [Internet]. 2018 [cited 2019 Jun 3]. Available from: https://www.aihw.gov.au/reports/overweight-obesity/a-picture-of-overweight-and-obesity-in-australia/contents/table-of-contents
4. Robertson C, Archibald D, Avenell A, Douglas F, Hoddinott P, Van Teijlingen E, et al. Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technol Assess Winch Engl. 2014;18(35):v.
5. Pagoto SL, Schneider KL, Oleski JL, Luciani JM, Bodenlos JS, Whited MC. Male inclusion in randomized controlled trials of lifestyle weight loss interventions. Obesity. 2012;20(6):1234–9. doi: 10.1038/oby.2011.140 21633403
6. Gough B, Conner MT. Barriers to healthy eating amongst men: a qualitative analysis. Soc Sci Med. 2006;62(2):387–95. doi: 10.1016/j.socscimed.2005.05.032 16011867
7. Bottorff JL, Seaton CL, Johnson ST, Caperchione CM, Oliffe JL, More K, et al. An updated review of interventions that include promotion of physical activity for adult men. Sports Med. 2015;45(6):775–800. doi: 10.1007/s40279-014-0286-3 25430599
8. De Visser RO, Smith JA. Alcohol consumption and masculine identity among young men. Psychol Health. 2007;22(5):595–614.
9. Young MD, Plotnikoff RC, Collins CE, Callister R, Morgan PJ. Impact of a male‐only weight loss maintenance programme on social–cognitive determinants of physical activity and healthy eating: A randomized controlled trial. Br J Health Psychol. 2015;20(4):724–44. doi: 10.1111/bjhp.12137 25777588
10. Conrad D, White A. Sports-based health interventions: Case studies from around the world. Springer; 2015.
11. Pringle A, Zwolinsky S, Smith A, Robertson S, McKenna J, White A. The pre-adoption demographic and health profiles of men participating in a programme of men’s health delivered in English Premier League football clubs. Public Health. 2011;125(7):411–6. doi: 10.1016/j.puhe.2011.04.013 21726882
12. Hunt K, Gray CM, Maclean A, Smillie S, Bunn C, Wyke S. Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study. BMC Public Health. 2014;14(1):50.
13. Hunt K, McCann C, Gray CM, Mutrie N, Wyke S. “You’ve got to walk before you run”: Positive evaluations of a walking program as part of a gender-sensitized, weight-management program delivered to men through professional football clubs. Health Psychol. 2013;32(1):57. doi: 10.1037/a0029537 23316853
14. Hunt K, Wyke S, Gray CM, Anderson AS, Brady A, Bunn C, et al. A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT): a pragmatic randomised controlled trial. The Lancet. 2014;383(9924):1211–21.
15. Gray CM, Wyke S, Zhang R, Anderson AS, Barry S, Brennan G, et al. Long-term weight loss following a randomised controlled trial of a weight management programme for men delivered through professional football clubs: the Football Fans in Training follow-up study. Public Health Res. 2018;6(9):1–114.
16. Gray C, Brennan G, MacLean A, Mutrie N, Hunt K, Wyke S. Can professional rugby clubs attract English male rugby supporters to a healthy lifestyle programme: the Rugby Fans in Training (RuFIT) study 2013-14Cindy Gray. Eur J Public Health. 2014;24(suppl_2).
17. Maddison R, Hargreaves EA, Wyke S, Gray CM, Hunt K, Heke JI, et al. Rugby Fans in Training New Zealand (RUFIT-NZ): a pilot randomized controlled trial of a healthy lifestyle program for overweight men delivered through professional rugby clubs in New Zealand. BMC Public Health. 2019;19(1):166. doi: 10.1186/s12889-019-6472-3 30736781
18. Petrella RJ, Gill DP, Zou G, DE Cruz A, Riggin B, Bartol C, et al. Hockey Fans in Training: A Pilot Pragmatic Randomized Controlled Trial. Med Sci Sports Exerc. 2017 Dec;49(12):2506–16. doi: 10.1249/MSS.0000000000001380 28719494
19. Caperchione CM, Bottorff JL, Oliffe JL, Johnson ST, Hunt K, Sharp P, et al. The HAT TRICK programme for improving physical activity, healthy eating and connectedness among overweight, inactive men: study protocol of a pragmatic feasibility trial. BMJ Open. 2017;7(9):e016940. doi: 10.1136/bmjopen-2017-016940 28882920
20. Wyke S, Bunn C, Andersen E, Silva MN, van Nassau F, McSkimming P, et al. The effect of a programme to improve men’s sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. Basu S, editor. PLOS Med. 2019 Feb 5;16(2):e1002736. doi: 10.1371/journal.pmed.1002736 30721231
21. Morgan PJ, Warren JM, Lubans DR, Collins CE, Callister R. Engaging men in weight loss: experiences of men who participated in the male only SHED-IT pilot study. Obes Res Clin Pract. 2011;5(3):e239–48.
