Category / Sports, Leisure & Tourism

“New” FHSS paper on obesity published July 2017

open access, Publishing, writing


The American Journal of Men’s Health published our latest paper on obesity prevention in men.  The paper ‘Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)’ originates from a collaboration between BU and various universities in Scotland, led by the University of Aberdeen [1].

This systematic review paper found that reducing diets produced better weight loss than physical activity alone. The most effective interventions combined reducing diets, exercise, and behaviour change techniques . Group interventions produced favourable weight loss results. The paper reports that once engaged, men remained committed to a weight loss intervention.

The paper concludes that weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behaviour change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed.  This paper is the thirteenth paper from a large NIHR grant [2-13].

The American Journal of Men’s Health is an open access, peer-reviewed resource for cutting-edge information regarding men’s health and illness. It is, however worth noting that although our paper is formally published in July 2017 it has been online for two years!  The journal’s website states clearly that the article was first published online on June 30, 2015 BUT the issue in which it appears is published is July 1, 2017!

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2017) Clinical effectiveness of weight loss & weight maintenance interventions for men: a systematic review of men-only randomised controlled trials (ROMEO Project), American Journal of Men’s Health 11(4): 1096-1123.  http://journals.sagepub.com/doi/full/10.1177/1557988315587550
  2. Robertson, C, Archibald, D, Avenell, A, Douglas, F., Hoddinott, P., van Teijlingen E, Boyers, D., Stewart, F, Boachie, C, Fioratou E., Wilkins, D, Street, T., Carroll, P., Fowler, C. (2014) Systematic reviews of & integrated report on quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf
  3. Stewart, F., Fraser, C., Robertson, C., Avenell, A., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE and Embase, Systematics Reviews 3,78.
  4. Archibald, D, Douglas, F, Hoddinott, P, van Teijlingen, E, Stewart, F., Robertson, C., Boyers, D., Avenell, A. (2015) A qualitative evidence synthesis on management of male obesity. BMJ Open 5: e008372. doi:10.1136/bmjopen-2015-008372 http://bmjopen.bmj.com/content/5/10/e008372.full.pdf+html
  5. Boyers, D, Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott P, van Teijlingen E. (2015). A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Obesity Research & Clinical Practice 9(4), 310-327.
  6. Robertson, C, Avenell, A, Boachie, C., Stewart, F., Archibald D., Hoddinott, P, Douglas, F, van Teijlingen E, Boyers D. (2016) Should weight loss and maintenance programmes be designed differently for men? Systematic review of long-term RCTs presenting data for men & women: The ROMEO Project, Obesity Research & Clinical Practice 10: 70-84.
  7. Robertson, C., Avenell, A., Boachie, C., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) Should weight loss programmes be designed differently for men and women? The ROMEO Project, Appetite 87: 374.
  8. Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of long-term weight management randomized controlled trials for obese men. The ROMEO Project, Appetite 87: 374.
  9. Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of weight loss interventions in the UK. The ROMEO Project, Appetite 87: 375.
  10. Boyers, D., Avenell, A., Stewart, F., Robertson, C., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., (2015) A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Appetite 87: 375.
  11. Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D., Avenell, A., Stewart, F., Robertson, C., (2015) A qualitative evidence synthesis on the management of male obesity. The ROMEO Project, Appetite 87: 381.
  12. Avenell, A., Robertson, C., Boachie, C., Stewart, F Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E. (2016) Sex based subgroup differences in randomized controlled trials: empirical evidence from Cochrane meta-analyses BMJ 355:i5826 http://www.bmj.com/content/355/bmj.i5826/rapid-responses
  13. Avenell, A., Robertson, C., Stewart, F., Boyers, D., Douglas, F., Archibald, D., van Teijlingen, E., Hoddinott, P., Boachie, C. (2016) Sex can affect participation, engagement, and adherence in trials, BMJ 355:i6754 http://www.bmj.com/content/bmj/355/bmj.i6754.full.pdf

Remembering Rio and the Paralympics

 

We’re keen to hear about your memories and experiences of watching the Paralympic Games last summer. If you would like your voice to be heard as part of a 2-year project researching the impact and legacy of the Paralympics, then get in touch and join one of our small friendly focus group discussions taking place during the weeks of June 12th and June 19th 2017.

