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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: A gender-sensitised weight-loss and healthy living program for men with overweight and obesity in Australian Football League settings (Aussie-FIT): A pilot randomised controlled trial
Author(s): Kwasnicka, Dominika
Ntoumanis, Nikos
Hunt, Kate
Gray, Cindy M
Newton, Robert U
Gucciardi, Daniel F
Thøgersen-Ntoumani, Cecilie
Olson, Jenny L
McVeigh, Joanne
Kerr, Deborah A
Wyke, Sally
Morgan, Philip J
Robinson, Suzanne
Makate, Marshall
Quested, Eleanor
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Keywords: Intervention
Physical Activity
Weight Loss
Behaviour Change
Randomised Controlled Trial
Issue Date: Aug-2020
Citation: Kwasnicka D, Ntoumanis N, Hunt K, Gray CM, Newton RU, Gucciardi DF, Thøgersen-Ntoumani C, Olson JL, McVeigh J, Kerr DA, Wyke S, Morgan PJ, Robinson S, Makate M & Quested E (2020) A gender-sensitised weight-loss and healthy living program for men with overweight and obesity in Australian Football League settings (Aussie-FIT): A pilot randomised controlled trial. PLoS Medicine, 17 (8), Art. No.: e1003136.
Abstract: Background: Recent evidence shows that sport settings can act as a powerful draw to engage men in weight loss. The primary objective of this pilot study was to test feasibility of delivering and evaluating preliminary efficacy of Aussie-FIT, a weight loss program for overweight/obese men delivered in Australian Football League settings, in preparation for a future definitive trial. Methods and Findings: This 6-month pilot trial took place in Perth, Australia. Participants were overweight/obese (BMI > 28 kg/m2), middle-aged (35-65 years old) men. Participants were recruited in May 2018 and the intervention took place between June and December 2018. The intervention involved 12 weekly 90-minute face-to-face sessions, incorporating physical activity, nutrition, and behaviour change information and practical activities delivered by coaches at two clubs. Data were collected at baseline and immediately post-intervention. For trial feasibility purposes, 6-month follow-ups were completed. Outcomes were differences in weight loss (primary outcome), and recruitment and retention rates, self-reported measures (e.g., psychological well-being), device-measured physical activity, waist size, and blood pressure at 3-months. Within three days of advertising at each club, 426 men registered interest; 306 (72%) were eligible. Men were selected on first-come first-served basis (n = 130; M age = 45.8, SD = 8; M 17 BMI = 34.48 kg/m2, SD = 4.87) and randomised by a blinded researcher. Trial retention was 86% and 63% at 3- and 6-month follow-ups (respectively). No adverse events were reported. At 3 months, mean difference in weight between groups, adjusted for baseline weight and group, was 3.3kg (95% CI 1.9, 4.8) in favour of the intervention group (p < 0.001). The intervention group’s moderate-to-vigorous physical activity (MVPA) was higher than the control group by 8.54 mins/day (95% CI 1.37, 15.71, p = 0.02). MVPA among men attracted to Aussie-FIT was high at baseline (intervention arm 35.61 min/day, control arm 38.38 min/day), which may have limited the scope for improvement. Conclusions: Aussie-FIT was feasible to deliver; participants increased physical activity, decreased weight, and reported improvements in other outcomes. Issues with retention were a limitation of this trial. In a future, fully powered randomised controlled trial (RCT), retention could be improved by conducting assessments outside of holiday seasons.
DOI Link: 10.1371/journal.pmed.1003136
Rights: © 2020 Kwasnicka 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.
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