Professor Philip Morgan University of Newcastle

Transcription

1 Professor Philip Morgan University of Newcastle 1

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. Finucane et al. (2011), Lancet 70% overweight/obese 95% inadequate F&V intake <50% are sufficiently active ABS (2013)

4 25% of participants Pagoto et al. (2012), Obesity; 4 Very few men-only studies and poor quality (~5%) Pagoto et al. (2012), Obesity; Young et al. (2012), Obes Rev Weight loss programs have not appealed to men Pagoto et al., 2012, Obesity Failure to consider the physiological, psychological, and sociocultural gender differences in program design Young et al., 2012, Obes Rev

5 5 1.What is the hook? 2. What is the stickiness factor?

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7 Why aren t you motivated?...what motivates you? Rhodes et al. (2012) Pilot study of a dog walking randomized intervention: effects of a focus on canine exercise. Preventive Medicine

8 8 Sticky ideas: Are understood and remembered Have a lasting impact Change your audience's opinions or behaviour How do you do this? Simplicity Unexpectedness Concreteness Credibility Emotions Stories Made to stick Chip and Dan Heath

9 9 AIM To evaluate the efficacy of two gender-tailored weight loss programs that required no face-to-face contact METHODS 159 overweight/obese men (BMI: 25-40kg/m 2 ) Recruited via media & workplace notices (Morgan et al., 2011, BMC Public Health) DESIGN Assessor-blinded RCT (Online, Resources, control)

10 10 SHED-IT Resources & Online Weight Loss Handbook & Log Book Weight Loss DVD kj counter book Tape measure & pedometer SHED-IT Online Only

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) Adapted for shift workers

15 (kg) 15 Waist and BMI Blood pressure Physical Activity Resting Heart Rate Dietary variables Intake of soft drink Eating breakfast No effect: Intake of fruit or vegetables

16 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

17 P = Intervention Control Baseline 3-month

18 Workplace POWER was a feasible and efficacious approach for improved health in overweight male shift workers Work-related benefits following a WL program (awards) 18 OTHER KEY FACTORS: Importance of facilitator Strong support from senior management Program champions Open to all

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20 Research shows that positive father involvement* with children improves: maturity & moral behaviour cognitive functioning problem solving academic achievement career success IQ occupational competency life satisfaction resilience curiosity & eagerness to explore the environment self-esteem linguistic capacity resourcefulness stress levels attachment Ball et al. (2007). Fathers' contributions to children's well-being. Public Health Agency of Canada. Rosenberg et al. (2006). The Importance of Fathers in the Healthy Development of Children psychological well-being quality of father-child relationship attention positive peer relations self control depression empathy happiness mental health tolerance emotional well-being delinquent behaviour negative emotional reactions supportive social networks and social behaviours/competence Allen et al. (2007). The Effects of Father Involvement: An updated research summary of the evidence. Centre for Families, Work and Well-Being, University of Guelph. 20

21 Phases of research (1) Pilot study ( ) 21 Morgan et al. (2011). IJO (2) Community effectiveness trial ( ) High obesity prevalence & shift workers 300 fathers & 500 children Morgan et al. (2014). Preventive Medicine (3) Transitioning to sustainability ( ) 1. Researcher-run to run by community 2. Multi-case study design (community, school & private) 3. Program refinement

22 What is Healthy Dads, Healthy Kids? 22 9-week interactive program for dads and kids: - 2 x dads only and 7 x dads and kids practical physical activity sessions (mums) - Sessions focus on weight management, evidence-based physical activities, nutrition/healthy eating, parenting strategies, dads & kids learning experiences

23 Rough & Tumble Play Fun activities to develop HR fitness 23 Fundamental Movement Skills Fun & Active Games

24 Outcomes from 2 RCTs and community roll out Sigt. improvements in fathers: (Morgan et al. (2014). Preventive Medicine) Weight, Waist, Resting Heart Rate, Diet, PA 24 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

25 All programs are available please contact: 25 Prof. Robin Callister; Prof. Clare Collins; Prof. Ron Plotnikoff, A/Prof David Lubans, Prof. Tony Okely & Myles Young