Reaching beyond the 'worried well': pre-adoption characteristics of participants in 'Men on the Move', a community-based physical activity programme.

BACKGROUND: Issues surrounding gender and men's health have become an increasing focus of public health globally. Unhealthy lifestyles and lower engagement in health promotion initiatives contributed to lower life expectancy and higher mortality rates among men. This study presents the pre-adoption characteristics of men who registered for 'Men on the Move'-a community-based physical activity (CBPA) programme, to ascertain whether the programme reached its intended target group, i.e. 'at-risk' adult men who did not meet physical activity (PA) guidelines and were likely to have multiple risk factors for cardiovascular disease (CVD). METHODS: Multiple recruitment strategies were adopted to engage the target group and baseline data collection included a range of demographic, self-report and outcome measures. RESULTS: The recruitment strategy succeeded in reaching the target group, with the majority (n = 927) presenting being previously inactive (89.0%), overweight/obese (89.7%) and having multiple CVD risk factors (53.1% ≥ 2 risk factors). However, the strategy was less successful in engaging 'hard-to-reach' groups, with the majority being middle-aged, white, married/cohabiting, educated and employed. CONCLUSIONS: A gender-sensitized, partnership and community outreach recruitment strategy can maximize the reach and recruitment of an 'at-risk' cohort for CBPA initiatives, but more targeted approaches are needed to recruit marginalized groups of men.

The impact of a gender-specific physical activity intervention on the fitness and fatness profile of men in Ireland.

BACKGROUND: Amid increasing concerns about rising obesity rates and unhealthy lifestyle behaviours, physical activity (PA) is seen as a prophylactic to many chronic conditions affecting men. Men respond best to community-based PA programmes, using gender-specific promotional and delivery strategies. 'Men on the Move' (MOM) was developed on this basis and targeted inactive adult men in Ireland. METHODS: Sedentary men (n = 927; age = 50.7 ± 10.9 years; weight = 92.7 ± 16.0 kg; METS = 6.06 ± 2.13) were recruited across eight counties: four 'intervention group' (IG; n = 501) and four 'comparison-in-waiting group' (CG; n = 426). The MOM programme involved structured group exercise twice weekly for 12 weeks (W), along with health-related workshops with the groups maintained up to 52 W. Primary outcome measures [aerobic fitness, bodyweight and waist circumference (WC)] together with self-administered questionnaires were used to gather participant data at baseline, 12, 26 and 52 W. RESULTS: Results show a net positive effect on aerobic fitness, bodyweight and WC, with significant (P < 0.05) net change scores observed in the IG compared to the CG (METS: 12 W = +2.20, 26 W = +1.89, 52 W = +0.92; weight: 12 W = -1.72 kg, 26 W = -1.95 kg, 52 W = -1.89 kg; WC: 12 W = -4.54 cm, 26 W = -2.69 cm, 52 W = -3.16 cm). The corresponding reduction in cardiovascular disease risk is particularly significant in the context of a previously inactive and overweight cohort. The high 'dropout' (42.7% presenting at 52 W), however, is of particular concern, with 'dropouts' having lower levels of aerobic fitness and higher bodyweight/WC at baseline. CONCLUSIONS: Notwithstanding dropout issues, findings address an important gap in public health practice by informing the translational scale-up of a small controllable gender-specific PA intervention, MOM, to a national population-based PA intervention targeting inactive men.

Physiological and health characteristics of ex-jockeys.

OBJECTIVES: The long-term health implications resulting from extreme and chronic weight cycling and the associated energy restricted lifestyle of a professional jockey remain unknown. The aim of the present study was to describe and evaluate the physiological and health characteristics of retired jockeys. DESIGN: Cross-sectional. METHODS: Retired male jockeys (n=28; age 59±6yr; height 1.65±0.03m; body mass 73.7±10.9kg; BMI 26.9±3.8kgm(-2)) participated. Body composition (by dual energy X-ray absorptiometry; DXA), resting metabolic rate (RMR), glucose metabolism (by oral glucose tolerance test; OGTT), lipids and thyroid function were assessed. All data were interpreted in relation to established age specific reference ranges for the particular assessment undertaken. RESULTS: Forty three percent of the retired jockeys were classified as overweight, while 21% were obese. RMR was calculated as 1447±201kcalday(-1). Mean total cholesterol was 5.93±1.5mmolL(-1) for those not on cholesterol lowering medication and 5.09±1.1mmolL(-1) for those currently taking medication. No abnormalities in glucose metabolism and thyroid function were found. CONCLUSIONS: Chronic weight cycling during a career as a professional jockey did not induce any health consequences in the retired jockeys assessed in this study, however enhanced weight gain and dyslipidaemia were evident. Results suggest jockeys should be tracked longitudinally throughout their racing career and beyond to further establish long-term physical health implications associated with the current lifestyle of a professional jockey.