The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial.
<h4>Background</h4>Reducing sitting time as well as increasing physical activity in inactive people is beneficial for their health. This paper investigates the effectiveness of the European Fans in Training (EuroFIT) programme to improve physical activity and sedentary time in male footb...
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2019-02-01
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| Online Access: | https://doi.org/10.1371/journal.pmed.1002736 |
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| author | Sally Wyke Christopher Bunn Eivind Andersen Marlene N Silva Femke van Nassau Paula McSkimming Spyros Kolovos Jason M R Gill Cindy M Gray Kate Hunt Annie S Anderson Judith Bosmans Judith G M Jelsma Sharon Kean Nicolas Lemyre David W Loudon Lisa Macaulay Douglas J Maxwell Alex McConnachie Nanette Mutrie Maria Nijhuis-van der Sanden Hugo V Pereira Matthew Philpott Glyn C Roberts John Rooksby Øystein B Røynesdal Naveed Sattar Marit Sørensen Pedro J Teixeira Shaun Treweek Theo van Achterberg Irene van de Glind Willem van Mechelen Hidde P van der Ploeg |
| author_facet | Sally Wyke Christopher Bunn Eivind Andersen Marlene N Silva Femke van Nassau Paula McSkimming Spyros Kolovos Jason M R Gill Cindy M Gray Kate Hunt Annie S Anderson Judith Bosmans Judith G M Jelsma Sharon Kean Nicolas Lemyre David W Loudon Lisa Macaulay Douglas J Maxwell Alex McConnachie Nanette Mutrie Maria Nijhuis-van der Sanden Hugo V Pereira Matthew Philpott Glyn C Roberts John Rooksby Øystein B Røynesdal Naveed Sattar Marit Sørensen Pedro J Teixeira Shaun Treweek Theo van Achterberg Irene van de Glind Willem van Mechelen Hidde P van der Ploeg |
| author_sort | Sally Wyke |
| collection | DOAJ |
| description | <h4>Background</h4>Reducing sitting time as well as increasing physical activity in inactive people is beneficial for their health. This paper investigates the effectiveness of the European Fans in Training (EuroFIT) programme to improve physical activity and sedentary time in male football fans, delivered through the professional football setting.<h4>Methods and findings</h4>A total of 1,113 men aged 30-65 with self-reported body mass index (BMI) ≥27 kg/m2 took part in a randomised controlled trial in 15 professional football clubs in England, the Netherlands, Norway, and Portugal. Recruitment was between September 19, 2015, and February 2, 2016. Participants consented to study procedures and provided usable activity monitor baseline data. They were randomised, stratified by club, to either the EuroFIT intervention or a 12-month waiting list comparison group. Follow-up measurement was post-programme and 12 months after baseline. EuroFIT is a 12-week, group-based programme delivered by coaches in football club stadia in 12 weekly 90-minute sessions. Weekly sessions aimed to improve physical activity, sedentary time, and diet and maintain changes long term. A pocket-worn device (SitFIT) allowed self-monitoring of sedentary time and daily steps, and a game-based app (MatchFIT) encouraged between-session social support. Primary outcome (objectively measured sedentary time and physical activity) measurements were obtained for 83% and 85% of intervention and comparison participants. Intention-to-treat analyses showed a baseline-adjusted mean difference in sedentary time at 12 months of -1.6 minutes/day (97.5% confidence interval [CI], -14.3-11.0; p = 0.77) and in step counts of 678 steps/day (97.5% CI, 309-1.048; p < 0.001) in favor of the intervention. There were significant improvements in diet, weight, well-being, self-esteem, vitality, and biomarkers of cardiometabolic health in favor of the intervention group, but not in quality of life. There was a 0.95 probability of EuroFIT being cost-effective compared with the comparison group if society is willing to pay £1.50 per extra step/day, a maximum probability of 0.61 if society is willing to pay £1,800 per minute less sedentary time/day, and 0.13 probability if society is willing to pay £30,000 per quality-adjusted life-year (QALY). It was not possible to blind participants to group allocation. Men attracted to the programme already had quite high levels of physical activity at baseline (8,372 steps/day), which may have limited room for improvement. Although participants came from across the socioeconomic spectrum, a majority were well educated and in paid work. There was an increase in recent injuries and in upper and lower joint pain scores post-programme. In addition, although the five-level EuroQoL questionnaire (EQ-5D-5L) is now the preferred measure for cost-effectiveness analyses across Europe, baseline scores were high (0.93), suggesting a ceiling effect for QALYs.<h4>Conclusion</h4>Participation in EuroFIT led to improvements in physical activity, diet, body weight, and biomarkers of cardiometabolic health, but not in sedentary time at 12 months. Within-trial analysis suggests it is not cost-effective in the short term for QALYs due to a ceiling effect in quality of life. Nevertheless, decision-makers may consider the incremental cost for increase in steps worth the investment.<h4>Trial registration</h4>International Standard Randomised Controlled Trials, ISRCTN-81935608. |
| format | Article |
| id | doaj-art-bf0987da0cee43ed8b1b012783ca1739 |
| institution | Kabale University |
| issn | 1549-1277 1549-1676 |
| language | English |
| publishDate | 2019-02-01 |
