Evidence map›Paper›PMID 18252074›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2007

Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review.

Nefyn H Williams, Maggie Hendry, Barbara France, Ruth Lewis, Clare Wilkinson

2 registry-linked trialsOpen access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 119 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 11 pooled it
5.5field-weighted citation impact, top 4% of its field
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.

NCT04954209 unknown statusnot on this mapstarted 2021, after this paper: background citation

Comparative Study in Long-term Commitment to Physical Activity After Two Different Resumption Programs

TypeobservationalSponsorComité Départemental Olympique et Sportif de Seine Saint DenisRan2021 to 2024Enrolled60ConditionsChronic DiseaseArmsPhysical activities in hospital, Physical activity outside hospital
NCT06509282 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy of a Personalized Concurrent Exercise Prescription Guide for Controlling Cardiovascular Risk and Enhancing Physical Fitness in Adults From a Cardiovascular Health Program: A Pilot Randomized Controlled Clinical Trial.

TypeinterventionalSponsorUniversidad San SebastiánRan2023 to 2024Enrolled39ConditionsCardiovascular Syndrome, MetabolicArmsConcurrent training
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 11 syntheses or guidelines pooled it, 358 citations in OpenAlex.

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  7. Community wide interventions for increasing physical activity.The Cochrane database of systematic reviews · 2015
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  18. Gender-dependent evaluation of football as medicine for prediabetes.European journal of applied physiology · 2019
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59 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Nefyn H WilliamsDepartment of Primary Care and Public Health School of Medicine, Cardiff University, North Wales Clinical School, Wrecsam. williamsnh@cf.ac.uk
Maggie Hendry
Barbara France
Ruth Lewis
Clare Wilkinson
Cardiff University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the health benefits of physical activity, most adults do not take the recommended amount of exercise.

aimTo assess whether exercise-referral schemes are effective in improving exercise participation in sedentary adults. DESIGN OF STUDY: Systematic review.

methodStudies were identified by searching MEDLINE, CINAHL, EMBASE, AMED, PsycINFO, SPORTDiscus, The Cochrane Library and SIGLE until March 2007. Randomised controlled trials (RCTs), observational studies, process evaluations and qualitative studies of exercise-referral schemes, defined as referral by a primary care clinician to a programme that encouraged physical activity or exercise were included. RCT results were combined in a meta-analysis where there was sufficient homogeneity.

resultsEighteen studies were included in the review. These comprised six RCTs, one non-randomised controlled study, four observational studies, six process evaluations and one qualitative study. In addition, two of the RCTs and two of the process evaluations incorporated a qualitative component. Results from five RCTs were combined in a meta-analysis. There was a statistically significant increase in the numbers of participants doing moderate exercise with a combined relative risk of 1.20 (95% confidence intervals = 1.06 to 1.35). This means that 17 sedentary adults would need to be referred for one to become moderately active. This small effect may be at least partly due to poor rates of uptake and adherence to the exercise schemes.

conclusionExercise-referral schemes have a small effect on increasing physical activity in sedentary people. The key challenge, if future exercise-referral schemes are to be commissioned by the NHS, is to increase uptake and improve adherence by addressing the barriers described in these studies.

Indexed as

ExerciseHealth BehaviorPatient ComplianceReferral and ConsultationAdultCosts and Cost AnalysisHealth PromotionHumansMotor ActivityProgram EvaluationRandomized Controlled Trials as TopicUnited Kingdom

Identifiers

PMID18252074
PMCPMC2084138
OpenAlexW2090614132

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.