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

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

Research output: Contribution to journalArticle

4 Citations (Scopus)

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 £1,790-£2,200 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.
LanguageEnglish
Number of pages13
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Volume15
DOIs
Publication statusPublished - 28 Jun 2018

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Randomized Controlled Trial
Cohort Study
Football
Cost-Benefit Analysis
Longitudinal Studies
Weight Loss
Cohort Studies
Randomized Controlled Trials
Economics
Trajectory
Weights and Measures
Evaluation
Cost-effectiveness
Baseline
Obesity
Lifetime
Exercise
Maintenance
Participation
Training

Keywords

  • weight management
  • long term maintenance
  • physical activity
  • diet
  • intervention
  • men
  • football
  • cost-effectiveness

Cite this

Gray, Cindy M. ; Wyke, Sally ; Zhang, Ruiqi ; Anderson, Annie S. ; Barry, Sarah ; Boyer, Nicki ; Brennan, Graham ; Briggs, Andrew ; Bunn, Christopher ; Donnachie, Craig ; Grieve, Eleanor ; Kohli-Lynch, Ciaran ; Lloyd, Suzanne M. ; McConnachie, Alex ; McCowan, Colin ; MacLean, Alice ; Mutrie, Nanette ; Hunt, Kate. / 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. In: International Journal of Behavioral Nutrition and Physical Activity. 2018 ; Vol. 15.
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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. / Gray, Cindy M.; Wyke, Sally; Zhang, Ruiqi; Anderson, Annie S.; Barry, Sarah; Boyer, Nicki; Brennan, Graham; Briggs, Andrew; Bunn, Christopher; Donnachie, Craig; Grieve, Eleanor; Kohli-Lynch, Ciaran; Lloyd, Suzanne M.; McConnachie, Alex; McCowan, Colin; MacLean, Alice; Mutrie, Nanette; Hunt, Kate.

In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 15, 28.06.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Long-term weight loss trajectories following participation in a randomised controlled trial of a weight management programme for men delivered through professional football clubs

T2 - International Journal of Behavioral Nutrition and Physical Activity

AU - Gray, Cindy M.

AU - Wyke, Sally

AU - Zhang, Ruiqi

AU - Anderson, Annie S.

AU - Barry, Sarah

AU - Boyer, Nicki

AU - Brennan, Graham

AU - Briggs, Andrew

AU - Bunn, Christopher

AU - Donnachie, Craig

AU - Grieve, Eleanor

AU - Kohli-Lynch, Ciaran

AU - Lloyd, Suzanne M.

AU - McConnachie, Alex

AU - McCowan, Colin

AU - MacLean, Alice

AU - Mutrie, Nanette

AU - Hunt, Kate

PY - 2018/6/28

Y1 - 2018/6/28

N2 - 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 £1,790-£2,200 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.

AB - 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 £1,790-£2,200 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.

KW - weight management

KW - long term maintenance

KW - physical activity

KW - diet

KW - intervention

KW - men

KW - football

KW - cost-effectiveness

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JO - International Journal of Behavioral Nutrition and Physical Activity

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