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| spelling | doaj-art-bf0987da0cee43ed8b1b012783ca17392025-08-20T03:46:20ZengPublic Library of Science (PLoS)PLoS Medicine1549-12771549-16762019-02-01162e100273610.1371/journal.pmed.1002736The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial.Sally WykeChristopher BunnEivind AndersenMarlene N SilvaFemke van NassauPaula McSkimmingSpyros KolovosJason M R GillCindy M GrayKate HuntAnnie S AndersonJudith BosmansJudith G M JelsmaSharon KeanNicolas LemyreDavid W LoudonLisa MacaulayDouglas J MaxwellAlex McConnachieNanette MutrieMaria Nijhuis-van der SandenHugo V PereiraMatthew PhilpottGlyn C RobertsJohn RooksbyØystein B RøynesdalNaveed SattarMarit SørensenPedro J TeixeiraShaun TreweekTheo van AchterbergIrene van de GlindWillem van MechelenHidde P van der Ploeg<h4>Background</h4>Reducing sitting time as well as increasing physical activity in inactive people is beneficial for their health. This paper investigates the effectiveness of the European Fans in Training (EuroFIT) programme to improve physical activity and sedentary time in male football fans, delivered through the professional football setting.<h4>Methods and findings</h4>A total of 1,113 men aged 30-65 with self-reported body mass index (BMI) ≥27 kg/m2 took part in a randomised controlled trial in 15 professional football clubs in England, the Netherlands, Norway, and Portugal. Recruitment was between September 19, 2015, and February 2, 2016. Participants consented to study procedures and provided usable activity monitor baseline data. They were randomised, stratified by club, to either the EuroFIT intervention or a 12-month waiting list comparison group. Follow-up measurement was post-programme and 12 months after baseline. EuroFIT is a 12-week, group-based programme delivered by coaches in football club stadia in 12 weekly 90-minute sessions. Weekly sessions aimed to improve physical activity, sedentary time, and diet and maintain changes long term. A pocket-worn device (SitFIT) allowed self-monitoring of sedentary time and daily steps, and a game-based app (MatchFIT) encouraged between-session social support. Primary outcome (objectively measured sedentary time and physical activity) measurements were obtained for 83% and 85% of intervention and comparison participants. Intention-to-treat analyses showed a baseline-adjusted mean difference in sedentary time at 12 months of -1.6 minutes/day (97.5% confidence interval [CI], -14.3-11.0; p = 0.77) and in step counts of 678 steps/day (97.5% CI, 309-1.048; p < 0.001) in favor of the intervention. There were significant improvements in diet, weight, well-being, self-esteem, vitality, and biomarkers of cardiometabolic health in favor of the intervention group, but not in quality of life. There was a 0.95 probability of EuroFIT being cost-effective compared with the comparison group if society is willing to pay £1.50 per extra step/day, a maximum probability of 0.61 if society is willing to pay £1,800 per minute less sedentary time/day, and 0.13 probability if society is willing to pay £30,000 per quality-adjusted life-year (QALY). It was not possible to blind participants to group allocation. Men attracted to the programme already had quite high levels of physical activity at baseline (8,372 steps/day), which may have limited room for improvement. Although participants came from across the socioeconomic spectrum, a majority were well educated and in paid work. There was an increase in recent injuries and in upper and lower joint pain scores post-programme. In addition, although the five-level EuroQoL questionnaire (EQ-5D-5L) is now the preferred measure for cost-effectiveness analyses across Europe, baseline scores were high (0.93), suggesting a ceiling effect for QALYs.<h4>Conclusion</h4>Participation in EuroFIT led to improvements in physical activity, diet, body weight, and biomarkers of cardiometabolic health, but not in sedentary time at 12 months. Within-trial analysis suggests it is not cost-effective in the short term for QALYs due to a ceiling effect in quality of life. Nevertheless, decision-makers may consider the incremental cost for increase in steps worth the investment.<h4>Trial registration</h4>International Standard Randomised Controlled Trials, ISRCTN-81935608.https://doi.org/10.1371/journal.pmed.1002736 |
| spellingShingle | Sally Wyke Christopher Bunn Eivind Andersen Marlene N Silva Femke van Nassau Paula McSkimming Spyros Kolovos Jason M R Gill Cindy M Gray Kate Hunt Annie S Anderson Judith Bosmans Judith G M Jelsma Sharon Kean Nicolas Lemyre David W Loudon Lisa Macaulay Douglas J Maxwell Alex McConnachie Nanette Mutrie Maria Nijhuis-van der Sanden Hugo V Pereira Matthew Philpott Glyn C Roberts John Rooksby Øystein B Røynesdal Naveed Sattar Marit Sørensen Pedro J Teixeira Shaun Treweek Theo van Achterberg Irene van de Glind Willem van Mechelen Hidde P van der Ploeg The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. PLoS Medicine |
| title | The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. |
| title_full | The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. |
| title_fullStr | The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. |
| title_full_unstemmed | The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. |
| title_short | The effect of a programme to improve men's sedentary time and physical activity: The European Fans in Training (EuroFIT) randomised controlled trial. |
| title_sort | effect of a programme to improve men s sedentary time and physical activity the european fans in training eurofit randomised controlled trial |
| url | https://doi.org/10.1371/journal.pmed.1002736 |
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