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
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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
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