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- Title
Effectiveness of Adult Health Promotion Interventions Delivered Through Professional Sport: Systematic Review and Meta-Analysis.
- Authors
George, Emma S.; El Masri, Aymen; Kwasnicka, Dominika; Romeo, Alannah; Cavallin, Sarah; Bennie, Andrew; Kolt, Gregory S.; Guagliano, Justin M.
- Abstract
Background: Researchers are capitalising on the strong connections that sport fans have with their teams for health promotion programmes, yet no existing systematic reviews have evaluated the effectiveness of interventions delivered through professional sport. Objective: The aim of this study was to systematically collate, evaluate, and synthesise the evidence on health promotion interventions implemented in professional sport settings. Methods: Randomised controlled trials reporting on adult health promotion initiatives delivered in professional sport settings were identified through electronic database searches in CINAHL, MEDLINE, SPORTDiscus, Scopus, the Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar. Data on health-related outcomes (e.g., weight, physical activity, dietary intake) were extracted and synthesised, and random effects meta-analyses were conducted to examine effects for weight and waist circumference. Risk of bias was examined using the Cochrane risk-of-bias tool for randomised controlled trials (RoB 2). Results: Six studies reporting on five unique interventions met the inclusion criteria, and all included studies were gender-sensitised and exclusively targeted men. Intervention effects were observed for several health outcomes, including physical activity, dietary intake, and psychosocial health. All studies aimed to reduce weight, and for most studies (n = 4), weight was a primary outcome, either of the included study or to inform a future definitive trial. Findings from the meta-analysis revealed an overall significant difference in change in weight of − 3.2 kg (95% confidence interval [CI] − 4.6 to − 1.8) and waist circumference of − 3.9 cm (95% CI − 4.9 to − 2.8), both in favour of the intervention group at 12 weeks. Intervention effects were also reported for several other health outcomes (e.g., physical activity, dietary intake, psychosocial health); however, they were not consistently measured across the studies and thus were not meta-analysed. Conclusion: Health promotion interventions delivered through professional sporting organisations can significantly improve weight- and lifestyle-related health outcomes. Representation across the socioeconomic spectrum and across culturally and linguistically diverse groups was limited. As only a limited number of studies met the inclusion criteria for this review, a need exists for rigorously designed interventions, standardised intervention approaches, with long-term follow-up, and the potential for scalability. PROSPERO Registration Number: CRD42019123295.
- Subjects
EVALUATION of medical care; CINAHL database; MEDICAL databases; LIFESTYLES; PILOT projects; PROFESSIONAL sports; META-analysis; BODY weight; CONFIDENCE intervals; SAMPLE size (Statistics); SYSTEMATIC reviews; ANTHROPOMETRY; SPORTS; HUMAN services programs; PHYSICAL activity; SLEEP; COMPARATIVE studies; QUALITATIVE research; DESCRIPTIVE statistics; WAIST circumference; MEDLINE; INFORMATION storage &; retrieval systems; DATA analysis software; HEALTH promotion; EARLY medical intervention; ADULTS
- Publication
Sports Medicine, 2022, Vol 52, Issue 11, p2637
- ISSN
0112-1642
- Publication type
Article
- DOI
10.1007/s40279-022-01705-z