1. Obesity, Exercise & MenProfessor Philip Morgan Priority Research Centre in Physical Activity and Nutrition University of Newcastle

2. Background 2 Over the last 30 years, the average male BMI of Australasian men is increasing faster than for men in almost all other high-income countries. (Finucane et al. 2011, Lancet) 70% overweight/obese 95% inadequate F & V intake kJ burnt), & appetite responses to PA Gender-specific recommendations? Hagobian et al. (2013) Curr Obes Rep (2), 8692 Hagobian et al. (2010) Exerc Sport Sci Rev 38(1): 25-30Engaging men in PA and weight loss Prefer to control weight through exercise (Kiefer et al., 2005): seek masculine activities (Lewis et al., 2011) Need for targeted interventions weight control as motivator (Aoun et al., 2002). Programs have not appealed (Pagoto et al. 2012, Obesity) Evidence for male-only programs is limited (Young et al. 2012, Obes Rev; George et al., 2012, Sports Med)3 4. 4 Morgan et al. BMC PH. Morgan et al. IJO. 2011 5. 5(1) Pilot study (2008-2009)(2) Community effectiveness trial (2010-2012) Singleton, Muswellbrook, Scone, Maitland & Cessnock (3) Transitioning to sustainability (2013-2014) 6. Rough & Tumble PlayFun activities to develop HR fitness 6Fundamental Movement SkillsFun & Active Games 7. Reciprocal Reinforcement 7 8. It matters how it is taught....and by who 8 9. Findings Dads experienced improvements in health outcomes (weight, waist, RHR, SBP, PA, dietary), maintained at 6-mth follow up Behavioural changes (diet & PA) & reduced adiposity (BMIz) in children PA improvement explanation: Dads: PA mediated weight loss Children: Co-PA mediated PA9 10. SHED-IT study 10 To evaluate two gender-tailored weight loss programs that required no face-to-face contact * Morgan PJ et al. (2012) ABM * Morgan PJ et al. (2011). Obesity. * Morgan PJ et al. (2009). Obesity. * Morgan PJ et al. (2011). Obes Res Clin Pract * Morgan, PJ et al. (2010). BMC Public Health * Lubans DR et al. (2009). IJBNPA. * Collins, C.E. et al. (2011). PHNMethods(Morgan et al., 2011, BMC Public Health) 159 overweight/obese men (BMI: 25-40kg/m2) Recruited via media & workplace notices Design:Assessor-blinded RCT (Online, Resources, Control) 11. Intervention 11SHED-IT Resources & OnlineWeight Loss Handbook & Log BookWeight Loss DVDSHED-IT Online OnlyWeight loss websitekJ counter bookTape measure & pedometer 12. Tailoring for men 12Day in the lifeMasculinised messagesUse of humourAutonomyNo strict dietSustainable changeMathematical approachSCT 13. Weight (kg)ControlWaist (cm)13Resources 6-month3-monthOnlineWaist change (cm)Weight change (kg)3-month* * ** *** * Significantly different to control group ** Significantly different to control & resources groupsMorgan et al., in press, Ann Behav Med6-month* ** 14. PA (steps/day) 143-month*6-monthSignificant effects*(steps / day)* *% Fat Mass Quality of Life (physical)Sexual function Hazardous Alcohol Score Portion Size* Significantly different to control group Control Resources Online 15. Conclusion 15 Results comparable to men only studies, but less intensive.WL maintenance trialMotivational text messages Video messages delivered via email 16. 16Shift work & obesityObesity & work limitationsWorkplace potential & evidence 17. 15 crews from Tomago Aluminium RCT (i) Workplace POWER group (n=65) (ii) 14 week wait-list control group (n=45)InterventionAdapted for shift workersConclusion Improved health and worksite outcomes in overweight male shift workers Morgan et al. (2011) Preventive Medicine Morgan et al. (2012) JOEM Translational trial17 18. Email: Philip.Morgan@newcastle.edu.au 18