Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study

Hunt, K. , Gray, C. M. , MacLean, A., Smillie, S. , Bunn, C. and Wyke, S. (2014) Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study. BMC Public Health, 14, p. 50. (doi: 10.1186/1471-2458-14-50) (PMID:24443845) (PMCID:PMC4028855)

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Background: The prevalence of obesity in men in the UK is amongst the highest in Europe but men are less likely than women to use existing weight loss programmes. Developing weight management programmes which are appealing and acceptable to men is a public health priority. Football Fans in Training (FFIT), a men-only weight management programme delivered to groups of men at top professional football clubs, encourages men to lose weight by working with, not against, cultural ideals of masculinity. To inform further development of interventions in football club settings, the current study explored who is attracted to FFIT and why overweight/obese men choose to take part. Methods: A mixed-methods study analysing baseline data on 747 men aged 35–65 years with BMI ≥ 28 kg/m2 who were participants in a randomised controlled trial of FFIT, and data from 13 focus group discussions with 63 men who had attended the programme. Results: Objectively-measured mean body mass index was 35.3 kg/m2 (sd 4.9). Overall over 90% of participants were at very high or extremely high risk of future ill-health. Around three-quarters of participants in all age groups were at ‘very high’ risk of type 2 diabetes, hypertension and cardiovascular disease (72%, 73% and 80% of men aged 35–44, 45–54 and 55–64 years respectively). A further 21%, 16% and 13% were at ‘extremely high’ risk. Qualitative data revealed that the powerful ‘draw’ of the football club attracted men otherwise reluctant to attend existing weight management programmes. The location and style of delivery of early FFIT sessions fostered team spirit; men appreciated being with others ‘like them’ and the opportunity to undertake weight management in circumstances that enhanced physical and symbolic proximity to something they valued highly, the football club. Conclusions: The delivery of a weight management intervention via professional football clubs attracted men at high risk of ill-health. The setting enabled men to join a weight management programme in circumstances that felt ‘right’ rather than threatening to themselves as men. FFIT is an example of how to facilitate health promotion activities in a way that is consistent with, rather than challenging to, common ideals of masculinity.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally and Gray, Professor Cindy and Hunt, Professor Kathryn and Bunn, Dr Christopher and MacLean, Dr Alice and Smillie, Susie
Authors: Hunt, K., Gray, C. M., MacLean, A., Smillie, S., Bunn, C., and Wyke, S.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Social Scientists working in Health and Wellbeing
College of Social Sciences
College of Social Sciences > School of Social and Political Sciences
Journal Name:BMC Public Health
Publisher:BioMed Central
ISSN (Online):1471-2458
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in BMC Public Health14:50
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
540671Football Fans in Training (FFIT):a randomized controlled trial of a gender-sensitive weight loss and healthy living programme delivered to men aged 35-60 by Scottish Premier League football clubsSally WykeNational Institute for Health Research (NIHR)09/3010/06SPS - INST. OF HEALTH & WELLBEING
656581Gender and HealthKathryn HuntMedical Research Council (MRC)MC_UU_12017/3IHW - MRC/CSO SPHU