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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)