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

Kate Hunt, Sally Wyke, Cindy M Gray, Annie S Anderson, Adrian Brady, Christopher Bunn, Peter T Donnan, Elisabeth Fenwick, Eleanor Grieve, Jim Leishman, Euan Miller, Nanette Mutrie, Petra Rauchhaus, Alan White, Shaun Treweek

Research output: Contribution to journalArticle

167 Citations (Scopus)
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Abstract

BACKGROUND: The prevalence of male obesity is increasing but few men take part in weight loss programmes. We assessed the effect of a weight loss and healthy living programme on weight loss in football (soccer) fans.

METHODS: We did a two-group, pragmatic, randomised controlled trial of 747 male football fans aged 35-65 years with a body-mass index (BMI) of 28 kg/m(2) or higher from 13 Scottish professional football clubs. Participants were randomly assigned with SAS (version 9·2, block size 2-9) in a 1:1 ratio, stratified by club, to a weight loss programme delivered by community coaching staff in 12 sessions held every week. The intervention group started a weight loss programme within 3 weeks, and the comparison group were put on a 12 month waiting list. All participants received a weight management booklet. Primary outcome was mean difference in weight loss between groups at 12 months, expressed as absolute weight and a percentage of their baseline weight. Primary outcome assessment was masked. Analyses were based on intention to treat. The trial is registered with Current Controlled Trials, number ISRCTN32677491.

FINDINGS: 374 men were allocated to the intervention group and 374 to the comparison group. 333 (89%) of the intervention group and 355 (95%) of the comparison group completed 12 month assessments. At 12 months the mean difference in weight loss between groups, adjusted for baseline weight and club, was 4·94 kg (95% CI 3·95-5·94) and percentage weight loss, similarly adjusted, was 4·36% (3·64-5·08), both in favour of the intervention (p<0·0001). Eight serious adverse events were reported, five in the intervention group (lost consciousness due to drugs for pre-existing angina, gallbladder removal, hospital admission with suspected heart attack, ruptured gut, and ruptured Achilles tendon) and three in the comparison group (transient ischaemic attack, and two deaths). Of these, two adverse events were reported as related to participation in the programme (gallbladder removal and ruptured Achilles tendon).

INTERPRETATION: The FFIT programme can help a large proportion of men to lose a clinically important amount of weight; it offers one effective strategy to challenge male obesity.

FUNDING: Scottish Government and The UK Football Pools funded delivery of the programme through a grant to the Scottish Premier League Trust. The National Institute for Health Research Public Health Research Programme funded the assessment (09/3010/06).

Original languageEnglish
Pages (from-to)1211-1221
Number of pages11
JournalThe Lancet
Volume383
Issue number9924
Early online date21 Jan 2014
DOIs
Publication statusPublished - 5 Apr 2014

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Football
Weight Reduction Programs
Weight Loss
Randomized Controlled Trials
Weights and Measures
Achilles Tendon
Gallbladder
Obesity
Soccer
Pamphlets
Waiting Lists
Organized Financing
Transient Ischemic Attack
National Institutes of Health (U.S.)
Consciousness
Research
Body Mass Index
Public Health
Myocardial Infarction
Outcome Assessment (Health Care)

Keywords

  • Adult
  • Aged
  • Body Mass Index
  • Cost-Benefit Analysis
  • Exercise Therapy
  • Health Promotion
  • Healthy People Programs
  • Humans
  • Male
  • Middle Aged
  • Obesity
  • Overweight
  • Risk Reduction Behavior
  • Scotland
  • Soccer
  • Treatment Outcome
  • Weight Loss

Cite this

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. / Hunt, Kate; Wyke, Sally; Gray, Cindy M; Anderson, Annie S; Brady, Adrian; Bunn, Christopher; Donnan, Peter T; Fenwick, Elisabeth; Grieve, Eleanor; Leishman, Jim; Miller, Euan; Mutrie, Nanette; Rauchhaus, Petra; White, Alan; Treweek, Shaun.

In: The Lancet, Vol. 383, No. 9924, 05.04.2014, p. 1211-1221.

Research output: Contribution to journalArticle

Hunt, K, Wyke, S, Gray, CM, Anderson, AS, Brady, A, Bunn, C, Donnan, PT, Fenwick, E, Grieve, E, Leishman, J, Miller, E, Mutrie, N, Rauchhaus, P, White, A & Treweek, S 2014, '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, vol. 383, no. 9924, pp. 1211-1221. https://doi.org/10.1016/S0140-6736(13)62420-4
Hunt, Kate ; Wyke, Sally ; Gray, Cindy M ; Anderson, Annie S ; Brady, Adrian ; Bunn, Christopher ; Donnan, Peter T ; Fenwick, Elisabeth ; Grieve, Eleanor ; Leishman, Jim ; Miller, Euan ; Mutrie, Nanette ; Rauchhaus, Petra ; White, Alan ; Treweek, Shaun. / 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. In: The Lancet. 2014 ; Vol. 383, No. 9924. pp. 1211-1221.
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T1 - A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT)

T2 - a pragmatic randomised controlled trial

AU - Hunt, Kate

AU - Wyke, Sally

AU - Gray, Cindy M

AU - Anderson, Annie S

AU - Brady, Adrian

AU - Bunn, Christopher

AU - Donnan, Peter T

AU - Fenwick, Elisabeth

AU - Grieve, Eleanor

AU - Leishman, Jim

AU - Miller, Euan

AU - Mutrie, Nanette

AU - Rauchhaus, Petra

AU - White, Alan

AU - Treweek, Shaun

N1 - Copyright © 2014 Hunt et al. Open Access article distributed under the terms of CC BY-NC-ND. Published by Elsevier Ltd. All rights reserved.

