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Team characteristics associated with weight loss in a First Nations community intervention: An observational study
Erika Bohn-Goldbaum1,2, Aaron Cashmore3,4, Adrian Bauman1,2
1Faculty of Medicine and Health, Sydney School of Public Health, Prevention Research Collaboration, The University of Sydney, Camperdown, New South Wales, Australia.
Higher baseline weight and vigorous physical activity (PA) were linked to greater team weight loss in a community program for Aboriginal and Torres Strait Islander Peoples. These factors may help optimize group weight-loss interventions.
Area of Science:
- Public Health
- Obesity Research
- Indigenous Health
Background:
- Obesity is a significant health issue for Aboriginal and Torres Strait Islander Peoples.
- Group-based weight-loss interventions show promise for addressing these high rates.
- Previous research has not analyzed team-level predictors of weight loss success.
Purpose of the Study:
- To examine associations between demographic and baseline weight-related variables and team weight loss.
- To identify factors predicting higher weight-loss teams (HWTs) versus lower weight-loss teams (LWTs) in a community intervention.
Main Methods:
- Binomial models assessed relationships between team-level age, proportion female, and baseline weight with HWT/LWT classification.
- Linear regressions compared HWT and LWT on diet and physical activity (PA) outcomes, adjusting for age and gender.
Main Results:
- Each 1 kg increase in mean baseline weight was associated with a 4% greater likelihood of a team being an HWT.
- HWTs showed a significant increase in vigorous PA (0.32 more sessions) compared to LWTs (P=.02).
- No association was found between fruit and vegetable intake and team weight loss classification.
Conclusions:
- Baseline weight and vigorous PA were the only significant predictors distinguishing HWTs from LWTs.
- Promoting vigorous PA within team-based weight-loss programs may enhance effectiveness.
- Further research into other characteristics of successful HWTs is warranted.
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