Abstract
Obesity rates for New Zealand (NZ) Pacific and Māori (NZ indigenous people) are among the highest in the world. Long-term results of weight management programmes for adults have been modest but primarily focused on individuals. This paper describes the rationale and methodology for a trial of a culturally tailored team-based weightloss competition conducted online with community level support. A quasi-experimental design was used to compare an intervention and control group. Three six-month competitions with seven teams of seven Māori or Pacific people (N = 147) were run. Eligible participants were: Māori or Pacific, 16 years of age and above, obese (BMI ≥30 kg/m2) and either at risk of or already diagnosed with type 2 diabetes (HbA1c >50 mmol/mol) or cardiovascular disease.The intervention facilitated group use of an internet-based competition offering financial incentives, education and support. The primary outcome was percentage of individual weight lost at 12-months. Secondary outcomes were percentage reduced total cholesterol and glycated haemoglobin (HbA1c). Data collected at baseline, 6-months and 12-months included: height, body weight, blood lipids and HbA1c, eating and dieting habits, family support, food access, alco...Continue Reading
References
Mar 21, 1998·Diabetic Medicine : a Journal of the British Diabetic Association·D SimmonsB Gatland
Feb 27, 2004·Diabetic Medicine : a Journal of the British Diabetic Association·D SimmonsL Leakehe
May 30, 2006·Diabetes Research and Clinical Practice·Lionel C K ChanJoanne T E Shaw
Jun 13, 2008·Public Health Nutrition·D SimmonsUNKNOWN Te Wai o Rona: Diabetes Prevention Strategy Team
Jun 16, 2009·Diabetes Research and Clinical Practice·Kirsten J CoppellJim I Mann
Sep 15, 2009·Economics and Human Biology·Darius Lakdawalla, Tomas Philipson
Nov 10, 2010·Nursing Inquiry·Tai J MendenhallSteve BrownOwl
Aug 20, 2011·BMC Public Health·Karla J CanutoAdrian J Esterman
Aug 30, 2011·Lancet·Y Claire WangMartin Brown
Feb 9, 2012·Obesity·Tricia M LeaheyRena R Wing
Oct 2, 2012·The Australasian Medical Journal·William R SukalaBirinder S Cheema
Nov 2, 2012·BMC Public Health·Karla CanutoRobyn McDermott
Dec 15, 2012·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Erin L MeadSangita Sharma
Jan 31, 2013·Ethnicity & Health·David C Tipene-LeachJim I Mann
Apr 3, 2013·Annals of Internal Medicine·Jeffrey T KullgrenKevin G Volpp
Sep 26, 2013·Journal of Obesity·Janette S LerouxLaurette Dubé
Dec 25, 2013·BMC Public Health·Marewa GloverNathan Cowie
Apr 16, 2014·The Lancet. Diabetes & Endocrinology·André J Scheen, Luc F Van Gaal
May 21, 2014·Global Health Promotion·Marewa GloverNgiare Brown
Jun 2, 2014·Lancet·Marie NgEmmanuela Gakidou
Jun 14, 2014·BMC Public Health·Marewa GloverWarren Moetara
Jul 26, 2014·Journal of Science and Medicine in Sport·Amy E MendhamAaron J Coutts
Aug 3, 2014·Global Health Promotion·Christina McKercharLeonie Matoe
Apr 18, 2015·BMC Health Services Research·Robyn A McDermottAdrian Esterman
Feb 2, 2016·Preventive Medicine·Lisa M PowellFrank J Chaloupka
Nov 1, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Marewa GloverLinda Bauld
Nov 11, 2016·Public Health Nutrition·Rachel TaperaAnneka Anderson
Feb 6, 2017·Lancet·Silvia StringhiniUNKNOWN LIFEPATH consortium