Men’s Experiences with the Hockey Fans in Training Weight Loss and Healthy Lifestyle Program

  • Stephanie Brianne Muise Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
  • Dawn P. Gill Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
  • Ashleigh De Cruz Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
  • Brendan Riggin Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
  • Roseanne Pulford Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
  • Shannon L. Sibbald Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
  • Robert J. Petrella Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
Keywords: Life Style, ; Exercise, Diet, Sports

Abstract

Background: Increasing rates of chronic disease, especially in men, have led to an increased effort to implement lifestyle interventions focusing on healthy eating and physical activity. Men are underrepresented in lifestyle programs and some studies have observed that males prefer men-only programs that occur in the context of sports. This paper reviews men’s feedback regarding motivation for joining and overall experience in a 12-week lifestyle intervention in the context of junior level ice hockey teams. Methods: Men age 35-65 with a BMI ≥28 were recruited from local ice hockey team fan bases in London and Sarnia Ontario, Canada and randomized to the 12-week lifestyle intervention or control group. Those who attended at least 6 of the 12 weekly sessions, including at least one session in the final six weeks (n=30) were asked to complete an online questionnaire upon finishing the active phase of the intervention. The questionnaire elicited reasons for joining the program, changes seen following their participation, and the usefulness of specific components of the program. Results: For the 27 men who completed the questionnaire, weight loss and a desire to increase physical activity were the two main reasons cited for joining the program. After the intervention, 100% of the men reported eating a healthier diet and 78% increased their activity level. Program satisfaction was high and 96% of men believed both the classroom and exercise components were useful. Conclusion: Our results support previous research showing increased levels of satisfaction in men when lifestyle interventions are run in a sporting context and incorporate both an educational component and an exercise component.

Author Biography

Stephanie Brianne Muise, Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.

Stepha¬nie Muise is a fourth and final year medical student at Western University’s Schulich School of Medicine in London, Ontario, Cana¬da. She was also awarded the Maunder Scholarship from the Heart and Stroke Foundation for pursuit of research in cardiovascular medicine and a Schulich Research Opportunities Program grant to help provide funding for this project.

References

1. Bloom DE, Cafiero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of noncommunicable diseases. Geneva: World Economic Forum; 2011.
2. Courtenay WH. Engendering health: a social constructionist examination of men’s health beliefs and behaviors. Psychology of Men & Masculinity. 2000;1(1):4-15.
3. Galdas PM, Cheater F, Marshall P. Men and health help-seeking behavior: literature review. J Adv Nurs. 2005 Mar;49(6):616-23.
4. Smith JA, Braunack-Mayer A, Wittert G. What do we know about men’s help-seeking and health service use? Med J Aust. 2006 Jan;184(2):81-3.
5. de Visser R, Smith JA. Mister in-between: a case study of masculine iden¬tity and health-related behaviour. J Health Psychol. 2006 Sep;11(5):685-95.
6. Morgan PJ, Young MD, Smith JJ, Lubans DR. Targeted health behavior in¬terventions promoting physical activity: a conceptual model. Exerc Sport Sci Rev. 2016 Apr;44(2):71-80.
7. Bottorff JL, Seaton CL, Johnson ST, Caperchione CM, Oliffe JL, More K, et al. An updated review of interventions that include promotion of physical activity for adult men. Sports Med. 2015 Jun;45(6):775-800.
8. Sabinsky MS, Toft U, Raben A, Holm L. Overweight men's motivations and perceived barriers towards weight loss. Eur J Clin Nutr. 2007 Apr;61(4):526-31.
9. Hankey CR, Leslie WS, Lean ME. Why lose weight? Reasons for seeking weight loss by overweight but otherwise healthy men. Int J Obes Relat Metab Disord. 2002 Jun;26(6):880-2.
10. Gough B. ‘Real men don’t diet’: an analysis of contemporary newspaper representations of men, food and health. Soc Sci Med. 2007 Jan;64(2):326-37.
11. Gray CM, Hunt K, Mutrie N, Anderson AS, Leishman J, Dalgarno L, et al. Football Fans in Training: the development and optimization of an interven¬tion delivered through professional sports clubs to help men lose weight, become more active and adopt healthier eating habits. BMC Public Health. 2013 Mar;13:232.
12. Robertson C, Archibald D, Avenell A, Douglas F, Hoddinott P, van Teijlingen E, et al. Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technol Assess. 2014 May;18(35):v-vi, xxiii-xxix, 1-424.
13. Hirt ER, Clarkson JJ. The psychology of fandom: understanding the etio¬logy, motives, and implications of fanship. In: Kahle LR, Close AG, editors. Consumer behavior knowledge for effective sports and event marketing. New York: Routledge/Taylor & Francis Group; 2011. p. 59-85.
14. Hunt K, Wyke S, Gray CM, Anderson AS, Brady A, Bunn C, et al. A gen¬der-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT): a pragmatic randomised controlled trial. Lancet. 2014 Apr 5;383(9924):1211-21.
15. Hunt K, Gray CM, Maclean A, Smillie S, Bunn C, Wyke S. Do weight ma¬nagement programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study. BMC Public Health. 2014 Jan 21;14:50.
16. Gill DP, Blunt W, Bartol C, Pulford RW, De Cruz A, Simmavong PK, et al. HealtheSteps™ Study Protocol: a pragmatic randomized controlled trial promoting active living and healthy lifestyles in at-risk Canadian adults de¬livered in primary care and community-based clinics. BMC Public Health. 2017 Feb 7;17(1):173.
17. The Environics Institute for Social Change. Hockey in Canada - 2012 Public Opinion Survey. The Environics Institute for Social Change; 2012.
18. Petrella RJ, Lattanzio CN, Overend TJ. Physical activity counseling and prescription among canadian primary care physicians. Arch Intern Med. 2007 Sep 10; 167(16):1774-81.
19. Petrella RJ, Aizawa K, Shoemaker K, Overend T, Piche L, Marin M, et al. Efficacy of a family practice-based lifestyle intervention program to increase physical activity and reduce clinical and physiological markers of vascular
health in patients with high normal blood pressure and/or high normal blood glucose (SNAC): study protocol for a randomized controlled trial. Trials. 2011 Feb 16;12:45.
20. Stuckey MI, Knight E, Petrella RJ. The step test and exercise prescription tool in primary care: a critical review. Crit Rev Phys Rehabil Med. 2012;24(1- 2):109-23.
21. Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techni¬ques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009 Nov;28(6):690-701.
22. Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Li¬chtenstein AH, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scien¬tific statement from the American Heart Association. Circulation. 2010 Jul 27;122(4):406-41.
23. Stuckey MI, Shapiro S, Gill DP, Petrella RJ. A lifestyle intervention suppor¬ted by mobile health technologies to improve the cardiometabolic risk profile of individuals at risk for cardiovascular disease and type 2 diabetes: study rationale and protocol. BMC Public Health. 2013 Nov 7;13:1051.
24. Gill DP, Blunt W, De Cruz A, Riggin B, Hunt K, Zou G, et al. Hockey Fans in Training (Hockey FIT) pilot study protocol: a gender-sensitized weight loss and healthy lifestyle program for overweight and obese male hockey fans. BMC Public Health. 2016 Oct 19;16(1):1096.
25. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95.
26. Paxton AE, Strycker LA, Toobert DJ, Ammerman AS, Glasgow RE. Starting the conversation performance of a brief dietary assessment and intervention tool for health professionals. Am J Prev Med. 2011 Jan;40(1):67-71.
27. Roe L, Strong C, Whitesdie C, Neil A, Mant D. Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract. 1994 Dec;11(4):375-81.
28. Emslie C, Lewars H, Batty GD, Hunt K. Are there gender differences in le¬vels of heavy, binge and problem drinking? Evidence from three generations in the west of Scotland. Public Health. 2009 Jan;123(1):12-4.
29. Rosenberg M. Society and adolescent self-image. Princeton, NJ: Princeton University Press; 1965.
30. Gray-Little B, Williams V, Hancock T. An item response theory analysis of the Rosenberg Self-Esteem Scale. Pers Soc Psychol Bull. 1997;23(5):443-51.
31. Thompson ER. Development and validation of an internationally reliable short-form of the Positive and Negative Affect Schedule (PANAS). J Cross Cult Psychol. 2007 Mar;38(2):227-42.
32. EuroQol Group. EuroQol--a new facility for the measurement of health-re¬lated quality of life. Health Policy. 1990 Dec;16(3):199-208.
33. Hooker SP, Wilcox S, Rheaume CE, Burroughs EL, Friedman DB. Factors re¬lated to physical activity and recommended intervention strategies as told by midlife and older African American men. Ethn Dis. 2011 Summer;21(3):261-7.
34. Griffith DM, Allen JO, Johnson-Lawrence V, Langford A. Men on the move: a pilot program to increase physical activity among African American men. Health Educ Behav. 2014 Apr;41(2):164-72.
35. Robertson S, Zwolinsky S, Pringle A, McKenna J, Daly-Smith A, White A. ‘It is fun, fitness and football really’: a process evaluation of a football-ba¬sed health intervention for men. Qualitative Research in Sport, Exercise and Health. 2013 Sep 3;5(3):419-39.
36. Gavarkovs AG, Burke SM, Petrella RJ. The physical activity-related barriers and facilitators perceived by men living in rural communities. Am J Mens Health. 2015 Jul 31. [Epub ahead of print]
37. MacLean A, Hunt K, Gray C, Smillie S, Wyke S. How do men’s female relatives feature in their accounts of changing eating practices during a wei¬ght-management programme delivered through professional football clubs? Int J Mens Health. 2014;13(2):121-38.
Published
2016-12-31
How to Cite
Brianne Muise, S., Gill, D., De Cruz, A., Riggin, B., Pulford, R., Sibbald, S., & Petrella, R. (2016). Men’s Experiences with the Hockey Fans in Training Weight Loss and Healthy Lifestyle Program. International Journal of Medical Students, 4(3), 91-95. Retrieved from http://ijms.info/index.php/IJMS/article/view/158
Section
Original Article