Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation
Abstract Background Obesity is a major public health concern requiring innovative interventions that support people to lose weight and keep it off long term. However, weight loss maintenance remains a challenge and is under-researched, particularly in men. The Football Fans in Training (FFIT) progra...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-06-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12966-018-0683-3 |
| _version_ | 1818338550920249344 |
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| author | Cindy M. Gray Sally Wyke Ruiqi Zhang Annie S. Anderson Sarah Barry Nicki Boyer Graham Brennan Andrew Briggs Christopher Bunn Craig Donnachie Eleanor Grieve Ciaran Kohli-Lynch Suzanne M. Lloyd Alex McConnachie Colin McCowan Alice MacLean Nanette Mutrie Kate Hunt |
| author_facet | Cindy M. Gray Sally Wyke Ruiqi Zhang Annie S. Anderson Sarah Barry Nicki Boyer Graham Brennan Andrew Briggs Christopher Bunn Craig Donnachie Eleanor Grieve Ciaran Kohli-Lynch Suzanne M. Lloyd Alex McConnachie Colin McCowan Alice MacLean Nanette Mutrie Kate Hunt |
| author_sort | Cindy M. Gray |
| collection | DOAJ |
| description | Abstract Background Obesity is a major public health concern requiring innovative interventions that support people to lose weight and keep it off long term. However, weight loss maintenance remains a challenge and is under-researched, particularly in men. The Football Fans in Training (FFIT) programme engages men in weight management through their interest in football, and encourages them to incorporate small, incremental physical activity and dietary changes into daily life to support long-term weight loss maintenance. In 2011/12, a randomised controlled trial (RCT) of FFIT demonstrated effectiveness and cost-effectiveness at 12 months. The current study aimed to investigate long-term maintenance of weight loss, behavioural outcomes and lifetime cost-effectiveness following FFIT. Methods A longitudinal cohort study comprised 3.5-year follow-up of the 747 FFIT RCT participants. Men aged 35–65 years, BMI ≥ 28 kg/m2 at RCT baseline who consented to long-term follow-up (n = 665) were invited to participate: those in the FFIT Follow Up Intervention group (FFIT-FU-I) undertook FFIT in 2011 during the RCT; the FFIT Follow Up Comparison group (FFIT-FU-C) undertook FFIT in 2012 under routine (non-research) conditions. The primary outcome was objectively-measured weight loss (from baseline) at 3.5 years. Secondary outcomes included changes in self-reported physical activity and diet at 3.5 years. Cost-effectiveness was estimated at 3.5 years and over participants’ lifetime. Results Of 665 men invited, 488 (73%; 65% of the 747 RCT participants) attended 3.5-year measurements. The FFIT-FU-I group sustained a mean weight loss of 2.90 kg (95% CI 1.78, 4.02; p < 0.001) 3.5 years after starting FFIT; 32.2% (75/233) weighed ≥5% less than baseline. The FFIT-FU-C group had lost 2.71 kg (1.65, 3.77; p < 0.001) at the 3.5-year measurements (2.5 years after starting FFIT); 31.8% (81/255) weighed ≥5% less than baseline. There were significant sustained improvements in self-reported physical activity and diet in both groups. The estimated incremental cost-effectiveness of FFIT was £10,700–£15,300 per QALY gained at 3.5 years, and £1790–£2200 over participants’ lifetime. Conclusions Participation in FFIT under research and routine conditions leads to long-term weight loss and improvements in physical activity and diet. Investment in FFIT is likely to be cost-effective as part of obesity management strategies in countries where football is popular. Trial registration ISRCTN32677491, 20 October 2011. |
| first_indexed | 2024-12-13T15:12:54Z |
| format | Article |
| id | doaj.art-409a1c1c01174d5e8edf659aa83d1e2e |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-12-13T15:12:54Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-409a1c1c01174d5e8edf659aa83d1e2e2022-12-21T23:40:48ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682018-06-0115111310.1186/s12966-018-0683-3Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluationCindy M. Gray0Sally Wyke1Ruiqi Zhang2Annie S. Anderson3Sarah Barry4Nicki Boyer5Graham Brennan6Andrew Briggs7Christopher Bunn8Craig Donnachie9Eleanor Grieve10Ciaran Kohli-Lynch11Suzanne M. Lloyd12Alex McConnachie13Colin McCowan14Alice MacLean15Nanette Mutrie16Kate Hunt17School of Social and Political Sciences, Institute of Health and Wellbeing, 25-29 Bute Gardens, University of GlasgowSchool of Social and Political Sciences, Institute of Health and Wellbeing, 25-29 Bute Gardens, University of GlasgowRobertson Centre for Biostatistics, Institute of Health and Wellbeing, Boyd Orr Building, University Avenue, University of GlasgowCentre for Public Health Nutrition Research, Mailbox 7, Level 7, Ninewells Medical School, University of DundeeRobertson Centre for Biostatistics, Institute of Health and Wellbeing, Boyd Orr Building, University Avenue, University of GlasgowHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, 1 Lilybank Gardens, University of GlasgowInstitute