22. Quested E, Kwasnicka D, Thøgersen-Ntoumani C, Gucciardi DF, Kerr DA, Hunt K, et al. Protocol for a gender-sensitised weight loss and healthy living programme for overweight and obese men delivered in Australian football league settings (Aussie-FIT): A feasibility and pilot randomised controlled trial. BMJ Open. 2018;8(10):e022663. doi: 10.1136/bmjopen-2018-022663 30337315
23. Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10(3):277–96. doi: 10.1080/17437199.2016.1151372 26854092
24. Dombrowski SU, Knittle K, Avenell A, Araujo-Soares V, Sniehotta FF. Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. Bmj. 2014;348:g2646. doi: 10.1136/bmj.g2646 25134100
25. Ryan RM, Deci EL. Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Publications; 2017.
26. Teixeira PJ, Carraça EV, Marques MM, Rutter H, Oppert J-M, De Bourdeaudhuij I, et al. Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators. BMC Med. 2015;13(1):84.
27. Morgan PJ, Young MD, Smith JJ, Lubans DR. Targeted health behavior interventions promoting physical activity: a conceptual model. Exerc Sport Sci Rev. 2016;44(2):71–80. doi: 10.1249/JES.0000000000000075 26829248
28. Morgan PJ, Lubans DR, Collins CE, Warren JM, Callister R. 12-month outcomes and process evaluation of the SHED-IT RCT: An internet-based weight loss program targeting men. Obesity. 2011;19(1):142–51. doi: 10.1038/oby.2010.119 20523304
29. Arain M, Campbell MJ, Cooper CL, Lancaster GA. What is a pilot or feasibility study? A review of current practice and editorial policy. BMC Med Res Methodol. 2010;10.
30. Lancaster GA, Dodd S, Williamson PR. Design and analysis of pilot studies: Recommendations for good practice. J Eval Clin Pract. 2004;10(2):307–12. doi: 10.1111/j..2002.384.doc.x 15189396
31. Aussie-FIT Team. Aussie-FIT: A 12-weeks weight loss program for 35-65 years old men with BMI 28kg/m2 or higher; based in Perth, WA. [Internet]. Aussie-FIT. 2019 [cited 2019 Jun 3]. Available from: http://www.aussiefit.org/
32. Gray CM, Hunt K, Mutrie N, Anderson AS, Leishman J, Dalgarno L, et al. Football Fans in Training: The development and optimization of an intervention delivered through professional sports clubs to help men lose weight, become more active and adopt healthier eating habits. BMC Public Health. 2013;13(1).
33. Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. Pilot Feasibility Stud. 2016;2(1):64.
34. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. Bmj. 2014;348:g1687. doi: 10.1136/bmj.g1687 24609605
35. Cox O. Australian Guide to Healthy Eating [Internet]. 2013 [cited 2019 Aug 23]. Available from: https://www.eatforhealth.gov.au/guidelines/australian-guide-healthy-eating
36. Ntoumanis N, Quested E, Reeve J, Cheon SH. Need supportive communication: Implications for motivation in sport, exercise, and physical activity. Persuas Commun Sport Exerc Phys Act Abingdon UK Routledge. 2017
37. Greaves C, Poltawski L, Garside R, Briscoe S. Understanding the challenge of weight loss maintenance: A systematic review and synthesis of qualitative research on weight loss maintenance. Health Psychol Rev. 2017;11(2):145–63. doi: 10.1080/17437199.2017.1299583 28281891
38. Kiernan M, Brown SD, Schoffman DE, Lee K, King AC, Taylor CB, et al. Promoting healthy weight with “stability skills first”: A randomized trial. J Consult Clin Psychol. 2013;81(2):336. doi: 10.1037/a0030544 23106759
39. Norton KI, Norton L. Pre-exercise screening: Guide to the Australian adult pre-exercise screening system. Exercise and Sports Science Australia; 2011.
