The hockey fans in training intervention for men with overweight or obesity: a pragmatic cluster randomised trial.

IF 9.6 1区医学 Q1 MEDICINE, GENERAL & INTERNAL EClinicalMedicine Pub Date : 2024-11-07 eCollection Date: 2024-11-01 DOI:10.1016/j.eclinm.2024.102911

Robert J Petrella, Dawn P Gill, Nárlon C Boa Sorte Silva, Brendan Riggin, Wendy M Blunt, Marisa Kfrerer, Melissa Majoni, Jacquelyn Marsh, Jennifer D Irwin, Saverio Stranges, Merrick Zwarenstein, Guangyong Zou

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Abstract

Background: Obesity disproportionately impacts men's health yet fewer men engage in preventive healthcare. We examined the effectiveness of Hockey Fans in Training (Hockey FIT), a gender-sensitised lifestyle intervention that engages men with overweight/obesity through their passion as fans of a local sports team, on weight change and other health indicators.

Methods: Pragmatic, cluster randomised trial (aged 35-65 years, body mass index ≥ 27 kg/m²) within 42 community-based sites in Canada and the United States, randomly assigned (1:1) to intervention (Hockey FIT) or control (wait-list) and stratified by region. Sites were selected based on partnerships with local major junior/professional hockey teams and community implementation partners. Intervention participants received exercise and education during a three-month active phase (once-weekly, 90-min sessions) followed by a nine-month minimally-supported phase; control participants continued with usual activities. Primary outcome was weight change at 12 months. Assessment teams were blinded to group assignment including photos of weight measurements on digital scales, to provide proof of values recorded (post COVID-19). Analyses followed intent-to-treat. Trial registration: ClinicalTrials.gov, NCT03636282.

Findings: Between November 13, 2018-November 12, 2021, 20 sites (n = 497) were allocated to intervention and 22 sites (n = 500) to control. Participants with baseline weight and weight at 3 or 12 months, were included in the primary analysis (20 intervention sites [n = 354]; 22 control sites [n = 425]). At 12 months, mean weight change was -2.02 kg (95% confidence interval [CI], -2.78 to -1.26) with intervention and -0.92 kg (CI, -1.58 to -0.26) with control (difference, -1.10 kg [CI, -2.11 to -0.09], p = 0.03). There were 22 non-study related serious adverse events (45.5% in intervention; 54.5% in control).

Interpretation: Hockey FIT reduced weight in men with overweight or obesity. Hockey FIT is an innovative approach to engage men at increased risk of non-communicable disease in effective health behaviour change, through their passion as fans of their local hockey team.

Funding: Public Health Agency of Canada; Canadian Institutes of Health Research.

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针对超重或肥胖男性的曲棍球爱好者训练干预：实用分组随机试验。

背景：肥胖对男性健康的影响尤为严重，但参与预防保健的男性却较少。我们研究了 "曲棍球爱好者训练"（Hockey FIT）的有效性。这是一种性别敏感的生活方式干预措施，通过当地运动队球迷的热情，让超重/肥胖男性参与其中，从而改变体重和其他健康指标：方法：在加拿大和美国的 42 个社区站点进行务实的分组随机试验（年龄在 35-65 岁之间，体重指数≥ 27 kg/m2），随机分配（1:1）干预（冰球 FIT）或对照（等待名单），并按地区进行分层。根据与当地主要青少年/职业曲棍球队和社区实施合作伙伴的合作关系，选择了这些地点。干预参与者在为期三个月的积极阶段（每周一次，每次 90 分钟）接受锻炼和教育，随后是为期九个月的最低支持阶段；对照组参与者继续进行常规活动。主要结果是 12 个月时的体重变化。评估小组对分组任务进行盲测，包括在数字秤上测量体重的照片，以提供记录值的证明（COVID-19 后）。分析遵循意向治疗原则。试验注册：ClinicalTrials.gov，NCT03636282.研究结果：2018年11月13日至2021年11月12日期间，20个地点（n = 497）被分配到干预组，22个地点（n = 500）被分配到对照组。基线体重和3个月或12个月体重的参与者被纳入主要分析（20个干预地点[n = 354]；22个对照地点[n = 425]）。12个月时，干预组的平均体重变化为-2.02千克（95%置信区间[CI]，-2.78至-1.26），对照组为-0.92千克（CI，-1.58至-0.26）（差异为-1.10千克[CI，-2.11至-0.09]，P = 0.03）。共有 22 例与研究无关的严重不良事件（干预组为 45.5%；对照组为 54.5%）：曲棍球 FIT 减少了超重或肥胖男性的体重。冰球FIT是一种创新方法，通过当地冰球队球迷的热情，让非传染性疾病风险增加的男性参与到有效的健康行为改变中来：资金来源：加拿大公共卫生署；加拿大卫生研究院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

EClinicalMedicine Medicine-Medicine (all)

CiteScore

18.90

自引率

1.30%

发文量

506

审稿时长

22 days

期刊介绍： eClinicalMedicine is a gold open-access clinical journal designed to support frontline health professionals in addressing the complex and rapid health transitions affecting societies globally. The journal aims to assist practitioners in overcoming healthcare challenges across diverse communities, spanning diagnosis, treatment, prevention, and health promotion. Integrating disciplines from various specialties and life stages, it seeks to enhance health systems as fundamental institutions within societies. With a forward-thinking approach, eClinicalMedicine aims to redefine the future of healthcare.