Weight management for overweight and obese men delivered through professional football clubs: a pilot randomized trial

Cindy M Gray, Kate Hunt, Nanette Mutrie, Annie S Anderson, Shaun Treweek, Sally Wyke

Research output: Contribution to journalArticle

21 Citations (Scopus)
3 Downloads (Pure)

Abstract

BACKGROUND: The prevalence of male obesity is increasing, but men are less likely than women to attend existing weight management programmes. We have taken a novel approach to reducing perceived barriers to weight loss for men by using professional football (soccer) clubs to encourage participation in a weight management group programme, gender-sensitised in content and style of delivery. Football Fans in Training (FFIT) provides 12 weeks of weight loss, physical activity and healthy eating advice at top professional football clubs in Scotland. This pilot randomized trial explored the feasibility of using these clubs as a setting for a randomized controlled trial of 12 month weight loss following men's participation in FFIT.

METHODS: A two-arm pilot trial at two Scottish Premier League football clubs (one large, one smaller), with 103 men (aged 35-65, body mass index (BMI) ≥27 kg/m²) individually randomized to the intervention (n=51, received the pilot programme (p-FFIT) immediately) and waitlist comparison (n=52, received p-FFIT after four months) groups. Feasibility of recruitment, randomization, data collection and retention were assessed. Objective physical measurements (weight, waist circumference, blood pressure, body composition) and questionnaires (self-reported physical activity, diet, alcohol consumption, psychological outcomes) were obtained from both groups by fieldworkers trained to standard protocols at baseline and 12 weeks, and from the intervention group at 6 and 12 months. Qualitative methods elicited men's experiences of participation in the pilot trial.

RESULTS: Following a short recruitment period, the recruitment target was achieved at the large, but not smaller, club. Participants' mean age was 47.1 ± 8.4 years; mean BMI 34.5 ± 5.0 kg/m². Retention through the trial was good (>80% at 12 weeks and 6 months; >75% at 12 months), and 76% attended at least 80% of available programme delivery sessions. At 12 weeks, the intervention group lost significantly more weight than the comparison group (4.6% c.f. -0.6%, p<.001) and many maintained this to 12 months (intervention group baseline-12 month weight loss: 3.5%, p<.001). There were also improvements in self-reported physical activity and diet, many sustained long term.

CONCLUSIONS: The results demonstrated the feasibility of trial procedures and the potential of FFIT to engage men in sustained weight loss and positive lifestyle change. They supported the conduct of a fully-powered randomized controlled trial.

Original languageEnglish
Article number121
JournalThe International Journal of Behavioral Nutrition and Physical Activity
Volume10
DOIs
Publication statusPublished - 30 Oct 2013

Fingerprint

Football
Weights and Measures
Weight Loss
Exercise
Body Mass Index
Randomized Controlled Trials
Diet
Soccer
Scotland
Waist Circumference
Random Allocation
Body Composition
Alcohol Drinking
Health Personnel
Life Style
Obesity
Psychology
Blood Pressure

Keywords

  • overweight
  • obesity
  • physical activity
  • diet
  • behaviour change
  • men
  • gender
  • masculinities
  • intervention
  • sports club

Cite this

Weight management for overweight and obese men delivered through professional football clubs : a pilot randomized trial. / Gray, Cindy M; Hunt, Kate; Mutrie, Nanette; Anderson, Annie S; Treweek, Shaun; Wyke, Sally.

In: The International Journal of Behavioral Nutrition and Physical Activity, Vol. 10, 121, 30.10.2013.

