Evidence map›Paper›PMID 26459486›Full record

ReviewBMJ open2015

A qualitative evidence synthesis on the management of male obesity.

Daryll Archibald, Flora Douglas, Pat Hoddinott, Edwin van Teijlingen, Fiona Stewart, Clare Robertson, Dwayne Boyers, Alison Avenell

Abstract readReview
In one paragraph

Review in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. A systematic review examining socioeconomic factors in trials of interventions for men that report weight as an outcome.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  2. Perspectives into the experience of successful, substantial long-term weight-loss maintenance: a systematic review.International journal of qualitative studies on health and well-being · 2021
    Pooled it
  3. Cognitive and behavioural strategies for self-directed weight loss: systematic review of qualitative studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2017
    Pooled it
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  15. Patient Perceptions of Weight Stigma Experiences in Healthcare: A Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daryll ArchibaldScottish Collaboration for Public Health Research & Policy (SCPHRP), University of Edinburgh, Edinburgh, Lothian, UK.
Flora DouglasRowett Institute of Health and Nutrition, University of Aberdeen, Medical School, Aberdeen, UK.
Pat HoddinottNMAHP Research Unit, Unit 13 Scion House, University of Stirling, Stirling University Innovation Park, Stirling, UK.ORCID http://orcid.org/0000-0002-4372-9681
Edwin van TeijlingenMaternal & Perinatal Health Faculty of Health & Social Sciences, Centre for Midwifery, Christchurch Road Bournemouth University, Bournemouth, UK.
Fiona StewartCochrane Incontinence Review Group, University of Aberdeen, Aberdeen, UK.
Clare RobertsonHealth Services Research Unit (HSRU), University of Aberdeen, Aberdeen, UK.
Dwayne BoyersHealth Economics Research Unit (HERU) and Health Services Research Unit (HSRU), University of Aberdeen, Aberdeen, UK.
Alison AvenellHealth Services Research Unit (HSRU), University of Aberdeen, Aberdeen, UK.

Funding

Chief Scientist Office HERU1Chief Scientist Office HSRU2Chief Scientist Office NMAHP2Department of Health 09/127/01Medical Research Council MR/K023209/1
6 · The paper itself

Abstract

objectivesTo investigate what weight management interventions work for men, with which men, and under what circumstances.

designRealist synthesis of qualitative studies. DATA SOURCES: Sensitive searches of 11 electronic databases from 1990 to 2012 supplemented by grey literature searches. STUDY SELECTION: Studies published between 1990 and 2012 reporting qualitative research with obese men, or obese men in contrast to obese women and lifestyle or drug weight management were included. The studies included men aged 16 years or over, with no upper age limit, with a mean or median body mass index of 30 kg/m(2) in all settings.

results22 studies were identified, including 5 qualitative studies linked to randomised controlled trials of weight maintenance interventions and 8 qualitative studies linked to non-randomised intervention studies, and 9 relevant UK-based qualitative studies not linked to any intervention. Health concerns and the perception that certain programmes had 'worked' for other men were the key factors that motivated men to engage with weight management programmes. Barriers to engagement and adherence with programmes included: men not problematising their weight until labelled 'obese'; a lack of support for new food choices by friends and family, and reluctance to undertake extreme dieting. Retaining some autonomy over what is eaten; flexibility about treats and alcohol, and a focus on physical activity were attractive features of programmes. Group interventions, humour and social support facilitated attendance and adherence. Men were motivated to attend programmes in settings that were convenient, non-threatening and congruent with their masculine identities, but men were seldom involved in programme design.

conclusionsMen's perspectives and preferences within the wider context of family, work and pleasure should be sought when designing weight management services. Qualitative research is needed with men to inform all aspects of intervention design, including the setting, optimal recruitment processes and strategies to minimise attrition.

Indexed as

Disease ManagementQualitative ResearchBody Mass IndexHumansLife StyleMaleObesityPatient ComplianceBehavioural ChangeMenSystematic ReviewsWeight management

Identifiers

PMID26459486
PMCPMC4606385

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.