Trial reportJournal of epidemiology and community health2004
Cost effectiveness of a community based exercise programme in over 65 year olds: cluster randomised trial.
Trial report in Journal of epidemiology and community health, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 11 of them syntheses that pooled 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.
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.
Who cites it
45 citing papers in PubMed, 11 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Safety and Effectiveness of Long-Term Exercise Interventions in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Physical Activity Interventions for Primary Prevention in Adults: A Systematic Review of Randomized Controlled Trial-Based Economic Evaluations.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults: A Systematic Review and Meta-analysis.JAMA internal medicine · 2019Pooled it
- Are brief interventions to increase physical activity cost-effective? A systematic review.British journal of sports medicine · 2016Pooled it
- Chair-based exercises for frail older people: a systematic review.BioMed research international · 2013Pooled it
- Efficacy of Tai Chi on pain, stiffness and function in patients with osteoarthritis: a meta-analysis.PloS one · 2013Pooled it
- Investing in mental health and well-being: findings from the DataPrev project.Health promotion international · 2011Pooled it
- Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2011Pooled it
- Are physical activity interventions in primary care and the community cost-effective? A systematic review of the evidence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Pooled it
- Economic evaluation and transferability of physical activity programmes in primary prevention: a systematic review.International journal of environmental research and public health · 2010Pooled it
- Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Pooled it
- Recruiting to a large-scale physical activity randomised controlled trial - experiences with the gift of hindsight.Trials · 2016Trial
- Relationship of meeting physical activity guidelines with quality-adjusted life-years.Seminars in arthritis and rheumatism · 2014Trial
- Trial
- Cost-effectiveness of a national exercise referral programme for primary care patients in Wales: results of a randomised controlled trial.BMC public health · 2013Trial
- Effect of a nutrition supplement and physical activity program on pneumonia and walking capacity in Chilean older people: a factorial cluster randomized trial.PLoS medicine · 2011Trial
- A pragmatic randomised controlled trial of the Welsh National Exercise Referral Scheme: protocol for trial and integrated economic and process evaluation.BMC public health · 2010Trial
- A randomised controlled trial and cost-effectiveness evaluation of "booster" interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods.BMC public health · 2010Trial
- Less healthy, but more active: opposing selection biases when recruiting older people to a physical activity study through primary care.BMC public health · 2008Trial
- The PreCardio-study protocol--a randomized clinical trial of a multidisciplinary electronic cardiovascular prevention programme.BMC cardiovascular disorders · 2007Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the cost effectiveness of a community based exercise programme as a population wide public health intervention for older adults.
designPragmatic, cluster randomised community intervention trial.
setting12 general practices in Sheffield; four randomly selected as intervention populations, and eight as control populations.
participantsAll those aged 65 and over in the least active four fifths of the population responding to a baseline survey. There were 2283 eligible participants from intervention practices and 4137 from control practices.
interventionEligible subjects were invited to free locally held exercise classes, made available for two years.
main outcome measuresAll cause and exercise related cause specific mortality and hospital service use at two years, and health status assessed at baseline, one, and two years using the SF-36. A cost utility analysis was also undertaken.
resultsTwenty six per cent of the eligible intervention practice population attended one or more exercise sessions. There were no significant differences in mortality rates, survival times, or admissions. After adjusting for baseline characteristics, patients in intervention practices had a lower decline in health status, although this reached significance only for the energy dimension and two composite scores (p<0.05). The incremental average QALY gain of 0.011 per person in the intervention population resulted in an incremental cost per QALY ratio of 17 174 (95% CI = 8300 to 87 120).
conclusionsDespite a low level of adherence to the exercise programme, there were significant gains in health related quality of life. The programme was more cost effective than many existing medical interventions, and would be practical for primary care commissioning agencies to implement.
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What OpenQuestion holds
Registered trials
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.