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Initial Weight Status Moderates the Impact of Exercise Referral Schemes on Improving Patients’ Body Mass Index

Identification

Public canonical key
doi:10.1177/08901171261419478
Authors
Carson Halliwell · Renaud Tremblay · Jonathon Richard Fowles · Ryan E.R. Reid · Rebecca F. Moyer · Taniya Singh Nagpal · Myles William O'Brien
Reported year
2026
Reported language
en
Source type
article
First detected
2026-11-09T19:15:44.543680+00:00
Last metadata observation
2026-11-09T19:15:44.543680+00:00
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Institutions reported by the source

Acadia University · Dalhousie University · St. Francis Xavier University · University of Alberta · Université de Sherbrooke

Documentary abstract — original language

Purpose To determine whether baseline body mass index (BMI) moderates BMI changes following completion of an exercise referral scheme (ERS). Design Retrospective analysis. Setting Data from the National ReferAll Database. Sample 634 adults out of 39,283 (64% female; mean age 54 ± 15 years). Intervention Participants completed a community-based ERS involving physical activity counseling and supervised exercise. Measures BMI was calculated as weight (kg) divided by height (m 2 ) and participants were categorized by BMI: normal weight (<25.0 kg/m 2 ), overweight (25.0-29.9 kg/m 2 ), and obesity classes I (30.0-34.9 kg/m 2 ), II (35.0-39.9 kg/m 2 ), and III (≥40.0 kg/m 2 ). Analysis A 5 × 2 mixed methods analysis of covariance, adjusted for age, sex, ERS type, and follow-up duration examined BMI changes over time by group. Linear regression assessed the relation between baseline BMI and BMI change. Results Baseline BMI predicted BMI reduction (β = −0.07 ± 0.01, 95% CI: −0.09 to −0.04, P < .001). Compared to the normal weight group, individuals with obesity classes I–III had significantly greater reductions in BMI (mean difference range: 0.83-1.01 kg/m 2 , all P < .001). No significant difference was observed between normal weight and overweight participants ( P = .207). Conclusion This study provides evidence that ERS can be effective in improving BMI outcomes among individuals who have an elevated initial BMI. These findings support the continued development and refinement of ERS as a scalable public health strategy to promote weight-related improvements.

Identifiers

OPENALEX
W7125430480
DOI
10.1177/08901171261419478

Documentary context

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Scholarship
Source-reported types
article

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Sources

OpenAlex · Record 1 · Record 2

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Cite this reference

Carson Halliwell; Renaud Tremblay; Jonathon Richard Fowles; Ryan E.R. Reid; Rebecca F. Moyer; Taniya Singh Nagpal; Myles William O'Brien. Initial Weight Status Moderates the Impact of Exercise Referral Schemes on Improving Patients’ Body Mass Index. 2026. https://doi.org/10.1177/08901171261419478

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APA
Carson Halliwell; Renaud Tremblay; Jonathon Richard Fowles; Ryan E.R. Reid; Rebecca F. Moyer; Taniya Singh Nagpal; Myles William O'Brien. (2026). Initial Weight Status Moderates the Impact of Exercise Referral Schemes on Improving Patients’ Body Mass Index. https://doi.org/10.1177/08901171261419478
Chicago
Carson Halliwell; Renaud Tremblay; Jonathon Richard Fowles; Ryan E.R. Reid; Rebecca F. Moyer; Taniya Singh Nagpal; Myles William O'Brien. Initial Weight Status Moderates the Impact of Exercise Referral Schemes on Improving Patients’ Body Mass Index. 2026. https://doi.org/10.1177/08901171261419478
ISO 690
Carson Halliwell; Renaud Tremblay; Jonathon Richard Fowles; Ryan E.R. Reid; Rebecca F. Moyer; Taniya Singh Nagpal; Myles William O'Brien. Initial Weight Status Moderates the Impact of Exercise Referral Schemes on Improving Patients’ Body Mass Index. 2026. https://doi.org/10.1177/08901171261419478

UDTR Global Rights of Nature Legal Library. Initial Weight Status Moderates the Impact of Exercise Referral Schemes on Improving Patients’ Body Mass Index. Documentary record: https://www.declarationuniverselledesdroitsdelarbre.org/global-rights-of-nature-radar/reference/r-e47e7f61dfe0c68500d5a590470459ce/ · Last HTTP verification: not performed

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Field provenance and record version

Version 9d0bf34a3321153a · udtr-reference-1.1.2

Title
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00
Authors
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00
Year
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00
Identifiers
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00
Source URL
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00
Source-reported author ORCID
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00
OpenAlex · source · 2026-11-09T19:15:44.543680+00:00

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be5fd26088ff7c09 · 2026-11-09T19:15:44.543680+00:00

6fc75f84d15f6ad9 · 2026-11-09T19:15:44.543680+00:00

c5c7c803e14fb0ec · 2026-11-09T19:15:44.543680+00:00

9d0bf34a3321153a · 2026-11-09T19:15:44.543680+00:00

Frozen-version metadata

Research dossiers and documentary relations

Acadia University

Dalhousie University

St. Francis Xavier University

University of Alberta

Université de Sherbrooke

Carson Halliwell

Jonathon Richard Fowles

Myles William O'Brien

Rebecca F. Moyer

Renaud Tremblay

Ryan E.R. Reid

Taniya Singh Nagpal

Source roles

Discovery source · https://doi.org/10.1177/08901171261419478

Discovery source · https://openalex.org/W7125430480

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UDTR Global Rights of Nature Legal Library