Lucia Canavan11/06/2014

Author of Report: Lucia CanavanHealth Promotion Researcher

Dr. Paula Carroll, Centre for Health Behaviour Research, Waterford Institute of Technology and Men's Health Researcher, Health Services Executive

To increase the level of physical activity amongst men over 35 years of age in 3 pilot sites in Co. Mayo

Aim of Programme

What impact has the Programme had on? Objective risk factors Physical Activity Lifestyle Behaviours Mental Health and Well-being

What motivated the men to participate in the Programme?

What were the characteristics of the Programme that appealed to the men and supported their engagement?

Has physical activity behaviour change been maintained at 6 months?

Research Questions

Methodology

Informed consentTimeline: Data Collection0-24 weeks

Quantitative Data Health Screenings Self-reported

questionnaires Fitness tests

Qualitative Study Interviews Focus Groups

Phase 1

0-9 wks

End of Programme16 wks

Follow-up20 wk

24 wks

Demographic Profile

74.7% of the men aged between 35-54 years

68% of the men were employed

52% of the men completed some form of post leaving certificate education

Risk Factor & Health Profile

Over 70% of the men had High Blood Pressure (≥140/90mmHg)

87.7% of the men were actively trying to manage their weight

Two thirds of the men (68.9%) in high risk category for waist circumference (>102cms/40”)

Over 65% of the men were in the obese categories based on BMI calculations

Only 35.4% of the men were happy with energy levels

Results - Baseline Profile

Body Mass Index (BMI)

Cont.

Normal (18.5-24.9kg/m2)

Overweight/preobese (25-29.9kg/m2)

Moderately obese (30-34.9kg/m2)

Severely obese (35-39.9kg/m2)

Very severely obese (≥40kg/m2)

0 5 10 15 20 25 30 35 40 45 50

1

33

44

14

7

N=72

Percentage

Physical Activity

Minimum physical activity guideline:30 minutes of at least moderateintensity activity on 5 days a week

(The National Guidelines on Physical Activity for Ireland, 2009)

30% of the men did not meet the recommended guideline for physical activity

Less than quarter of the men (23%) participated in vigorous/strenuous activity ‘high’ active

(1 hour of moderate intensity PA per day or 30 minutes of vigorous intensity PA per day)

Mental health and Well-being

17% of the men reported that their lives were limited by anxiety, stress or depression ‘moderately’ or ‘quite a lot’

Over 27% of men reported that they were ‘slightly’ affected by anxiety, stress or depression

Cont.

Health Status Improvements observed in perceived health, 52% of

men reported ‘excellent’ or ‘very good’ health at end of Programme compared to 37% at the start of the Programme

Mental Health & Well-being No major improvements seen in mental health,

emotional health, and Social Functioning Domains

However in the Vitality Domain - marked increase in level of energy with 68.2% of men happier with energy levels compared to 35.4% at the start of the Programme

Results – Impact of the Programme

Waist Circumference

Cont.

Healthy (<94 cms) Increased Risk (94-101.9 cms)

High Risk (>102 cms)

0

10

20

30

40

50

60

70

12

22

66

15

34

51

22

35

43

Start of Programme N=74End Phase 1 N=80End of Programme N=49

Perc

enta

ge

BMICont.

BMI Ranges Classification Risk of co-morbidities Start of Programme

End of Phase 1 End of Programme

N=72%

N=84%

N=49%

<18.50KG/m2 Underweight Low (risk of other clinical problems increased)

0 0 0

18.5-24.9kg/m2 Normal Average 1.4 4.8 8.2

25-29.9kg/m2 Overweight/Preobese

Increased 33.3 38.1 46.9

30-34.9kg/m2 Obese class 1 Moderate 44.4 40.5 32.7

35-39.9kg/m2 Obese class 2 Severe 13.9 14.3 8.2

≥40kg/m2 Obese class 3 Very severe 6.9 2.4 4.1

Fitness Levels

Reduction in Fitness Test Time between Start of Programme and End of Programme

CONT.

No change

<5%

5-10.9%

11-15.9%

16-20.9%

21-25.9%

26-30%

>30%

0 5 10 15 20 25 30

5

8

14

24

8

11

11

19

N=37

Percentage

Reducti

on in F

itness T

imes C

ate

gori

es

Sub-group Study on 3 health related profiles Significant reduction seen in mean waist circumference

differences between the start of the Programme and the end of the Programme of 4.5cms (p<0.05), N=36

Significant mean BMI values difference were also observed between the start of the Programme and the end of the Programme from 30.8 to 29.9 (p<0.05), N=37

Significant mean fitness test times differences observed between start of the Programme and end of programme of 148.7 seconds (p<0.05), N=37

Cont.

Physical Activity Decreases observed in ‘Low’

active category

Increases observed in number of men meeting guidelines ‘Moderate’ category

Increases observed in number of men in the ‘High’ active category

Decreases observed in sedentary behaviour

Cont.

Lifestyle Behaviours

The average number of drinks consumed increased from 6.5 standard drinks at the start of the Programme to 8 standard drinks at the end of the Programme

The majority of men still do not meet the recommended guidelines of 5 or more portions of fruit and vegetable (start of Programme: 93.7%: end of Programme: 94%)

An increase in the consumption of red meat ‘4-6 times a week’ was seen

Overall a pattern of reduction in the consumption of fried food was observed

A reduction were seen in the use of salt while cooking

Cont.

Qualitative Study

Cont.

A targeted approach in recruiting men for the Programme

Continue to utilise novel strategies to engage men

Include a more comprehensive approach to health education

  Mental Health Promotion

Men on the Move Maintenance Programme

Acknowledge the importance of the social aspects of Sports Programme like Men on the Move

Conclusion & Recommendations

Thank you to all the men who contributed to this study

Copies of full report are available from:Primary Care Services,St. Mary’s Headquarters,Health Service Executive, Castlebar,Co. Mayo.Telephone: 094 9042019Email: laurence.gaughan@hse.ie