Research output: Contribution to journalArticle

@article{f1e39bcb8fbb40caa18edcc3c36d0c00,
title = "Weight management for overweight and obese men delivered through professional football clubs: a pilot randomized trial",
abstract = "BACKGROUND: The prevalence of male obesity is increasing, but men are less likely than women to attend existing weight management programmes. We have taken a novel approach to reducing perceived barriers to weight loss for men by using professional football (soccer) clubs to encourage participation in a weight management group programme, gender-sensitised in content and style of delivery. Football Fans in Training (FFIT) provides 12 weeks of weight loss, physical activity and healthy eating advice at top professional football clubs in Scotland. This pilot randomized trial explored the feasibility of using these clubs as a setting for a randomized controlled trial of 12 month weight loss following men's participation in FFIT.METHODS: A two-arm pilot trial at two Scottish Premier League football clubs (one large, one smaller), with 103 men (aged 35-65, body mass index (BMI) ≥27 kg/m²) individually randomized to the intervention (n=51, received the pilot programme (p-FFIT) immediately) and waitlist comparison (n=52, received p-FFIT after four months) groups. Feasibility of recruitment, randomization, data collection and retention were assessed. Objective physical measurements (weight, waist circumference, blood pressure, body composition) and questionnaires (self-reported physical activity, diet, alcohol consumption, psychological outcomes) were obtained from both groups by fieldworkers trained to standard protocols at baseline and 12 weeks, and from the intervention group at 6 and 12 months. Qualitative methods elicited men's experiences of participation in the pilot trial.RESULTS: Following a short recruitment period, the recruitment target was achieved at the large, but not smaller, club. Participants' mean age was 47.1 ± 8.4 years; mean BMI 34.5 ± 5.0 kg/m². Retention through the trial was good (>80{\%} at 12 weeks and 6 months; >75{\%} at 12 months), and 76{\%} attended at least 80{\%} of available programme delivery sessions. At 12 weeks, the intervention group lost significantly more weight than the comparison group (4.6{\%} c.f. -0.6{\%}, p<.001) and many maintained this to 12 months (intervention group baseline-12 month weight loss: 3.5{\%}, p<.001). There were also improvements in self-reported physical activity and diet, many sustained long term.CONCLUSIONS: The results demonstrated the feasibility of trial procedures and the potential of FFIT to engage men in sustained weight loss and positive lifestyle change. They supported the conduct of a fully-powered randomized controlled trial.",
keywords = "overweight, obesity, physical activity, diet, behaviour change, men, gender, masculinities, intervention, sports club",
author = "Gray, {Cindy M} and Kate Hunt and Nanette Mutrie and Anderson, {Annie S} and Shaun Treweek and Sally Wyke",
year = "2013",
month = "10",
day = "30",
doi = "10.1186/1479-5868-10-121",
language = "English",
volume = "10",
journal = "The International Journal of Behavioral Nutrition and Physical Activity",
issn = "1479-5868",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Weight management for overweight and obese men delivered through professional football clubs