We kindly ask you to ‘sign up’ to join one of the following groups:

  • GROUP 1: Non-disabled with no direct experience of disability
  • GROUP 2: Including both non-disabled and those with direct personal experience of disability
  • GROUP 3: Those with direct personal experience of disability

The dates and timings of each focus group are provided below.

  • GROUP 1 Monday June 12th & 19th – 5.30pm (refreshments) 6pm start. Ends no later than 7.30pm
  • GROUP 2 Wednesday June 14th & 21st – 2pm (refreshments) 2.30pm start. Ends no later than 4pm.
  • GROUP 3 Thursday June 15th & 22nd – 5.30pm (refreshments) 6pm start. Ends no later than 7.30pm.

Car parking and refreshments will be provided.

To thank you for your time and effort each participant will receive an M&S voucher to the value of £15.00

 

For more information and to register your interest please call us now on 01202 965046 or email cmartins@bournemouth.ac.uk

REGISTER ON EVENTBRITE.

When registering, please let us know of any accessibility requirements.

We look forward to some lively discussion!

Innovation in sport: breaking through the white-water

Shelley3-1100x500It’s British Science Week 2017 and to celebrate we’re sharing some of our science research stories, to highlight some of the fantastic research taking place here at BU. Today we’re looking how we’re breaking down the barriers in kayaking for women.Kayaking originated as a method of hunting on rough seas for Arctic Inuit tribes. It was later popularised in the UK by Scottish sportsman John MacGregor, known as Rob Roy, who wrote about his many voyages in a canoe more than 150 years ago, before his death in Bournemouth in 1892.The sport has, ever since, exhibited a more male-dominated history, with only 18% of UK kayakers being female in 2013, according to figures from Sport England.An early career researcher at BU is researching the design of kayaks, focussing on understanding how anthropometric enhancements, such as seating height within the craft, can affect the performance and paddling efficiency of white-water kayaks for women. Shelley Ellis, an academic and Lecturer in Biomechanics and Performance Analysis, became interested in the subject as she saw the challenges facing women in kayaking first-hand.

“My research looks specifically at kayak sitting height – it’s about trying to identify whether adapting sitting height in a white-water kayak can make our paddle strokes more efficient. It’s really borne out of my personal background as a kayaker and the challenges I’ve faced,” explains Shelley.

Having been around the kayaking community for some time, Shelley had heard many coaches suggest that seating height should be raised in order to improve performance, but discovered that there was no follow-up guidance about how much to raise the seat by. It tends to be based on trial and error, rather than taking into account an athlete’s height, body shape and size.

“Because historically kayaks have been predominantly designed with male participants in mind and we can’t change that or make the kayak different at this point in time, we have to make what we have more accessible to all users,” says Shelley, “We already know that by altering sitting height it will effect a chain of contact points within the kayak, however we don’t know how high it has to be to improve efficiency overall.”

Women tend to have a shorter torso length and shorter arms, which gives them a smaller lever to paddle the boat through water. If the sitting height is changed, then this means women have a different torso height, enabling them to have better leverage when paddling.

“My research is all about making sport, in this instance kayaking, more accessible to female participants. The number of women taking part in kayaking is considerably lower than men, although the female population in kayaking is growing much faster than males.

“It’s really about breaking down those barriers on the basis that equipment wasn’t originally designed for women – sport should be accessible for everyone and can be with our scientific knowledge. If we’re able to say that based on height and arm span, for example, we are able to calculate an altered seat height to enable a kayaker to be more efficient, this can help them to progress to the next level of their sport.

“If you look back to the Olympic and Paralympic Games, there are many names of female athletes that come to mind, from Jessica Ennis-Hill and Laura Trott to Sarah Storey and Ellie Simmonds, these now well-known names are helping to change perceptions of what is and isn’t achievable. But these successes didn’t happen by accident – alongside incredible athletes, a lot of science and research has taken place and this has also helped to understand how equipment should be setup for each athlete.

With these role models, even more people are likely to get involved in sport. As all of kayaking’s history has come from a male background, what we now need is for manufacturers to catch up to the fact that it is becoming more popular for women.

“We’re very lucky in the way that we think at BU – we’ve got a lot of academics here who feel that research is important but are also keen to make it relevant and useful. We want to make sure that our research will be used by people and through engaging people with that process, we can ensure that it has a further reach in the long run.

