Obesity, Overweight
Conditions
Keywords
Chronic Disease, Lifestyle Intervention, Health Promotion, Sport Mentorship, Men, Health Technology, Prevention, Exercise, Diet
Brief summary
The Hockey Fans in Training (Hockey FIT) program aims to improve overweight men's physical fitness, eating habits and health-related lifestyle choices through a lifestyle modification program in collaboration with two Ontario Hockey League teams. In this pilot pragmatic randomized controlled trial, the investigators plan to explore the potential for Hockey FIT to reduce a clinically important amount of weight, increase physical activity levels, and lead to improvements in other health-related outcomes.
Detailed description
In the United Kingdom, the Football Fans in Training (FFIT) program was developed to encourage men to lead a healthier lifestyle through a sport-related medium. FFIT is a gender-sensitized, weight loss and healthy living program developed for delivery to overweight and obese men through professional football clubs. Published results from FFIT show that the program was able to actively recruit and engage men and for the men who participated, sustained weight loss and positive lifestyle change was observed (Hunt et al., 2014). This study will use a two-arm, pilot pragmatic randomized controlled trial (RCT) design. The investigators will conduct the study in conjunction with two Ontario Junior A Hockey Clubs. Following assessment of eligibility and baseline measurements, men will be individually randomized (1:1; stratified by club) to either the intervention group (receiving the Hockey FIT program) or to the comparison group (usual care wait-list control). The comparison group will be offered to start the Hockey FIT program after a 12-week delay. All men (both intervention and comparison groups) will receive publicly available healthy eating and physical activity materials at baseline. Measurements will be taken at baseline and 12 weeks (both groups) and again at 12 months (intervention group only). The results of this study will be used to inform a fully-powered RCT where the primary objective will be to determine whether, compared to the usual care wait-list control group, the Hockey FIT group will lose weight (at least 5% weight loss from baseline) at 12 months.
Interventions
Active phase: a) Classroom-based education on successful weight management strategies and instruction on behaviour change techniques/dietary interventions; promote peer and other forms of social support; and b) Physical activity sessions in aerobic/strength/flexibility exercises. Maintenance phase: Participants independently set new lifestyle prescriptions and goals and track their exercise, physical activity, and healthy eating with the support of a suite of free-of-charge health technology support tools
Sponsors
Study design
Eligibility
Inclusion criteria
* Objectively-measured body-mass index of at least 28 kg/m2 * Clear Physical Activity Readiness Questionnaire (PAR-Q) (i.e., either by answering No to all questions or receiving clearance from a health care provider)
Exclusion criteria
* Unable to comprehend letter of information and consent documentation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight loss (absolute and percentage) | 12 weeks | Measured using digital weight scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average steps per day using pedometer | 12 weeks (& 12 months - Hockey FIT group only) | Measured over a 7-day period using pedometers |
| Total physical activity in MET-minutes/week using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | International Physical Activity Questionnaire - Short Version |
| Time spent in sedentary activity using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by the International Physical Activity Questionnaire - Short Version |
| Eating habits: Fatty food score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by the modified Dietary Instrument for Nutrition Education |
| Eating habits: fruit and vegetable score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by the modified Dietary Instrument for Nutrition Education |
| Eating habits: sugary food score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by the modified Dietary Instrument for Nutrition Education |
| Eating habits: Starting the conversation summary score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by Starting the Conversation Dietary Assessment Tool |
| Alcohol consumption using recall questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by a 7-day alcohol recall (number of drinks in last 7 days) |
| Weight loss (absolute and percentage) | 12 months (Hockey FIT group only) | Measured using digital weight scale |
| Resting diastolic blood pressure | 12 weeks (& 12 months - Hockey FIT group only) | Measured using automated blood pressure monitor |
| Waist circumference | 12 weeks (& 12 months - Hockey FIT group only) | Measured using tape measure |
| Body mass index using height and weight measures | 12 weeks (& 12 months - Hockey FIT group only) | Height will be measured with a portable stadiometer; weight will be measured with a digital weight scale |
| Self-esteem summary score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Summary score from Rosenberg Self Esteem Scale |
| Positive affect score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by the International Positive and Negative Affect Schedule Short Form |
| Negative affect score using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | Measured by the International Positive and Negative Affect Schedule Short Form |
| Health-related quality of life: Descriptive health state using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | EQ-5D index measured by EQ-5D-3L |
| Health-related quality of life: VAS using questionnaire | 12 weeks (& 12 months - Hockey FIT group only) | EQ VAS measured by EQ-5D-3L |
| Resting systolic blood pressure | 12 weeks (& 12 months - Hockey FIT group only) | Measured using automated blood pressure monitor |
Countries
Canada