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The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge

BACKGROUND: Aboriginal people in Australia experience significant health burden from chronic disease. There has been limited research to identify effective healthy lifestyle programs to address risk factors for chronic disease among Aboriginal people. METHODS: The Knockout Health Challenge is a comm...

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Autores principales: Passmore, Erin, Shepherd, Brooke, Milat, Andrew, Maher, Louise, Hennessey, Kiel, Havrlant, Rachael, Maxwell, Michelle, Hodge, Wendy, Christian, Fiona, Richards, Justin, Mitchell, Jo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729464/
https://www.ncbi.nlm.nih.gov/pubmed/29237437
http://dx.doi.org/10.1186/s12889-017-4955-7
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author Passmore, Erin
Shepherd, Brooke
Milat, Andrew
Maher, Louise
Hennessey, Kiel
Havrlant, Rachael
Maxwell, Michelle
Hodge, Wendy
Christian, Fiona
Richards, Justin
Mitchell, Jo
author_facet Passmore, Erin
Shepherd, Brooke
Milat, Andrew
Maher, Louise
Hennessey, Kiel
Havrlant, Rachael
Maxwell, Michelle
Hodge, Wendy
Christian, Fiona
Richards, Justin
Mitchell, Jo
author_sort Passmore, Erin
collection PubMed
description BACKGROUND: Aboriginal people in Australia experience significant health burden from chronic disease. There has been limited research to identify effective healthy lifestyle programs to address risk factors for chronic disease among Aboriginal people. METHODS: The Knockout Health Challenge is a community-led healthy lifestyle program for Aboriginal communities across New South Wales, Australia. An evaluation of the 2013 Knockout Health Challenge was undertaken. Participants’ self-reported physical activity and diet were measured at four time points - at the start and end of the Challenge (via paper form), and 5 and 9 months after the Challenge (via telephone survey). Participants’ weight was measured objectively at the start and end of the Challenge, and self-reported (via telephone survey) 5 and 9 months after the Challenge. Changes in body composition, physical activity and diet between time points were analysed using linear mixed models. As part of the telephone survey participants were also asked to identify other impacts of the Challenge; these were analysed descriptively (quantitative items) and thematically (qualitative items). RESULTS: A total of 586 people registered in 22 teams to participate in the Challenge. The mean weight at the start was 98.54kg (SD 22.4), and 94% of participants were overweight or obese. Among participants who provided data at all four time points (n=122), the mean weight loss from the start to the end of the Challenge was 2.3kg (95%CI -3.0 to -1.9, p<0.001), and from the start to 9 months after the Challenge was 2.3kg (95%CI -3.3 to -1.3, p<0.001). Body mass index decreased by an average of 0.9kg/m(2) (95%CI -1.0 to -0.7, p<0.001) from the start to the end of the Challenge, and 0.8kg/m(2) (95%CI -1.2 to -0.4, p<0.001) 9 months after. At the end of the Challenge, participants reported they were more physically active and had increased fruit and vegetable consumption compared with the start of the Challenge, and identified a range of other positive impacts. CONCLUSIONS: The Challenge was effective in reducing weight and promoting healthy lifestyles among Aboriginal people across New South Wales, and has potential to contribute to closing the health gap between Aboriginal and non-Aboriginal people.
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spelling pubmed-57294642017-12-18 The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge Passmore, Erin Shepherd, Brooke Milat, Andrew Maher, Louise Hennessey, Kiel Havrlant, Rachael Maxwell, Michelle Hodge, Wendy Christian, Fiona Richards, Justin Mitchell, Jo BMC Public Health Research Article BACKGROUND: Aboriginal people in Australia experience significant health burden from chronic disease. There has been limited research to identify effective healthy lifestyle programs to address risk factors for chronic disease among Aboriginal people. METHODS: The Knockout Health Challenge is a community-led healthy lifestyle program for Aboriginal communities across New South Wales, Australia. An evaluation of the 2013 Knockout Health Challenge was undertaken. Participants’ self-reported physical activity and diet were measured at four time points - at the start and end of the Challenge (via paper form), and 5 and 9 months after the Challenge (via telephone survey). Participants’ weight was measured objectively at the start and end of the Challenge, and self-reported (via telephone survey) 5 and 9 months after the Challenge. Changes in body composition, physical activity and diet between time points were analysed using linear mixed models. As part of the telephone survey participants were also asked to identify other impacts of the Challenge; these were analysed descriptively (quantitative items) and thematically (qualitative items). RESULTS: A total of 586 people registered in 22 teams to participate in the Challenge. The mean weight at the start was 98.54kg (SD 22.4), and 94% of participants were overweight or obese. Among participants who provided data at all four time points (n=122), the mean weight loss from the start to the end of the Challenge was 2.3kg (95%CI -3.0 to -1.9, p<0.001), and from the start to 9 months after the Challenge was 2.3kg (95%CI -3.3 to -1.3, p<0.001). Body mass index decreased by an average of 0.9kg/m(2) (95%CI -1.0 to -0.7, p<0.001) from the start to the end of the Challenge, and 0.8kg/m(2) (95%CI -1.2 to -0.4, p<0.001) 9 months after. At the end of the Challenge, participants reported they were more physically active and had increased fruit and vegetable consumption compared with the start of the Challenge, and identified a range of other positive impacts. CONCLUSIONS: The Challenge was effective in reducing weight and promoting healthy lifestyles among Aboriginal people across New South Wales, and has potential to contribute to closing the health gap between Aboriginal and non-Aboriginal people. BioMed Central 2017-12-13 /pmc/articles/PMC5729464/ /pubmed/29237437 http://dx.doi.org/10.1186/s12889-017-4955-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Passmore, Erin
Shepherd, Brooke
Milat, Andrew
Maher, Louise
Hennessey, Kiel
Havrlant, Rachael
Maxwell, Michelle
Hodge, Wendy
Christian, Fiona
Richards, Justin
Mitchell, Jo
The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge
title The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge
title_full The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge
title_fullStr The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge
title_full_unstemmed The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge
title_short The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge
title_sort impact of a community-led program promoting weight loss and healthy living in aboriginal communities: the new south wales knockout health challenge
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729464/
https://www.ncbi.nlm.nih.gov/pubmed/29237437
http://dx.doi.org/10.1186/s12889-017-4955-7
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