PY - 2014/4/5

Y1 - 2014/4/5

N2 - BACKGROUND: The prevalence of male obesity is increasing but few men take part in weight loss programmes. We assessed the effect of a weight loss and healthy living programme on weight loss in football (soccer) fans.METHODS: We did a two-group, pragmatic, randomised controlled trial of 747 male football fans aged 35-65 years with a body-mass index (BMI) of 28 kg/m(2) or higher from 13 Scottish professional football clubs. Participants were randomly assigned with SAS (version 9·2, block size 2-9) in a 1:1 ratio, stratified by club, to a weight loss programme delivered by community coaching staff in 12 sessions held every week. The intervention group started a weight loss programme within 3 weeks, and the comparison group were put on a 12 month waiting list. All participants received a weight management booklet. Primary outcome was mean difference in weight loss between groups at 12 months, expressed as absolute weight and a percentage of their baseline weight. Primary outcome assessment was masked. Analyses were based on intention to treat. The trial is registered with Current Controlled Trials, number ISRCTN32677491.FINDINGS: 374 men were allocated to the intervention group and 374 to the comparison group. 333 (89%) of the intervention group and 355 (95%) of the comparison group completed 12 month assessments. At 12 months the mean difference in weight loss between groups, adjusted for baseline weight and club, was 4·94 kg (95% CI 3·95-5·94) and percentage weight loss, similarly adjusted, was 4·36% (3·64-5·08), both in favour of the intervention (p<0·0001). Eight serious adverse events were reported, five in the intervention group (lost consciousness due to drugs for pre-existing angina, gallbladder removal, hospital admission with suspected heart attack, ruptured gut, and ruptured Achilles tendon) and three in the comparison group (transient ischaemic attack, and two deaths). Of these, two adverse events were reported as related to participation in the programme (gallbladder removal and ruptured Achilles tendon).INTERPRETATION: The FFIT programme can help a large proportion of men to lose a clinically important amount of weight; it offers one effective strategy to challenge male obesity.FUNDING: Scottish Government and The UK Football Pools funded delivery of the programme through a grant to the Scottish Premier League Trust. The National Institute for Health Research Public Health Research Programme funded the assessment (09/3010/06).

AB - BACKGROUND: The prevalence of male obesity is increasing but few men take part in weight loss programmes. We assessed the effect of a weight loss and healthy living programme on weight loss in football (soccer) fans.METHODS: We did a two-group, pragmatic, randomised controlled trial of 747 male football fans aged 35-65 years with a body-mass index (BMI) of 28 kg/m(2) or higher from 13 Scottish professional football clubs. Participants were randomly assigned with SAS (version 9·2, block size 2-9) in a 1:1 ratio, stratified by club, to a weight loss programme delivered by community coaching staff in 12 sessions held every week. The intervention group started a weight loss programme within 3 weeks, and the comparison group were put on a 12 month waiting list. All participants received a weight management booklet. Primary outcome was mean difference in weight loss between groups at 12 months, expressed as absolute weight and a percentage of their baseline weight. Primary outcome assessment was masked. Analyses were based on intention to treat. The trial is registered with Current Controlled Trials, number ISRCTN32677491.FINDINGS: 374 men were allocated to the intervention group and 374 to the comparison group. 333 (89%) of the intervention group and 355 (95%) of the comparison group completed 12 month assessments. At 12 months the mean difference in weight loss between groups, adjusted for baseline weight and club, was 4·94 kg (95% CI 3·95-5·94) and percentage weight loss, similarly adjusted, was 4·36% (3·64-5·08), both in favour of the intervention (p<0·0001). Eight serious adverse events were reported, five in the intervention group (lost consciousness due to drugs for pre-existing angina, gallbladder removal, hospital admission with suspected heart attack, ruptured gut, and ruptured Achilles tendon) and three in the comparison group (transient ischaemic attack, and two deaths). Of these, two adverse events were reported as related to participation in the programme (gallbladder removal and ruptured Achilles tendon).INTERPRETATION: The FFIT programme can help a large proportion of men to lose a clinically important amount of weight; it offers one effective strategy to challenge male obesity.FUNDING: Scottish Government and The UK Football Pools funded delivery of the programme through a grant to the Scottish Premier League Trust. The National Institute for Health Research Public Health Research Programme funded the assessment (09/3010/06).

KW - Adult

KW - Aged

KW - Body Mass Index

KW - Cost-Benefit Analysis

KW - Exercise Therapy

KW - Health Promotion

KW - Healthy People Programs

KW - Humans

KW - Male

KW - Middle Aged

KW - Obesity

KW - Overweight

KW - Risk Reduction Behavior

KW - Scotland

KW - Soccer

KW - Treatment Outcome

KW - Weight Loss

U2 - 10.1016/S0140-6736(13)62420-4

DO - 10.1016/S0140-6736(13)62420-4

M3 - Article

VL - 383

SP - 1211

EP - 1221

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - 9924

ER -