“I’m supported by a local kayaking business, South Coast Canoes, who give me access to participants and a place to share my research directly with the kayaking population in the form of workshops and talks. It really motivates me to solve this ‘challenge’ that female kayakers face as there are people telling me that this research is important, and that they need the answers to move forward in the sport.”

This story featured in the 2017 Bournemouth Research Chronicle, which can be read in full here.

Lifelong health and wellbeing: improving orthopaedic practice and patient care

ORI-3

It’s British Science Week 2017 and to celebrate we’re sharing some of our science research stories, to highlight some of the fantastic research taking place here at BU. Today we’re looking at the Orthopeadic Research Institute (ORI).

Living well in older age is increasingly becoming a concern for our society. A key priority for our health services is to enable people to stay healthy and independent for as long as possible. BU’s newly established Orthopaedic Research Institute (ORI) is addressing this need by carrying out research to improve orthopaedic practices and patient care, thus supporting people to improve their activity levels and mobility as they age. Orthopaedics will become a critical issue as our population ages, as longer and more active lives will increase the risk that joints will wear out and replacements or treatments will be needed.

Deputy Head of ORI Associate Professor Tom Wainwright explains: “Knee and hip problems are going to become more prevalent, so we’re going to need better solutions to manage that; whether it’s better surgical procedures or better nonsurgical interventions. We have some very effective treatments in orthopaedics, but they’re not 100% effective, so part of our role is to work out how to make them better – improve them, through developing better surgical techniques, testing new medical techonology or developing better rehabilitation processes.”

Between them, Associate Professor Wainwright and Head of ORI Professor Rob Middleton have a wealth of clinical and research expertise. Professor Rob Middleton is a practising orthopaedic surgeon, specialising in hip replacement, while Associate Professor Wainwright is a physiotherapist and clinical researcher. They carried out research alongside their clinical practice before joining BU and have a national and international reputation for their work to date.

One of their biggest successes so far is speeding up the recovery process after hip and knee surgery, which has led to their work being cited in best practice health guidelines around the world. This approach, called Enhanced Recovery after Surgery, seeks to minimise the impact of surgery and accelerate recovery by employing strategies throughout the patient pathway, to improve outcomes and reduce the need for medical interventions. Their research into this area was a first in the UK for orthopaedics and demonstrated its value to patient care, as well as showing an improvement in patient and staff satisfaction and leading to significant cost savings to hospitals.

A more recent example of their work is a programme developed with local partners in Dorset called CHAIN – Cycling Against Hip Pain – which is designed to help people to live well with conditions such as osteoarthritis and to improve their mobility. The programme provides a combination of education and static cycling sessions,designed to improve mobility and increase people’s confidence in managing their conditions. The results have been excellent, with patients reporting improvements in walking, finding daily living tasks easier and most importantly, decreases in pain. Even the least likely candidates have seen improvements, demonstrating the value of education and exercise in improving patient care and in helping to reduce or delay the need for further medical interventions.

“As well as developing interventions to help patients recover from surgery and manage their conditions. We also work with a number of global orthopaedic companies to test and run clinical trials
on the latest orthopaedic technology,” says Associate Professor Wainwright. “We work with companies such as ZimmerBiomet, Lima Corporate, and Firstkind Ltd to ensure that their technology is delivering the best possible outcomes for patients.”

One example of their work with ZimmerBiomet was to explore ways to improve the technology used in hip replacements. The hip joint is a ball and socket joint and one of the risks of hip replacement is dislocation; where the new ball comes out of the socket. ORI’s research has shown that a larger ball reduces the risk of dislocation, and does not adversely affect the rate of wear.

“We currently have five trials underway within local hospitals and more to come,” explains Associate Professor Wainwright. “These trials are looking at different ways that we can improve the medical technology used in orthopaedics and means that not only are we contributing to improving future care, but we’re also bringing the latest technology to Dorset and improving care in the local area. As Dorset has a very high proportion of orthopaedic surgeries, there is potentially a very large group of people we can benefit.”

“We take a very interdisciplinary approach to our research. Establishing ourselves within BU is a real advantage for us, because we can draw on the expertise of colleagues in other areas of research, including other health professionals, psychologists, technologists and engineers,” explains Associate Professor Wainwright, “Ultimately, our driving force is that we wantto ensure that everyone gets the best possible treatment for their condition – it’s just the right thing to do.”

