A gender-sensitized lifestyle intervention powered by sport fandom in men with overweight or obesity: a 1-year cost-effectiveness analysis of the Hockey FIT Trial
Authors' conclusion
A lifestyle intervention that engaged men through the power of sport fandom (Hockey FIT) resulted in greater weight loss, with minimal additional costs, and no significant differences in healthcare resource use over one year in middle-aged men with overweight or obesity.
Study context
- Population
- Men aged 35–65 years with BMI ≥27 kg/m², 39 community-based Canadian sites
- Participants
- 657 men
- Comparison
- Hockey FIT vs wait-list control
- Hockey FITn = 297
- Controln = 360reference
- Primary endpoint
- Program-related costs and cost-effectiveness in terms of weight loss and QALY, healthcare payer and societal perspectives
- Follow-up
- 1 year
Methodological detailspragmatic, cluster randomized, 39 community-based Canadian sites, wait-list control, healthcare payer and societal perspectives
- Pragmatic
- Cluster randomized
- 39 community-based Canadian sites
- Wait-list control
- Healthcare payer and societal perspectives
Primary result
As reported in the abstract
Total mean cost per participant · 12 months
Mean difference
72.94 CAD
95% CI $531.17-$677.06
healthcare payer perspective; percentage difference +7.4%; not statistically significant
Mean difference
395.31 CAD
95% CI -$1247.40-$2038.02
societal perspective; percentage difference +13.2%; not statistically significant
- Total intervention cost per site
- $6832.20 CAD
- Total intervention cost per participant
- $341.61 CAD
Further findings
| Outcome | Mean difference (kg) (95% CI) |
|---|---|
| Weight loss · 12 monthsSignificantly greater weight loss with Hockey FIT | 1.51 (−2.42- −0.59) |
- Weight loss — Incremental cost per kg weight loss, healthcare payer perspective
- $48.30 CAD
- Weight loss — Incremental cost per kg weight loss, societal perspective
- $261.79 CAD
Quality adjusted life years (QALY)
- Incremental ratio, payer perspective
- $36,470 CAD/QALY gained
- Incremental ratio, societal perspective
- $197,655 CAD/QALY
- No significant differences in QALY
Original publication
A gender-sensitized lifestyle intervention powered by sport fandom in men with overweight or obesity: a 1-year cost-effectiveness analysis of the Hockey FIT Trial. Int J Obes (Lond). Published 28 May 2026. doi:10.
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