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Table 1 The RUFIT-NZ program (Auckland and Dunedin) compared with the FFIT program

From: Rugby Fans in Training New Zealand (RUFIT-NZ): a pilot randomized controlled trial of a healthy lifestyle program for overweight men delivered through professional rugby clubs in New Zealand

 

RUFIT-NZ

FFIT

Auckland

Dunedin

Scotland

PARTICIPANTS

Overall goal of program

Improve health through lifestyle changes

Improve health through lifestyle changes

Getting fitter, losing weight and feeling better

Inclusion/exclusion criteria

Age = 25–65 years

BMI = ≥25 kg/m2

Completed PAR-Qa

Not meeting PA guidelines

Provided informed consent

Age = 25–65 years

BMI = ≥25 kg/m2

Completed PAR-Qa

Not meeting PA guidelines

Provided informed consent

Age = 35–65 years

BMI = ≥28 kg/m2

Completed PAR-Qb

Provided informed consent

Men with systolic BP ≥160 mmHg or diastolic BP ≥100 mmHg excluded from intense PA until evidence provided of reduction in BP.

Maximum no. of men in group

N = 20

N = 30 (maximum of 12–13 per group)

N = 30 (with a maximum coach: participant ratio of 1:15)

INTERVENTION

Intensity

No. of sessions

24 sessions (1 x PA session and 1 x PA + classroom session per weekc)

12 sessions (1 x PA session + classroom session per weekc)

12 sessions (1 x PA + classroom session per week)

Duration of sessions

90 min for both physical and classroom sessions (Total 30 h over 12 weeks)

120–150 min (Total 24-30 h over 12 weeks)

90 min (Total 18 h over 12 weeks)

Content

Classroom

 ☐ Introduction from trainer/coach

 ☐ Getting to know one another

 ☐ Health benefits of weight loss

 ☐ Nutrition

   

   Inclusion of partners to nutrition session

   Energy balance

   Food choices

   Food groups

   Healthy eating plans

   Food labels

   Eating out

   Food diaries

   Mindful eating

   Sugary drinks

 ☐ Alcohol

 ☐ BCTs (see Table 2)

 ☐ Health benefits of PA

 ☐ Sleep

 ☐ Sedentary behavior/screen use

 ☐ Myth busting

 ☐ Long-term maintenance

Physical activity

 ☐ Component 1: Pedometers

Incremental pedometer-based daily walking program

Incremental pedometer-based daily walking program

Incremental pedometer-based daily walking program

 ☐ Component 2: PA sessions

Gym-based and field-side sessions. First 4 weeks predominantly aerobic, off-feet training and body weight exercises, second 4 weeks introduce external loads and increase running volume, last 4 weeks introduce strength, aerobic, and anaerobic conditioning.

Gym-based and field-side sessions. First 4 weeks predominantly aerobic, off-feet training and body weight exercises, second 4 weeks introduce external loads and increase running volume, last 4 weeks introduce strength, aerobic, and anaerobic conditioning.

Pitch-side/in-stadia PA sessions, with men trained to work at their own optimal level of intensity as assessed by the Rate of Perceived Exertion Scale.

Delivery

Staff

Club trainer, club doctor, club nutritionist, and community nutrition group (no formal training given)

Community coach, club doctor, club nutritionist, and community dietician (no formal training given)

Trained community coaching staff

Delivery of classroom sessions

 ☐ Power point presentations

 ☐ Supportive group environment

 ☐ Sharing of experiences

 ☐ Interactive problem solving

 ☐ Repeated practice of BCTs

 ☐ Coaches available at end of each session

Balance of PA and classroom sessions

PA and classroom sessions balanced throughout the program

PA and classroom sessions balanced throughout the program

Balance of PA and classroom sessions changed throughout the program (later weeks focused more on PA with shorter classroom sessions)

MAINTENANCE

None as only a pilot trial of 12 weeks duration

None as only a pilot trial of 12 weeks duration

‘Light touch’ weight maintenance phase = 6 post-program email prompts over 9 months and a group reunion at 6 months

  1. PAR-Q physical activity readiness questionnaire, PA physical activity, BCTs behavioral change techniques
  2. aPhysician consent to participate required for all participants who responded ‘Yes’ to any PAR-Q items
  3. bThose with high blood pressure or other contraindications to vigorous physical activity were able to take part in classroom session of FFIT and in the graduated pedometer-based walking program, but were not able to participate in more vigorous group physical activity sessions until they could provide evidence that their contraindication was resolved, but physician consent to participate was not required for participants endorsing any PAR-Q items
  4. cClassroom sessions were not always delivered every week (e.g. some weeks just included physical activity sessions)