Promoting men's health through sports clubs:A systematic rapid realist review  

作　　者：Anne Timm Aurelie van Hoye Paul Sharp Tue Helms Andersen Louise Hansen Jane NautrupØstergaard Peter Krustrup Kenneth Cortsen Peter Bindslev Iversen Morten Hulvej Rod Charlotte Demant Klinker 

机构地区：[1]Department of Prevention,Health Promotion and Community Care,Copenhagen University Hospital—Steno Diabetes Center Copenhagen,Herlev 2730,Denmark [2]UMR1319 Interdisciplinaritéen SantéPublique,Intervention et Instruments de Mesures Complexes,University of Lorraine,Villers-les-Nancy 54600,France [3]Physical Activity for Health research cluster,Health Research Institute,Department of Physical Education and Sport Sciences,University of Limerick,Limerick V94T9PX,Ireland [4]School of Nursing and Department of Psychiatry,University of British Columbia,Vancouver BC V6T 2B5,Canada [5]School of Health Sciences,University of New South Wales,Sydney NSW 2050,Australia [6]Department of Education,Copenhagen University Hospital—Steno Diabetes Center Copenhagen,Herlev 2730,Denmark [7]Steno Diabetes Center Aarhus,Aarhus University Hospital,Aarhus 8200,Denmark [8]Sport and Health Sciences Cluster(SHSC),Department of Sports Science and Clinical Biomechanics,University of Southern Denmark,Odense 5230,Denmark [9]Danish Institute for Advanced Study(DIAS),Department of Sports Science and Clinical Biomechanics,University of Southern Denmark,Odense 5230,Denmark [10]University College of Northern Denmark,Hjoerring 9800,Denmark [11]Steno Diabetes Center Sjaelland,Holbaek 4300,Denmark [12]National Institute of Public Health,University of Southern Denmark,Copenhagen 1455,Denmark

出　　处：《Journal of Sport and Health Science》2025年第1期84-96,共13页运动与健康科学(英文)

基　　金：supported by the 5 Steno Diabetes Centers in Denmark,which are partly funded by the Novo Nordisk Foundation.

摘　　要：Background Health promotion(HP)interventions delivered through sports clubs have demonstrated promising outcomes among men,but less is known about which aspects of the interventions work,for whom,and under what circumstances.This rapid realist review aimed to understand the contexts,mechanisms,and outcomes of HP interventions for men delivered through sports clubs.Methods A systematic literature search was conducted in February 2023 for studies published after 2013 in MEDLINE,Embase,and SPORTDiscus databases.Included studies:(a)were delivered by or in collaboration with sports clubs,(b)targeted men aged 18+years,and(c)reported 1 or more HP outcomes.A grey literature search was also performed.Studies were included in a realist synthesis based on richness and rigor.Hereafter,context-mechanism-outcome(CMO)configurations were developed.Results We identified and screened 3358 studies,finally including 59 studies describing 22 interventions.Most HP interventions were delivered in high income countries,included Caucasian men aged 35-65 years with overweight/obesity,and used professional sports clubs(mostly football)for recruitment and facilities.Quantitative HP outcomes were reported across 19 interventions.Of these 19 interventions,the majority reported on weight(n=18),physical activity(n=12),mental health(n=10),and diet(n=9).We identified 13 CMOs related to how HP interventions affected men's recruitment,engagement,and health behavior maintenance.Conclusion Our findings show that using sports clubs for HP interventions is effective for engaging men.Recruitment was facilitated by leveraging sports clubs’identity,addressing masculinity-related barriers,improving accessibility,and building trust.Engagement was enhanced through shared identity experiences,safe spaces,inclusive competition,and self-efficacy.However,there's limited evidence on behavior maintenance post-intervention,though involving community stakeholders seemed vital.In general,considerations should be made to avoid perpetuating traditional masculine norm

关 键 词：Community engagement Health promotion MASCULINITY Physical activity Sports clubs 

分 类 号：G80-05[文化科学—运动人体科学] R47[文化科学—体育学]