Wainwright, T.W., Immins, T. and Middleton, R.G., (2015) A cycling and education programme to promote self-management and to increase functional ability in patients with osteoarthritis of the hip. Osteoarthritis and Cartilage, 23 (2), 372.

Howie, D.W., Holubowycz, O.T., Middleton,R. and Grp, L.A.S., (2012) Large Femoral Heads Decrease the Incidence of Dislocation After Total Hip Arthroplasty A Randomized Controlled Trial. Journal of Bone and Joint Surgery – American Volume, 94A (12), 1095- 1102.

Wainwright, T. and Middleton, R., (2010) An orthopaedic enhanced recovery pathway. Current Anaesthesia and Critical Care, 21 (3), 114-120.

ORI was established at BU thanks to generous funding from the Dorset Local Enterprise Partnership (LEP).

This article appeared in the 2016 Bournemouth Research Chronicle. Download a copy of the magazine, or view the articles online.

Patient and Public Involvement Seminar Series

DrBUDSPA James Gavin is running a free series of seminars on  patient and public involvement (PPI).

This series will highlight the importance of PPI throughout the research cycle, from design to dissemination. PPI is gaining importance to identify treatments that meet people’s needs and are more likely to be adopted in practice.

Speakers will share insights on involving the public as partners to improve: relevance, quality, study protocol design and the communication of findings in health research. The speakers are from a variety of roles in occupational therapy, mental health, social work, health demographics, education and national health governance.

To find out more information and to book your place please click here.

Date Location Time Speaker Seminar Title
Monday 6 March 2017 EB708, Lansdowne Campus 3.00-4.30pm Professor Jo Adams Making research meaningful and accessible to patients: Why PPI is crucial to designing effective health research studies
Wednesday 15 March 2017 EB708, Lansdowne Campus 3.00-4.30pm Lisa Gale-Andrews & Dr Zoe Sheppard Importance of public involvement in research design: an orthopaedic case study
Monday 3 April 2017 EB708, Lansdowne Campus 3.00-4.30pm Dr Mel Hughes & Angela Warren Recruiting and supporting participants to engage in meaningful PPI
Monday 24 April 2017 EB708, Lansdowne Campus 11.00am-12.30pm Simon Denegri How can today’s patient help research tackle tomorrow’s health challenges?

Recent publications in disability sport

In the past few weeks, I have been involved in two publications in the field of disability sports medicine that have been accepted for publication. The first is in Clinical Journal of Sport Medicine, and explored the differences in baseline concussion scores between athletes with and without disability (http://journals.lww.com/cjsportsmed/Abstract/publishahead/Do_Neurocognitive_SCAT3_Baseline_Test_Scores.99486.aspx). This study demonstrated that traditional ways of testing for concussion in athletes that already have a disability  are flawed, and is part of a larger PhD study which is evaluating this area.

The second study (which is not yet available online) was accepted by the journal “PM&R”, and is titled “Medication and supplement use in disability football world championships”. This builds on the work of one of the co-authors on this (Phillipe Tscholl), who has conducted extensive research into the overprescription of medications in elite sport (http://bmjopen.bmj.com/content/5/9/e007608). Findings from our study were consistent with previous work in the area, and indicated that there were very high rates of prescribing anti-inflammatory medications.

Osman Ahmed, Faculty of Health and Social Sciences

British Academy Visit – reserve your place now!

Funding opportunities

british_academy_logoThe British Academy is returning to BU on 8 March 2017.  This is an invaluable opportunity to find out more about the international and domestic funding available through the organisation.  For those of you who are not familiar with the British Academy, it is the UK’s leading independent body for the humanities and social sciences, promoting funding, knowledge exchange and providing independent advice within the humanities. 

The session will last just over  1 hour (13:00-14:15) and will comprise a presentation focusing on international and domestic funding opportunities along with an overview of the British Academy, followed by a Q&A session.

Representatives of the British Academy will be available to answer any individual queries not covered in the presentation or Q&A session, and members of the Research and Knowledge Exchange Office will be on hand should you wish to discuss BU’s processes for bidding to the organisation.

Places for this event can be reserved through Organisational Development here.