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
{"title":"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。","authors":"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","doi":"10.1016/j.eclinm.2024.102911","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>Pragmatic, cluster randomised trial (aged 35-65 years, body mass index ≥ 27 kg/m<sup>2</sup>) 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.</p><p><strong>Findings: </strong>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).</p><p><strong>Interpretation: </strong>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.</p><p><strong>Funding: </strong>Public Health Agency of Canada; Canadian Institutes of Health Research.</p>","PeriodicalId":11393,"journal":{"name":"EClinicalMedicine","volume":"77 ","pages":"102911"},"PeriodicalIF":9.6000,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576405/pdf/","citationCount":"0","resultStr":"{\"title\":\"The hockey fans in training intervention for men with overweight or obesity: a pragmatic cluster randomised trial.\",\"authors\":\"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\",\"doi\":\"10.1016/j.eclinm.2024.102911\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>Pragmatic, cluster randomised trial (aged 35-65 years, body mass index ≥ 27 kg/m<sup>2</sup>) 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.</p><p><strong>Findings: </strong>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).</p><p><strong>Interpretation: </strong>Hockey FIT reduced weight in men with overweight or obesity. 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The hockey fans in training intervention for men with overweight or obesity: a pragmatic cluster randomised trial.
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.
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.
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