Rugby Fans in Training New Zealand (RUFIT NZ): a randomized controlled trial to assess the effectiveness of a healthy lifestyle program for overweight men delivered through professional rugby clubs.

Autor: Maddison R; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand. ralph.maddison@deakin.edu.au.; Institute for Physical Activity and Nutrition, Deakin University, Geelong, Australia. ralph.maddison@deakin.edu.au., Hargreaves EA; School of Physical Education, Sport & Exercise Sciences, University of Otago, Dunedin, New Zealand., Jiang Y; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.; Department of Statistics, Faculty of Science, University of Auckland, Auckland, New Zealand., Calder AJ; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand., Wyke S; Institute of Health and Wellbeing, College of Social Sciences, University of Glasgow, Glasgow, Scotland., Gray CM; Institute of Health and Wellbeing, College of Social Sciences, University of Glasgow, Glasgow, Scotland., Hunt K; Institute for Social Marketing and Health, Faculty of Health and Sports Sciences, University of Stirling, Stirling, Scotland., Lubans DR; School of Education, Centre for Active Living and Learning, University of Newcastle, Hunter Medical Research Institute, Newcastle, Australia., Eyles H; Department of Epidemiology and Biostatistics, National Institute for Health Innovation, University of Auckland, Auckland, New Zealand., Draper N; Faculty of Health, SHARRC, University of Canterbury, Christchurch, New Zealand., Heke I; Heke Consulting, Auckland, New Zealand., Kara S; Axis Sport Medicine Clinic, Auckland, New Zealand., Sundborn G; Department of Pacific Health, University of Auckland, Auckland, New Zealand., Arandjus C; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand., Gao L; Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia., Lee P; Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia., Lim M; Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia., Marsh S; National Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Jazyk: angličtina
Zdroj: The international journal of behavioral nutrition and physical activity [Int J Behav Nutr Phys Act] 2023 Mar 28; Vol. 20 (1), pp. 37. Date of Electronic Publication: 2023 Mar 28.
DOI: 10.1186/s12966-022-01395-w
Abstrakt: Background: A healthy lifestyle program that appeals to, and supports, overweight and obese New Zealand (NZ) European, Māori (indigenous) and Pasifika men to achieve weight loss is urgently needed. A pilot program inspired by the successful Football Fans in Training program but delivered via professional rugby clubs in NZ (n = 96) was shown to be effective in weight loss, adherence to healthy lifestyle behaviors, and cardiorespiratory fitness in overweight and obese men. A full effectiveness trial is now needed.
Aims: To determine the effectiveness and cost effectiveness of Rugby Fans In Training-NZ (RUFIT-NZ) on weight loss, fitness, blood pressure, lifestyle change, and health related quality of life (HRQoL) at 12- and 52-weeks.
Methods: We conducted a pragmatic, two-arm, multi-center, randomized controlled trial in NZ with 378 (target 308) overweight and obese men aged 30-65 years, randomized to an intervention group or wait-list control group. The 12-week RUFIT-NZ program was a gender-sensitised, healthy lifestyle intervention delivered through professional rugby clubs. Each intervention session included: i) a 1-h workshop-based education component focused on nutrition, physical activity, sleep, sedentary behavior, and learning evidence-based behavior change strategies for sustaining a healthier lifestyle; and 2) a 1-h group-based, but individually tailored, exercise training session. The control group were offered RUFIT-NZ after 52-weeks. The primary outcome was change in body weight from baseline to 52-weeks. Secondary outcomes included change in body weight at 12-weeks, waist circumference, blood pressure, fitness (cardiorespiratory and musculoskeletal), lifestyle behaviors (leisure-time physical activity, sleep, smoking status, and alcohol and dietary quality), and health-related quality of life at 12- and 52-weeks.
Results: Our final analysis included 200 participants (intervention n = 103; control n = 97) who were able to complete the RUFIT-NZ intervention prior to COVID-19 restrictions. At 52-weeks, the adjusted mean group difference in weight change (primary outcome) was -2.77 kg (95% CI -4.92 to -0.61), which favored the intervention group. The intervention also resulted in favorable significant differences in weight change and fruit and vegetable consumption at 12-weeks; and waist circumference, fitness outcomes, physical activity levels, and health-related quality of life at both 12 and 52 weeks. No significant intervention effects were observed for blood pressure, or sleep. Incremental cost-effective ratios estimated were $259 per kg lost, or $40,269 per quality adjusted life year (QALY) gained.
Conclusion: RUFIT-NZ resulted in sustained positive changes in weight, waist circumference, physical fitness, self-reported physical activity, selected dietary outcomes, and health-related quality of life in overweight/obese men. As such, the program should be recommended for sustained delivery beyond this trial, involving other rugby clubs across NZ.
Trial Registration: Australia New Zealand Clinical Trials Registry, ACTRN12619000069156. Registered 18 January 2019, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376740 Universal Trial Number, U1111-1245-0645.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje