title: Impact of self-help weight loss resources with or without online support on the dietary intake of overweight and obese men: the SHED-IT randomised controlled trial.
abstract: BACKGROUND
  Obese men are more likely to have poor dietary patterns compared to women, increasing diet-related chronic disease risk. The impact of a male-only weight loss intervention on dietary intakes is under-evaluated. The aim was to determine whether overweight/obese men randomised to self-help paper-based resources with or without online support, achieved greater improvements in diet compared with Wait-list controls at 3 and 6 months following a gender tailored weight-loss intervention.
  
  
  METHODS
  Dietary intake was assessed using a 120-item semi-quantitative food frequency questionnaire (FFQ), in a secondary analysis of a three-arm weight loss RCT grounded in Social Cognitive Theory; (1) RESOURCES: gender-tailored weight loss resources (DVD, handbooks, pedometer, tape measure); (2) Online: resources plus website and efeedback, (3) Wait-list control.
  
  
  RESULTS
  Energy, total fat, saturated fat, and carbohydrate intakes decreased in the online group, which differed significantly from controls at 3- and 6-month follow-up (P<0.05). There was a significant reduction in energy, fat and carbohydrate intakes in the Resource group at 3 and 6 months, but no difference from controls (P>0.05). In the online group there was an increase in %energy from core foods and decrease in %energy from energy-dense nutrient-poor foods (P<0.05) that was significantly different compared to controls at 3 and 6 months (P<0.05).
  
  
  CONCLUSIONS
  Results suggest that men randomised to the SHED-IT intervention arms were able to implement key dietary messages up to 6 months compared to controls. Future interventions should include targeted and gender-tailored messages as a strategy to improve men's dietary intake within weight loss interventions.
authors.affiliation: Orange Base Hospital, 1502 Forest Road, Orange, NSW 2800, Australia; School of Health Sciences,Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Blomfield
authors.affiliation: School of Health Sciences,Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia. Electronic address: clare.collins@newcastle.edu.au.
authors.forename: Clare E
authors.initials: CE
authors.lastname: Collins
authors.affiliation: Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia.
authors.forename: Melinda J
authors.initials: MJ
authors.lastname: Hutchesson
authors.affiliation: Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia; School of Education, Faculty of Education and Arts, University of Newcastle, Australia.
authors.forename: Myles D
authors.initials: MD
authors.lastname: Young
authors.affiliation: School of Health Sciences,Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia.
authors.forename: Megan E
authors.initials: ME
authors.lastname: Jensen
authors.affiliation: Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia; School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia.
authors.forename: Robin
authors.initials: R
authors.lastname: Callister
authors.affiliation: Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia; School of Education, Faculty of Education and Arts, University of Newcastle, Australia.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Morgan
mesh_terms: D000328:Adult; D004032:Diet; D002149:Energy Intake; D005247:Feeding Behavior; D006295:Health Resources; D006801:Humans; D020407:Internet; D008297:Male; D008571:Men; D008875:Middle Aged; D009753:Nutritive Value; D009765:Obesity / Q000628:therapy*; D050177:Overweight; D010353:Patient Education as Topic; D012648:Self Care; D011795:Surveys and Questionnaires; D014850:Waiting Lists; D015431:Weight Loss; D061217:Weight Reduction Programs
keywords: Calorie restriction; Diet; Male; Randomised controlled trial; Weight loss