Evidence map›Paper›PMID 41334241›Full record

ArticleBMJ open sport & exercise medicine2025

Barriers and facilitators to the initiation and maintenance of exercise training for women with clinically severe obesity before, during and after participation in a weight loss study: a qualitative investigation.

Daniel van den Hoek, Clint Miller, Steve Fraser, Bronwyn Sudholz, Steve Selig, John Dixon, Megan Teychenne

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Daniel van den HoekSchool of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.ORCID https://orcid.org/0000-0001-8335-1620
Clint MillerInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-7743-6986
Steve FraserInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia.
Bronwyn SudholzInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia.
Steve SeligInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia.
John DixonSwinburne University of Technology, Melbourne, Victoria, Australia.
Megan TeychenneInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Women with clinically severe obesity are at risk of poor physical and mental health. Lifestyle interventions must be developed to support exercise participation for this group. The factors influencing the involvement of women with clinically severe obesity in such programmes require investigation. This study aimed to identify barriers and facilitators to the initiation and maintenance of exercise training for women with severe obesity before, during and after participation in a weight loss study. Women with obesity were recruited for participation in a randomised controlled trial (n=60) investigating the effects of energy restriction (ER) with (energy restriction plus exercise (EXER): n=30) and without (ER: n=30) the addition of exercise. Following the 12-month intervention, n=11 (all from the EXER group) women agreed to participate and were interviewed to retrospectively explore their experiences of exercise engagement before, during and after the programme. Participants also provided their own suggestions for improving future exercise and weight loss programmes. Data were then transcribed verbatim, and reflective thematic analysis was used. Five themes related to intrapersonal and social components of the social ecological model were constructed and included: 'weight', 'concerns about physical limitations' and 'exercise confidence and enjoyment'. Social themes were 'work and family commitments' and 'accountability and support'. Women with clinically severe obesity most commonly reported intrapersonal and social influences of exercise participation. This study's results may help inform the exercise programme development of practitioners and further intervention development at a population level.

Indexed as

ExercisesObesityPhysical activity

Identifiers

PMID41334241
PMCPMC12666175

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Registered trials

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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.