Engaging men in workplace-based weight loss programs

Transcription

1 Engaging men in workplace-based weight loss programs 1 Professor Philip Morgan Deputy Director, PRC in Physical Activity and Nutrition University of Newcastle Philip.Morgan@newcastle.edu.au

2 Morgan et al. (2009). Effects of a pre-season intervention on anthropometric characteristics of semi-professional rugby league players. Journal of Strength and Conditioning Research, 2

3 Between , male obesity rates doubled Finucane et al. (2011), Lancet 3 Over the last 30 years, the average male BMI of Australasian men is increasing faster than for men in almost all other high-income countries. 70% overweight/obese 95% inadequate F&V intake <15% are sufficiently active ABS (2013) Finucane et al. (2011), Lancet

4 Rationale: Lack of men in WL programs 23-27% of participants Pagoto et al. (2012), Obesity; Neve et al. (2010), Obes Rev; Franz et al. (2007), JADA Very few men-only studies (~5%) Pagoto et al. (2012), Obesity Evidence for male-only programs is limited, poor in quality Young et al. (2012), Obes Rev Weight loss programs have not appealed to men Pagoto et al., 2012, Obesity

5 Considerations at the workplace First contact Strong male leadership Non-deficit perspective Timing Venue Male word of mouth/suspicion

6 6

7 Why aren t you motivated?...what motivates you?

8 Education sessions, It matters how it is taught...and by who 8

9 Outcomes from 2 RCTs and community roll out 9 Sigt. improvements in fathers: (Morgan et al. (2014). Preventive Medicine) Weight, Waist, Resting Heart Rate, Diet, PA Sigt. improvements in childrens: (Morgan et al. (2014). Preventive Medicine) BMI-z score, Diet, PA month community trial: Fathers weight loss has been maintained Childrens MVPA increases maintained Diet results TBA

10 10 AIM To evaluate the efficacy of two gender-tailored weight loss programs that required no face-to-face contact METHODS 159 overweight/obese men Recruited via media & workplace notices (Morgan et al., 2011, BMC Public Health) DESIGN Assessor-blinded RCT (Online, Resources, control) Young et al. (In press) Annals of Behavioural Medicine Morgan et al. (2014) International Journal of Behavioural Nutrition and Physical Activity Young et al. (2014) Contemporary Clinical Trials Blomfield et al. (2013) Obesity Research and Clinical Practice Collins et al. (2013) Obesity Research and Clinical Practice Morgan et al. (2013) Annals of Behavioural Medicine Collins et al. (2011) Public Health Nutrition Morgan et al. (2011) Obesity Research and Clinical Practice Morgan et al. (2011) Obesity Morgan et al. (2010) BMC Public Health Lubans et al. (2009) International Journal of Activity Morgan et al. (2009) Obesity

11 Weight change (kg) Waist change (cm) Control Resources 11 Online 3-month 6-month 3-month 6-month * * * * * ** * * Significantly different to control group ** Significantly different to control & resources groups ** Morgan et al., in press, Ann Behav Med

12 Men achieved significant weight loss & maintained an increase of ~1500 steps per day Improvements in quality of life, dietary intake, erectile dysfunction, hazardous alcohol score Results comparable to men only studies, but far less intensive. Widespread dissemination Weight Loss Maintenance trial 12 Morgan PJ et al. (2012) ABM Morgan PJ et al. (2011). Obesity Morgan PJ et al. (2009). Obesity Morgan PJ et al. (2011). Obes Res Clin Pract Morgan, PJ et al. (2010). BMC Public Health Lubans DR et al. (2009). IJBNPA Collins, C.E. et al. (2011). Public Health Nutrition Video messages delivered via Motivational text messages

13 Morgan PJ et al. (2012) JOEM Morgan PJ et al. (2011). Prev Med. 13 Shift work & obesity Obesity & work limitations Workplace potential & evidence

14 Aim: to evaluate the feasibility and efficacy of a workplace-based weight loss program for overweight and obese male shift workers crews were recruited from Tomago Aluminium Men were randomised in 4 crew clusters RCT (i) Workplace POWER group (n=65) (ii) Wait-list control group (n=45) 12 week weight loss program designed for men Information session Resource pack Can still have beer and wine No pills, potions or powders, no need to eat like a rabbit!

15 Workplace POWER Resources WEIGHT LOSS HANDBOOK WEIGHT LOSS LOG BOOK SHED IT WEIGHT LOSS DVD ACCESS TO WEIGHT LOSS WEBSITE TAPE MEASURE & PEDOMETER

16 Developed by researchers at the University of Newcastle, experts in: Obesity Men s health Nutrition and exercise AWARDS Australian National Preventive Health Agency (ANPHA) Award, Winner- Healthy Workplace Award (2013) Hunter Manufacturing Award, Excellence in Safety (2011)

17 (kg) 17 Waist and BMI Blood pressure Physical Activity Resting Heart Rate Dietary variables Intake of soft drink Eating breakfast Morgan PJ et al. (2012) JOEM Morgan PJ et al. (2011). Prev Med.

18 Quality of Life (mental) Absenteeism (leave hours) P = P = Intervention Control 10 % Productivity Loss 8 Baseline 3-month Work Limitations (Physical Demands) P = P =.04 Intervention Control 17 Baseline 3-month

19 P = Intervention Control Baseline 3-month Morgan PJ et al. (2012) JOEM Morgan PJ et al. (2011). Prev Med.

20 Workplace POWER was a feasible and efficacious approach for improved health in overweight male shift workers Work-related benefits following a WL program 20 OTHER KEY FACTORS: Importance of facilitator Strong support from senior management Program champions Open to all

21 If you are interested in any of these programs, please leave your business card OR 21 Prof. Robin Callister; Prof. Clare Collins; Prof. Ron Plotnikoff, A/Prof David Lubans, Prof. Tony Okely & Myles Young