of Health and Wellbeing, 25-29 Bute Gardens, University of GlasgowHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, 1 Lilybank Gardens, University of GlasgowInstitute of Health and Wellbeing, 25-29 Bute Gardens, University of GlasgowInstitute for Social Marketing, Faculty of Health Sciences and Sport, University of StirlingHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, 1 Lilybank Gardens, University of GlasgowHealth Economics and Health Technology Assessment, Institute of Health & Wellbeing, 1 Lilybank Gardens, University of GlasgowRobertson Centre for Biostatistics, Institute of Health and Wellbeing, Boyd Orr Building, University Avenue, University of GlasgowRobertson Centre for Biostatistics, Institute of Health and Wellbeing, Boyd Orr Building, University Avenue, University of GlasgowRobertson Centre for Biostatistics, Institute of Health and Wellbeing, Boyd Orr Building, University Avenue, University of GlasgowMRC/CSO Social and Public Health Sciences Unit, University of GlasgowInstitute for Sport, Physical Education and Health Sciences, University of EdinburghInstitute for Social Marketing, Faculty of Health Sciences and Sport, University of StirlingAbstract Background Obesity is a major public health concern requiring innovative interventions that support people to lose weight and keep it off long term. However, weight loss maintenance remains a challenge and is under-researched, particularly in men. The Football Fans in Training (FFIT) programme engages men in weight management through their interest in football, and encourages them to incorporate small, incremental physical activity and dietary changes into daily life to support long-term weight loss maintenance. In 2011/12, a randomised controlled trial (RCT) of FFIT demonstrated effectiveness and cost-effectiveness at 12 months. The current study aimed to investigate long-term maintenance of weight loss, behavioural outcomes and lifetime cost-effectiveness following FFIT. Methods A longitudinal cohort study comprised 3.5-year follow-up of the 747 FFIT RCT participants. Men aged 35–65 years, BMI ≥ 28 kg/m2 at RCT baseline who consented to long-term follow-up (n = 665) were invited to participate: those in the FFIT Follow Up Intervention group (FFIT-FU-I) undertook FFIT in 2011 during the RCT; the FFIT Follow Up Comparison group (FFIT-FU-C) undertook FFIT in 2012 under routine (non-research) conditions. The primary outcome was objectively-measured weight loss (from baseline) at 3.5 years. Secondary outcomes included changes in self-reported physical activity and diet at 3.5 years. Cost-effectiveness was estimated at 3.5 years and over participants’ lifetime. Results Of 665 men invited, 488 (73%; 65% of the 747 RCT participants) attended 3.5-year measurements. The FFIT-FU-I group sustained a mean weight loss of 2.90 kg (95% CI 1.78, 4.02; p < 0.001) 3.5 years after starting FFIT; 32.2% (75/233) weighed ≥5% less than baseline. The FFIT-FU-C group had lost 2.71 kg (1.65, 3.77; p < 0.001) at the 3.5-year measurements (2.5 years after starting FFIT); 31.8% (81/255) weighed ≥5% less than baseline. There were significant sustained improvements in self-reported physical activity and diet in both groups. The estimated incremental cost-effectiveness of FFIT was £10,700–£15,300 per QALY gained at 3.5 years, and £1790–£2200 over participants’ lifetime. Conclusions Participation in FFIT under research and routine conditions leads to long-term weight loss and improvements in physical activity and diet. Investment in FFIT is likely to be cost-effective as part of obesity management strategies in countries where football is popular. Trial registration ISRCTN32677491, 20 October 2011.http://link.springer.com/article/10.1186/s12966-018-0683-3Weight managementLong -term weight loss maintenancePhysical activityDietInterventionMen |
| spellingShingle | Cindy M. Gray Sally Wyke Ruiqi Zhang Annie S. Anderson Sarah Barry Nicki Boyer Graham Brennan Andrew Briggs Christopher Bunn Craig Donnachie Eleanor Grieve Ciaran Kohli-Lynch Suzanne M. Lloyd Alex McConnachie Colin McCowan Alice MacLean Nanette Mutrie Kate Hunt Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation International Journal of Behavioral Nutrition and Physical Activity Weight management Long -term weight loss maintenance Physical activity Diet Intervention Men |
| title | Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation |
| title_full | Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation |
| title_fullStr | Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation |
| title_full_unstemmed | Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation |
| title_short | Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs: a longitudinal cohort study and economic evaluation |
| title_sort | long term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs a longitudinal cohort study and economic evaluation |
| topic | Weight management Long -term weight loss maintenance Physical activity Diet Intervention Men |
| url | http://link.springer.com/article/10.1186/s12966-018-0683-3 |
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