Evidence map›Paper›PMID 24457205›Full record

Trial reportLancet (London, England)2014

A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT): a pragmatic randomised controlled trial.

Kate Hunt, Sally Wyke, Cindy M Gray, Annie S Anderson, Adrian Brady, Christopher Bunn, Peter T Donnan, Elisabeth Fenwick, Eleanor Grieve, Jim Leishman and 5 more

Open access · greenAbstract readComparative StudyMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Lancet (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 177 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 18 pooled it
21.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

177 citing papers in PubMed, 18 syntheses or guidelines pooled it, 390 citations in OpenAlex.

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  3. A systematic review examining socioeconomic factors in trials of interventions for men that report weight as an outcome.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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  4. A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
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  6. The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  7. How effective are physical activity interventions when they are scaled-up: a systematic review.The international journal of behavioral nutrition and physical activity · 2021
    Pooled it
  8. A systematic review of UK-based long-term nonsurgical interventions for people with severe obesity (BMI ≥35 kg mJournal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2020
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117 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Kate HuntSocial and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Sally WykeInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK. Electronic address: sally.wyke@glasgow.ac.uk.
Cindy M GrayInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Annie S AndersonCentre for Public Health Nutrition Research, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
Adrian BradyNHS Greater Glasgow and Clyde, Glasgow Royal Infirmary, Glasgow, UK.
Christopher BunnInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Peter T DonnanDivision of Population Health Sciences, Medical Research Institute, University of Dundee, Dundee, UK.
Elisabeth FenwickHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Eleanor GrieveHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Jim LeishmanNHS Forth Valley, Boness, UK.
Euan MillerScottish Premier League Trust, Hampden Park, Glasgow, UK.
Nanette MutrieMoray House School of Education, University of Edinburgh, Edinburgh, UK.
Petra RauchhausDivision of Population Health Sciences, Medical Research Institute, University of Dundee, Dundee, UK.
Alan WhiteCentre for Men's Health, Faculty of Health and Social Science, Leeds Metropolitan University, Leeds, UK.
Shaun TreweekHealth Services Research Unit, University of Aberdeen, Health Sciences Building, Aberdeen, UK.
University of Aberdeen · GBUniversity of Glasgow · GBUniversity of Dundee · GBUniversity of Edinburgh · GB

Funding

Chief Scientist Office CZG/2/504Chief Scientist Office CZH/4/886Chief Scientist Office HSRU2Medical Research Council 5TK50/25605200-68094Medical Research Council MC_U130059811Medical Research Council MC_UU_12017/3
6 · The paper itself

Abstract

backgroundThe prevalence of male obesity is increasing but few men take part in weight loss programmes. We assessed the effect of a weight loss and healthy living programme on weight loss in football (soccer) fans.

methodsWe did a two-group, pragmatic, randomised controlled trial of 747 male football fans aged 35-65 years with a body-mass index (BMI) of 28 kg/m(2) or higher from 13 Scottish professional football clubs. Participants were randomly assigned with SAS (version 9·2, block size 2-9) in a 1:1 ratio, stratified by club, to a weight loss programme delivered by community coaching staff in 12 sessions held every week. The intervention group started a weight loss programme within 3 weeks, and the comparison group were put on a 12 month waiting list. All participants received a weight management booklet. Primary outcome was mean difference in weight loss between groups at 12 months, expressed as absolute weight and a percentage of their baseline weight. Primary outcome assessment was masked. Analyses were based on intention to treat. The trial is registered with Current Controlled Trials, number ISRCTN32677491.

findings374 men were allocated to the intervention group and 374 to the comparison group. 333 (89%) of the intervention group and 355 (95%) of the comparison group completed 12 month assessments. At 12 months the mean difference in weight loss between groups, adjusted for baseline weight and club, was 4·94 kg (95% CI 3·95-5·94) and percentage weight loss, similarly adjusted, was 4·36% (3·64-5·08), both in favour of the intervention (p<0·0001). Eight serious adverse events were reported, five in the intervention group (lost consciousness due to drugs for pre-existing angina, gallbladder removal, hospital admission with suspected heart attack, ruptured gut, and ruptured Achilles tendon) and three in the comparison group (transient ischaemic attack, and two deaths). Of these, two adverse events were reported as related to participation in the programme (gallbladder removal and ruptured Achilles tendon).

interpretationThe FFIT programme can help a large proportion of men to lose a clinically important amount of weight; it offers one effective strategy to challenge male obesity.

fundingScottish Government and The UK Football Pools funded delivery of the programme through a grant to the Scottish Premier League Trust. The National Institute for Health Research Public Health Research Programme funded the assessment (09/3010/06).

Indexed as

SoccerAdultAgedBody Mass IndexCost-Benefit AnalysisExercise TherapyHealth PromotionHealthy People ProgramsHumansMaleMiddle AgedObesityOverweightRisk Reduction BehaviorScotlandTreatment Outcome

Identifiers

PMID24457205
PMCPMC4524002
OpenAlexW2150598098

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.