40. Sharman JE, Stowasser M. Australian association for exercise and sports science position statement on exercise and hypertension. J Sci Med Sport. 2009;12(2):252–7. doi: 10.1016/j.jsams.2008.10.009 19147407
41. ActiGraph [Internet]. [cited 2019 Jun 3]. Available from: https://www.actigraphcorp.com/
42. McVeigh JA, Winkler EA, Healy GN, Slater J, Eastwood PR, Straker LM. Validity of an automated algorithm to identify waking and in-bed wear time in hip-worn accelerometer data collected with a 24 h wear protocol in young adults. Physiol Meas. 2016;37(10):1636. doi: 10.1088/0967-3334/37/10/1636 27652717
43. Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30(5):777–81. doi: 10.1097/00005768-199805000-00021 9588623
44. Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, et al. Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol. 2008;167(7):875–81. doi: 10.1093/aje/kwm390 18303006
45. Roe L, Strong C, Whiteside C, Neil A, Mant D. Dietary intervention in primary care: Validity of the DINE method for diet assessment. Fam Pract. 1994;11(4):375–81. doi: 10.1093/fampra/11.4.375 7895964
46. Collins C, Burrows T, Rollo M, Boggess M, Watson J, Guest M, et al. The comparative validity and reproducibility of a diet quality index for adults: the Australian Recommended Food Score. Nutrients. 2015;7(2):785–98. doi: 10.3390/nu7020785 25625814
47. Rosenberg M. Rosenberg self-esteem scale (RSE). Accept Commit Ther Meas Package. 1965;61:52.
48. Thompson ER. Development and validation of an internationally reliable short-form of the Positive and Negative Affect Schedule (PANAS). J Cross-Cult Psychol. 2007;38(2):227–42.
49. Rocchi M, Pelletier L, Cheung S, Baxter D, Beaudry S. Assessing need-supportive and need-thwarting interpersonal behaviours: The Interpersonal Behaviours Questionnaire (IBQ). Personal Individ Differ. 2017;104:423–33.
50. Levesque CS, Williams GC, Elliot D, Pickering MA, Bodenhamer B, Finley PJ. Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Educ Res. 2006;22(5):691–702. doi: 10.1093/her/cyl148 17138613
51. Chen B, Vansteenkiste M, Beyers W, Boone L, Deci EL, Van der Kaap-Deeder J, et al. Basic psychological need satisfaction, need frustration, and need strength across four cultures. Motiv Emot. 2015;39(2):216–36.
52. Richer SF, Vallerand RJ. Construction et validation de l’échelle du sentiment d’appartenance sociale (ÉSAS). Eur Rev Appl Psychol. 1998;48(2):129–38.
53. Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011;20(10):1727–36. doi: 10.1007/s11136-011-9903-x 21479777
54. Norman R, Cronin P, Viney R. A pilot discrete choice experiment to explore preferences for EQ-5D-5L health states. Appl Health Econ Health Policy. 2013;11(3):287–98. doi: 10.1007/s40258-013-0035-z 23649892
55. Presseau J, Tait RI, Johnston DW, Francis JJ, Sniehotta FF. Goal conflict and goal facilitation as predictors of daily accelerometer-assessed physical activity. Health Psychol. 2013;32(12):1179. doi: 10.1037/a0029430 22888818
56. Kwasnicka D, Presseau J, White M, Sniehotta FF. Does planning how to cope with anticipated barriers facilitate health-related behaviour change? A systematic review. Health Psychol Rev. 2013;7(2):129–45.
57. Gollwitzer PM, Sheeran P. Implementation intentions and goal achievement: A meta‐analysis of effects and processes. Adv Exp Soc Psychol. 2006;38:69–119.
58. Gardner B, Abraham C, Lally P, de Bruijn G-J. Towards parsimony in habit measurement: Testing the convergent and predictive validity of an automaticity subscale of the Self-Report Habit Index. Int J Behav Nutr Phys Act. 2012;9(1):102.
59. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. doi: 10.1016/0165-1781(89)90047-4 2748771
60. Muthén L.K., Muthén B. Mplus User’s Guide. 2017; Los Angeles, CA: Muthén & Muthén.
61. Barnett AG, Van Der Pols JC, Dobson AJ. Regression to the mean: what it is and how to deal with it. Int J Epidemiol. 2004;34(1):215–20. doi: 10.1093/ije/dyh299 15333621
62. George B, Beasley TM, Brown AW, Dawson J, Dimova R, Divers J, et al. Common scientific and statistical errors in obesity research. Obesity. 2016;24(4):781–90. doi: 10.1002/oby.21449 27028280
63. White IR, Horton NJ, Carpenter J, Pocock SJ. Strategy for intention to treat analysis in randomised trials with missing outcome data. Bmj. 2011;342:d40. doi: 10.1136/bmj.d40 21300711
64. Steeves JA, Bowles HR, Mcclain JJ, Dodd KW, Brychta RJ, Wang J, et al. Ability of thigh-worn ActiGraph and activPAL monitors to classify posture and motion. Med Sci Sports Exerc. 2015;47(5):952. doi: 10.1249/MSS.0000000000000497 25202847
65. Thompson K, Raven M. Alcohol in the lives of Australian Rules football fans: social meanings and public health implications. 2006;
66. Ntoumanis N, Ng JYY, Prestwich A, Quested E, Hancox J, Thøgersen-Ntoumani C, et al. A Meta-Analysis of Self-Determination Theory-Informed Intervention Studies in the Health Domain: Effects on Motivation, Health Behavior, Physical, and Psychological Health. Health Psychol Rev. 2020 Jan 16;
67. Neal A, Ballard T, Vancouver JB. Dynamic self-regulation and multiple-goal pursuit. Annu Rev Organ Psychol Organ Behav. 2017;4:401–23.
68. Gardner B, de Bruijn G-J, Lally P. A systematic review and meta-analysis of applications of the self-report habit index to nutrition and physical activity behaviours. Ann Behav Med. 2011;42(2):174–87. doi: 10.1007/s12160-011-9282-0 21626256
69. Potter GD, Skene DJ, Arendt J, Cade JE, Grant PJ, Hardie LJ. Circadian rhythm and sleep disruption: causes, metabolic consequences, and countermeasures. Endocr Rev. 2016;37(6):584–608. doi: 10.1210/er.2016-1083 27763782
70. Chaput J-P, Carson V, Gray C, Tremblay M. Importance of all movement behaviors in a 24 hour period for overall health. Int J Environ Res Public Health. 2014;11(12):12575–81. doi: 10.3390/ijerph111212575 25485978
71. Hunt K, Wyke S, Bunn C, Donnachie C, Reid N, Gray CM. Scale-up and scale-out of a gender-sensitized weight management and healthy living program delivered to overweight men via professional sports clubs: the wider implementation of Football Fans in Training (FFIT). Int J Environ Res Public Health. 2020;17(2):584.
72. Edney LC, Afzali HHA, Cheng TC, Karnon J. Estimating the reference incremental cost-effectiveness ratio for the Australian health system. PharmacoEconomics. 2018;36(2):239–52. doi: 10.1007/s40273-017-0585-2 29273843
73. Taylor C, Jan S. Economic evaluation of medicines. Aust Prescr. 2017;40(2):76. doi: 10.18773/austprescr.2017.014 28507401
Článek vyšel v časopise
PLOS Medicine
2020 Číslo 8
- Proč se v Česku šíří několik „vymýcených“ infekcí najednou? Ptáme se odborníků
- ADHD jako evoluční výhoda? Výzkum se zaměřil na lovce a sběrače
- Případ Bulovka: Jak postupují jiné nemocnice, aby podobným tragédiím zabránily?
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Není statin jako statin aneb praktický přehled rozdílů jednotlivých molekul
Nejčtenější v tomto čísle
- Social distancing to slow the US COVID-19 epidemic: Longitudinal pretest–posttest comparison group study
- Coming together to improve access to medicines: The genesis of the East African Community’s Medicines Regulatory Harmonization initiative
- Age and the association between apolipoprotein E genotype and Alzheimer disease: A cerebrospinal fluid biomarker–based case–control study
- A clinical algorithm for same-day HIV treatment initiation in settings with high TB symptom prevalence in South Africa: The SLATE II individually randomized clinical trial