T2 - a pilot randomized trial

AU - Gray, Cindy M

AU - Hunt, Kate

AU - Mutrie, Nanette

AU - Anderson, Annie S

AU - Treweek, Shaun

AU - Wyke, Sally

PY - 2013/10/30

Y1 - 2013/10/30

N2 - BACKGROUND: The prevalence of male obesity is increasing, but men are less likely than women to attend existing weight management programmes. We have taken a novel approach to reducing perceived barriers to weight loss for men by using professional football (soccer) clubs to encourage participation in a weight management group programme, gender-sensitised in content and style of delivery. Football Fans in Training (FFIT) provides 12 weeks of weight loss, physical activity and healthy eating advice at top professional football clubs in Scotland. This pilot randomized trial explored the feasibility of using these clubs as a setting for a randomized controlled trial of 12 month weight loss following men's participation in FFIT.METHODS: A two-arm pilot trial at two Scottish Premier League football clubs (one large, one smaller), with 103 men (aged 35-65, body mass index (BMI) ≥27 kg/m²) individually randomized to the intervention (n=51, received the pilot programme (p-FFIT) immediately) and waitlist comparison (n=52, received p-FFIT after four months) groups. Feasibility of recruitment, randomization, data collection and retention were assessed. Objective physical measurements (weight, waist circumference, blood pressure, body composition) and questionnaires (self-reported physical activity, diet, alcohol consumption, psychological outcomes) were obtained from both groups by fieldworkers trained to standard protocols at baseline and 12 weeks, and from the intervention group at 6 and 12 months. Qualitative methods elicited men's experiences of participation in the pilot trial.RESULTS: Following a short recruitment period, the recruitment target was achieved at the large, but not smaller, club. Participants' mean age was 47.1 ± 8.4 years; mean BMI 34.5 ± 5.0 kg/m². Retention through the trial was good (>80% at 12 weeks and 6 months; >75% at 12 months), and 76% attended at least 80% of available programme delivery sessions. At 12 weeks, the intervention group lost significantly more weight than the comparison group (4.6% c.f. -0.6%, p<.001) and many maintained this to 12 months (intervention group baseline-12 month weight loss: 3.5%, p<.001). There were also improvements in self-reported physical activity and diet, many sustained long term.CONCLUSIONS: The results demonstrated the feasibility of trial procedures and the potential of FFIT to engage men in sustained weight loss and positive lifestyle change. They supported the conduct of a fully-powered randomized controlled trial.

AB - BACKGROUND: The prevalence of male obesity is increasing, but men are less likely than women to attend existing weight management programmes. We have taken a novel approach to reducing perceived barriers to weight loss for men by using professional football (soccer) clubs to encourage participation in a weight management group programme, gender-sensitised in content and style of delivery. Football Fans in Training (FFIT) provides 12 weeks of weight loss, physical activity and healthy eating advice at top professional football clubs in Scotland. This pilot randomized trial explored the feasibility of using these clubs as a setting for a randomized controlled trial of 12 month weight loss following men's participation in FFIT.METHODS: A two-arm pilot trial at two Scottish Premier League football clubs (one large, one smaller), with 103 men (aged 35-65, body mass index (BMI) ≥27 kg/m²) individually randomized to the intervention (n=51, received the pilot programme (p-FFIT) immediately) and waitlist comparison (n=52, received p-FFIT after four months) groups. Feasibility of recruitment, randomization, data collection and retention were assessed. Objective physical measurements (weight, waist circumference, blood pressure, body composition) and questionnaires (self-reported physical activity, diet, alcohol consumption, psychological outcomes) were obtained from both groups by fieldworkers trained to standard protocols at baseline and 12 weeks, and from the intervention group at 6 and 12 months. Qualitative methods elicited men's experiences of participation in the pilot trial.RESULTS: Following a short recruitment period, the recruitment target was achieved at the large, but not smaller, club. Participants' mean age was 47.1 ± 8.4 years; mean BMI 34.5 ± 5.0 kg/m². Retention through the trial was good (>80% at 12 weeks and 6 months; >75% at 12 months), and 76% attended at least 80% of available programme delivery sessions. At 12 weeks, the intervention group lost significantly more weight than the comparison group (4.6% c.f. -0.6%, p<.001) and many maintained this to 12 months (intervention group baseline-12 month weight loss: 3.5%, p<.001). There were also improvements in self-reported physical activity and diet, many sustained long term.CONCLUSIONS: The results demonstrated the feasibility of trial procedures and the potential of FFIT to engage men in sustained weight loss and positive lifestyle change. They supported the conduct of a fully-powered randomized controlled trial.

KW - overweight

KW - obesity

KW - physical activity

KW - diet

KW - behaviour change

KW - men

KW - gender

KW - masculinities

KW - intervention

KW - sports club

U2 - 10.1186/1479-5868-10-121

DO - 10.1186/1479-5868-10-121

M3 - Article

C2 - 24171842

VL - 10

JO - The International Journal of Behavioral Nutrition and Physical Activity

JF - The International Journal of Behavioral Nutrition and Physical Activity

SN - 1479-5868

M1 - 121

ER -