Centre for Active Lifestyles, Carnegie Faculty, Leeds Metropolitan University, Fairfax Hall 212, Headingley Campus, Leeds LS63QS, UK.
Public Health. 2013 Jan;127(1):18-26. doi: 10.1016/j.puhe.2012.10.012. Epub 2012 Dec 6.
To investigate the impact of a national programme of men's health delivered in/by English Premier League (EPL) football clubs on health profiles.
Health promotion interventions were delivered to male supporters with heightened health risks, and hard-to-engage men who were not using primary care and health information services. Interventions included educational activities on match days and weekly lifestyle classes at the football stadia/training venues. Activities were led by the health trainers in 16 EPL football clubs.
Pre- and post-intervention, men completed validated self-report measures for demographics and health behaviours. Intention-to-treat (ITT) analysis was performed alongside a standard per-protocol (PP) analysis based on pre- vs post-intervention differences over 3 months. Descriptive statistics were used to show demographics pre-intervention and changes in the health profiles of participants.
Predominantly, recruits were White British men aged 18-44 years. Most men (78%, 909/1159) did not see themselves as having health problems. Around 35% (364/1044) never consulted a general practitioner (GP), while 57% (591/1040) reported that they never used health advice services. In men providing pre-intervention responses, the proportions who failed to meet the recommendations for healthy behaviours were as follows: physical activity, 85% (1106/1301); sitting time, 68% (623/907); consumption of fruit/vegetables, 88% (948/1072); smoking, 33% (422/1262); alcohol consumption, 30% (203/679); and body mass index (BMI), 63.8% (570/893). ITT and PP analyses demonstrated the significant increases in weekly physical activity (P < 0.001) and daily consumption of fruit and vegetables (P < 0.001), and significant decreases in daily sitting time (P < 0.001), weekly alcohol consumption (P < 0.001) and BMI (P < 0.05).
A national programme of men's health delivered in EPL football clubs reached men failing to meet health guidelines. Interventions engaged men who neither consulted a GP nor used health information services. Positive changes were found for an array of activity-related and other health behaviours on PP analysis and the more stringent evaluation condition of ITT analysis.
调查在英格兰超级联赛（EPL）足球俱乐部中实施的一项男性健康国家计划对健康状况的影响。
向有更高健康风险的男性支持者和未使用初级保健和健康信息服务的难以接触的男性提供健康促进干预措施。干预措施包括在比赛日开展教育活动和在足球场馆/训练场地开设每周生活方式课程。活动由 16 个 EPL 足球俱乐部的健康培训师领导。
在干预前后，男性完成了针对人口统计学和健康行为的经过验证的自我报告措施。进行了意向治疗（ITT）分析，并根据 3 个月的干预前后差异进行了标准的符合方案（PP）分析。使用描述性统计数据显示干预前的人口统计学数据和参与者健康状况的变化。
招募的主要是年龄在 18-44 岁的白种英国男性。大多数男性（78%，909/1159）认为自己没有健康问题。约 35%（364/1044）从未咨询过全科医生（GP），而 57%（591/1040）表示他们从未使用过健康咨询服务。在提供干预前回复的男性中，未能达到健康行为建议的比例如下：体力活动，85%（1106/1301）；久坐时间，68%（623/907）；水果/蔬菜摄入量，88%（948/1072）；吸烟，33%（422/1262）；饮酒，30%（203/679）；和体重指数（BMI），63.8%（570/893）。ITT 和 PP 分析表明，每周体力活动（P<0.001）和每日水果和蔬菜摄入量（P<0.001）显著增加，每日久坐时间（P<0.001）、每周饮酒量（P<0.001）和 BMI（P<0.05）显著减少。
在 EPL 足球俱乐部中实施的男性健康国家计划覆盖了未能达到健康指南的男性。干预措施吸引了既不咨询全科医生也不使用健康信息服务的男性。在 PP 分析和更严格的 ITT 分析评估条件下，发现了一系列与活动相关的和其他健康行为的积极变化。
