Long-term effects of a lifestyle modification program for men with obesity delivered in German football clubs

IF 2.2 Q3 ENDOCRINOLOGY & METABOLISM
Clinical Obesity Pub Date : 2024-07-21 DOI:10.1111/cob.12696
Benjamin Pietsch, Michelle Manske, Reiner Hanewinkel, Hanna Kaduszkiewicz, Matthis Morgenstern
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Abstract

This study examined the long-term effects of a lifestyle modification program delivered at German Bundesliga football clubs. Weekly 90-minute group sessions over 12 weeks combined health education and physical activity and were delivered by coaches affiliated with the football clubs. A total of 371 men (mean age 49.7 years [SD = 7.6]) attended 41 classes at 19 clubs in 2017 and 2018 and participated in the long-term follow-up. Primary outcome was weight-loss at follow-up with a mean observation period of 20.4 months after baseline. Measures were taken partly by research staff and partly by participants themselves. At baseline, the men had a mean weight of 111.3 kg (SD = 16.9). Three months after baseline (posttest), the men had lost a mean of 6.3 kg (95% CI: 5.7–6.9). From posttest to follow-up, growth curve model showed men lost an average of 0.8 kg (95% CI: 0.2–1.4). Weight regain from posttest to follow-up of at least 3% was observed in 75 participants (20.2%) and was associated with less improvement in vegetable consumption in an adjusted logistic regression model. The data suggest that participation in a male-only lifestyle modification program offered by German football clubs may lead to sustained weight loss, but lack of a randomized control group and drop-outs prevent generalization of the results.

德国足球俱乐部为男性肥胖症患者提供的生活方式调整计划的长期效果。
这项研究考察了在德国足球甲级联赛足球俱乐部开展的生活方式调整计划的长期效果。每周 90 分钟的小组课程为期 12 周,结合了健康教育和体育锻炼,由足球俱乐部的附属教练授课。2017年和2018年,共有371名男性(平均年龄49.7岁[SD = 7.6])参加了19家俱乐部的41节课程,并参与了长期随访。主要结果是随访时的体重减轻情况,平均观察期为基线后 20.4 个月。测量部分由研究人员进行,部分由参与者自己进行。基线时,男性的平均体重为 111.3 千克(标准差 = 16.9)。基线三个月后(测试后),男性平均体重减轻了 6.3 千克(95% CI:5.7-6.9)。从测试后到随访期间,生长曲线模型显示男性平均体重下降了 0.8 千克(95% CI:0.2-1.4)。75名参与者(20.2%)的体重从测试后到随访期间至少增加了3%,在调整后的逻辑回归模型中,体重增加与蔬菜摄入量的减少有关。这些数据表明,参加德国足球俱乐部提供的只针对男性的生活方式调整计划可能会带来持续的体重减轻,但由于缺乏随机对照组和辍学者,因此无法对结果进行推广。
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来源期刊
Clinical Obesity
Clinical Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
5.90
自引率
3.00%
发文量
59
期刊介绍: Clinical Obesity is an international peer-reviewed journal publishing high quality translational and clinical research papers and reviews focussing on obesity and its co-morbidities. Key areas of interest are: • Patient assessment, classification, diagnosis and prognosis • Drug treatments, clinical trials and supporting research • Bariatric surgery and follow-up issues • Surgical approaches to remove body fat • Pharmacological, dietary and behavioural approaches for weight loss • Clinical physiology • Clinically relevant epidemiology • Psychological aspects of obesity • Co-morbidities • Nursing and care of patients with obesity.
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