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Effectiveness of a lifestyle weight-loss intervention targeting inactive former elite athletes: the Champ4Life randomised controlled trial

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dc.contributor.authorSilva, Analiza M
dc.contributor.authorNunes, Catarina L.
dc.contributor.authorJesus, Filipe
dc.contributor.authorFrancisco, Ruben
dc.contributor.authorMatias, Catarina N.
dc.contributor.authorCardoso, Miguel
dc.contributor.authorSantos, Inês
dc.contributor.authorCarraça, Eliana V.
dc.contributor.authorFinlayson, Graham
dc.contributor.authorSilva, Marlene N.
dc.contributor.authorDickinson, Stephanie
dc.contributor.authorAllison, David
dc.contributor.authorMinderico, Cláudia
dc.contributor.authorMartins, Paulo Jorge
dc.contributor.authorSardinha, Luís B.
dc.date.accessioned2023-02-23T14:53:52Z
dc.date.available2023-02-23T14:53:52Z
dc.date.issued2022
dc.description© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.pt_PT
dc.description.abstractObjectives: Many athletes struggle in managing the end of their career, often gaining weight and adopting unhealthy lifestyles. Lifestyle programmes targeting former athletes who have gained substantial fat mass (FM) postsports career are lacking. We studied the effects of the Champ4Life programme on body composition and other health-related outcomes in former elite athletes with overweight or obesity. Methods: Ninety-four former athletes(42.4±7.3 y, 34.0% female) were recruited and randomly assigned to either an intervention group (IG; n=49) or a control group (CG; n=45). The IG attended 12 educational sessions addressing physical activity, weight management and nutrition. They also had a nutrition appointment aimed to prescribe a moderate caloric deficit(~300-500 kcal/day). Dual-energy X-ray absorptiometry was used to assess body composition. The Short-Form Health Survey-36 questionnaire was used to measure general health-related quality of life. Blood samples were collected to assess cardiometabolic health parameters. Results: At 12 months, the IG lost more weight (estimated difference (ED)=-5.3 kg; -6.9 to -3.8), total FM (ED=-4.1 kg; -5.4 to -2.8) and abdominal FM (ED=-0.49 kg; -0.64 to -0.33) than did the CG (p's<0.001). Cardiometabolic health markers also improved significantly (p<0.05) more in the IG at 12 months (insulin (ED=-4.9 μU/mL;-8.0 to -1.8); homoeostatic model assessment (ED=-1.2; -2.1 to -0.4); total cholesterol (ED=-21.8 mg/dL; -35.4 to -8.2); low-density lipoprotein (ED=18.2 mg/dL;-29.2 to -7.1)), as did quality-of-life dimensions (physical functioning (ED=11.7; 6.5 to 16.9); physical role (ED=17.6; 2.1 to 33.0); general health (ED=19.4; 11.4 to 27.4); vitality (ED=13.3; 5.3 to 21.3) and mental health (ED=12.3; 4.1 to 20.6)). Conclusions: The Champ4Life programme was effective in substantially reducing total and abdominal FM while preserving fat-free mass and improving health-related markers. These findings will enable evidence-based decisions when implementing lifestyle interventions targeting retired elite athletes.pt_PT
dc.description.sponsorshipFinancial support was provided by the Portuguese Institute of Sports and Youth and by the International Olympic Committee, under the Olympic Solidarity Promotion of the Olympic Values Unit (Sports Medicine and Protection of Clean Athletes Programme). The current work was also supported by national funding from the Portuguese Foundation for Science and Technology within the R&D units UIDB/00447/2020. CLN and RF were supported with a PhD scholarship from the Portuguese Foundation for Science and Technology (SFRH/BD/143725/2019 and 2020.05397.BD, respectively)pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBr J Sports Med. 2022 Apr;56(7):394-401pt_PT
dc.identifier.doi10.1136/bjsports-2021-104212pt_PT
dc.identifier.eissn1473-0480
dc.identifier.issn0306-3674
dc.identifier.urihttp://hdl.handle.net/10451/56425
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.relationInterdisciplinary Center for the Study of Human Performance
dc.relationThe role of metabolic and behavioral compensations in weight management
dc.relationalterado para: “Effects of hydration changes on neuromuscular function of highly trained athletes with low water intake” Effects of hydration changes on neuromuscular function of older adults
dc.relation.publisherversionhttps://bjsm.bmj.com/pt_PT
dc.subjectAthletespt_PT
dc.subjectBody compositionpt_PT
dc.subjectPhysical fitnesspt_PT
dc.subjectQuality of lifept_PT
dc.subjectWeight losspt_PT
dc.titleEffectiveness of a lifestyle weight-loss intervention targeting inactive former elite athletes: the Champ4Life randomised controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleInterdisciplinary Center for the Study of Human Performance
oaire.awardTitleThe role of metabolic and behavioral compensations in weight management
oaire.awardTitlealterado para: “Effects of hydration changes on neuromuscular function of highly trained athletes with low water intake” Effects of hydration changes on neuromuscular function of older adults
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F00447%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F143725%2F2019/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/2020.05397.BD/PT
oaire.citation.endPage402pt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPage394pt_PT
oaire.citation.titleBritish Journal of Sports Medicinept_PT
oaire.citation.volume56pt_PT
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStreamOE
person.familyNameSilva
person.familyNameLucas Nunes
person.familyNameda Silva Teodósio de Jesus
person.familyNameCordeiro Francisco
person.familyNameChaparro Roque dos Santos
person.familyNameCarraça
person.familyNameNunes Silva
person.familyNameMinderico
person.familyNameMartins
person.familyNameSardinha
person.givenNameAnaliza
person.givenNameCatarina Teresa
person.givenNameFilipe André
person.givenNameRuben Samuel
person.givenNameInês
person.givenNameEliana
person.givenNameMarlene
person.givenNameCláudia
person.givenNamePaulo
person.givenNameLuis
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project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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