Abstract
BackgroundThe 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.MethodsA 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.ResultsFollowing 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.ConclusionsThe 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.
Highlights
The prevalence of male obesity is increasing, but men are less likely than women to attend existing weight management programmes
In the UK, more men than women are overweight or obese (England: 65% men compared with 58% women [2]; Scotland: 69% men compared with 57% women [3]), and adult male obesity is forecast to reach 60% by 2050 [4]
Men who want to lose weight may be more attracted to programmes that focus on physical activity as well as diet [9,17] and often express a desire to be in the company of others they feel they can identify with [11,18]
Summary
The prevalence of male obesity is increasing, but men are less likely than women to attend existing weight management programmes. 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. Men are at increased risk of obesity-related ill health (e.g., type 2 diabetes, hypertension, dyslipidemia, cardiovascular disease, osteoarthritis and some cancers [4]), but are less likely than women to attempt to lose weight or take part in organised weight management programmes [5,6,7,8,9]. Men who want to lose weight may be more attracted to programmes that focus on physical activity as well as diet [9,17] and often express a desire to be in the company of others they feel they can identify with [11,18]
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