Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28732
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dc.contributor.authorWyke, Sallyen_UK
dc.contributor.authorBunn, Christopheren_UK
dc.contributor.authorAndersen, Eivinden_UK
dc.contributor.authorSilva, Marlene Nen_UK
dc.contributor.authorvan Nassau, Femkeen_UK
dc.contributor.authorMcSkimming, Paulaen_UK
dc.contributor.authorKolovos, Spyrosen_UK
dc.contributor.authorGill, Jason M Ren_UK
dc.contributor.authorGray, Cindy Men_UK
dc.contributor.authorHunt, Kateen_UK
dc.contributor.authorAnderson, Annie Sen_UK
dc.contributor.authorBosmans, Judithen_UK
dc.contributor.authorJelsma, Judith G Men_UK
dc.contributor.authorKean, Sharonen_UK
dc.contributor.authorLemyre, Nicolasen_UK
dc.date.accessioned2019-02-09T01:02:37Z-
dc.date.available2019-02-09T01:02:37Z-
dc.date.issued2019-02-05en_UK
dc.identifier.othere1002736en_UK
dc.identifier.urihttp://hdl.handle.net/1893/28732-
dc.description.abstractBackground Reducing sitting time as well as increasing physical activity in inactive people is beneficial for their health. This paper investigates the effectiveness of the European Fans in Training (EuroFIT) programme to improve physical activity and sedentary time in male football fans, delivered through the professional football setting. Methods and findings A total of 1,113 men aged 30–65 with self-reported body mass index (BMI) ≥27 kg/m2 took part in a randomised controlled trial in 15 professional football clubs in England, the Netherlands, Norway, and Portugal. Recruitment was between September 19, 2015, and February 2, 2016. Participants consented to study procedures and provided usable activity monitor baseline data. They were randomised, stratified by club, to either the EuroFIT intervention or a 12-month waiting list comparison group. Follow-up measurement was post-programme and 12 months after baseline. EuroFIT is a 12-week, group-based programme delivered by coaches in football club stadia in 12 weekly 90-minute sessions. Weekly sessions aimed to improve physical activity, sedentary time, and diet and maintain changes long term. A pocket-worn device (SitFIT) allowed self-monitoring of sedentary time and daily steps, and a game-based app (MatchFIT) encouraged between-session social support. Primary outcome (objectively measured sedentary time and physical activity) measurements were obtained for 83% and 85% of intervention and comparison participants. Intention-to-treat analyses showed a baseline-adjusted mean difference in sedentary time at 12 months of −1.6 minutes/day (97.5% confidence interval [CI], −14.3–11.0; p = 0.77) and in step counts of 678 steps/day (97.5% CI, 309–1.048; p < 0.001) in favor of the intervention. There were significant improvements in diet, weight, well-being, self-esteem, vitality, and biomarkers of cardiometabolic health in favor of the intervention group, but not in quality of life. There was a 0.95 probability of EuroFIT being cost-effective compared with the comparison group if society is willing to pay £1.50 per extra step/day, a maximum probability of 0.61 if society is willing to pay £1,800 per minute less sedentary time/day, and 0.13 probability if society is willing to pay £30,000 per quality-adjusted life-year (QALY). It was not possible to blind participants to group allocation. Men attracted to the programme already had quite high levels of physical activity at baseline (8,372 steps/day), which may have limited room for improvement. Although participants came from across the socioeconomic spectrum, a majority were well educated and in paid work. There was an increase in recent injuries and in upper and lower joint pain scores post-programme. In addition, although the five-level EuroQoL questionnaire (EQ-5D-5L) is now the preferred measure for cost-effectiveness analyses across Europe, baseline scores were high (0.93), suggesting a ceiling effect for QALYs. Conclusion Participation in EuroFIT led to improvements in physical activity, diet, body weight, and biomarkers of cardiometabolic health, but not in sedentary time at 12 months. Within-trial analysis suggests it is not cost-effective in the short term for QALYs due to a ceiling effect in quality of life. Nevertheless, decision-makers may consider the incremental cost for increase in steps worth the investment.en_UK
dc.language.isoenen_UK
dc.publisherPublic Library of Science (PLoS)en_UK
dc.relationWyke S, Bunn C, Andersen E, Silva MN, van Nassau F, McSkimming P, Kolovos S, Gill JMR, Gray CM, Hunt K, Anderson AS, Bosmans J, Jelsma JGM, Kean S & Lemyre N (2019) The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. PLOS Medicine, 16 (2), Art. No.: e1002736. https://doi.org/10.1371/journal.pmed.1002736en_UK
dc.rights© 2019 Wyke et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_UK
dc.subjectGeneral Medicineen_UK
dc.titleThe effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trialen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1371/journal.pmed.1002736en_UK
dc.identifier.pmid30721231en_UK
dc.citation.jtitlePLoS Medicineen_UK
dc.citation.issn1549-1676en_UK
dc.citation.issn1549-1277en_UK
dc.citation.volume16en_UK
dc.citation.issue2en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderFP7 Healthen_UK
dc.citation.date05/02/2019en_UK
dc.description.notesAdditional co-authors: David W Loudon, Lisa Macaulay, Douglas J Maxwell, Alex McConnachie, Nanette Mutrie, Maria Nijhuis-van der Sanden, Hugo V Pereira, Matthew Philpott, Glyn C Roberts, John Rooksby, Øystein B Røynesdal, Naveed Sattar, Marit Sørensen, Pedro J Teixeira, Shaun Treweek, Theo van Achterberg, Irene van de Glind, Willem van Mechelen, Hidde P van der Ploegen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationNorwegian School of Sport Sciencesen_UK
dc.contributor.affiliationUniversity of Lisbonen_UK
dc.contributor.affiliationVrije University Amsterdamen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationVrije University Amsterdamen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationVrije University Amsterdamen_UK
dc.contributor.affiliationVrije University Amsterdamen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationNorwegian School of Sport Sciencesen_UK
dc.identifier.isiWOS:000460128900004en_UK
dc.identifier.wtid1109674en_UK
dc.contributor.orcid0000-0002-7509-8247en_UK
dc.contributor.orcid0000-0001-6604-1305en_UK
dc.contributor.orcid0000-0003-4734-0283en_UK
dc.contributor.orcid0000-0002-3726-550Xen_UK
dc.contributor.orcid0000-0003-3201-1743en_UK
dc.contributor.orcid0000-0002-5873-3632en_UK
dc.contributor.orcid0000-0002-1443-1026en_UK
dc.contributor.orcid0000-0001-7943-9160en_UK
dc.contributor.orcid0000-0002-0664-4187en_UK
dc.date.accepted2018-12-04en_UK
dc.description.refREF Compliant by Deposit in Stirling's Repositoryen_UK
dc.date.filedepositdate2019-02-08en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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