ArticleJournal of general internal medicine2014
Exercise as a vital sign: a quasi-experimental analysis of a health system intervention to collect patient-reported exercise levels.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05611333 (BE-PHIT), which is not on this map. Cited by 54 papers, 2 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.
BE-PHIT: a Behavioral Science-Enhanced PHysician-led Remote Group Exercise InTervention for Women With Coronary Artery Disease
Who cites it
54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 132 citations in OpenAlex.
- Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Physical Activity as a Vital Sign: A Systematic Review.Preventing chronic disease · 2017Pooled it
- Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial.Addiction science & clinical practice · 2015Trial
- High 24-Hour Respiratory Symptoms and Low Physical Activity in the Stable COPD Romanian Cohort of SPACE Study.International journal of chronic obstructive pulmonary diseaseTrial
- Physical activity behaviours, knowledge, attitudes, and training needs among medical students in South Africa: a cross-sectional study.BMC medical education · 2026Article
- Osteoarthritis physical activity care pathway: Results of an exploratory trial.Osteoarthritis and cartilage open · 2026Article
- Changes in diabetes screening and exercise during the COVID-19 pandemic in adults with prediabetes.Diabetes research and clinical practice · 2025Article
- Risk of Infection in Older Adults With Type 2 Diabetes With Relaxed Glycemic Control.Diabetes care · 2024Article
- Food Insecurity and Hypoglycemia among Older Patients with Type 2 Diabetes Treated with Insulin or Sulfonylureas: The Diabetes & Aging Study.Journal of general internal medicine · 2024Article
- Evaluation of a Medical Fitness Referral Program at a Single Institution From 2015 to 2022.American journal of lifestyle medicine · 2024Article
- Feasibility of a Physical Activity Index in Clinical Practice: Perspectives of Providers and Cancer Patients.Oncology issues · 2024Article
- Exercise Is a Vital Sign.HCA healthcare journal of medicine · 2024Review
- From "Local Control" to "Dependency": Transitions to Single-Vendor Integrated Electronic Health Record Systems and Their Implications for the EHR Workforce.Journal of general internal medicine · 2023Article
- Tools to guide clinical discussions on physical activity, sedentary behaviour, and/or sleep for health promotion between primary care providers and adults accessing care: a scoping review.BMC primary care · 2023Article
- Tracking changes in physical activity during inpatient treatment in a psychiatric clinic in Germany by asking two simple questions.European archives of psychiatry and clinical neuroscience · 2023Article
- Parent and Pediatrician Perspectives on Physical Activity Promotion in Pediatric Primary Care: A Preliminary Mixed Methods Study.American journal of health promotion : AJHP · 2023Article
- Implementing Exercise = Medicine in routine clinical care; needs for an online tool and key decisions for implementation of Exercise = Medicine within two Dutch academic hospitals.BMC medical informatics and decision making · 2022Article
- Rethinking physical activity assessment in cancer survivors: a multi-component approach using NHANES data.Journal of cancer survivorship : research and practice · 2022Article
- Implementation of a Physical Activity Vital Sign in Primary Care: Associations Between Physical Activity, Demographic Characteristics, and Chronic Disease Burden.Preventing chronic disease · 2022Article
- Factors associated with recording the exercise vital sign (EVS) in the electronic health records of patients in chiropractic teaching clinics.The Journal of the Canadian Chiropractic Association · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundLack of regular physical activity is highly prevalent in U.S. adults and significantly increases mortality risk.
objectiveTo examine the clinical impact of a newly implemented program ("Exercise as a Vital Sign" [EVS]) designed to systematically ascertain patient-reported exercise levels at the beginning of each outpatient visit. DESIGN AND
participantsThe EVS program was implemented in four of 11 medical centers between April 2010 and October 2011 within a single health delivery system (Kaiser Permanente Northern California). We used a quasi-experimental analysis approach to compare visit-level and patient-level outcomes among practices with and without the EVS program. Our longitudinal observational cohort included over 1.5 million visits by 696,267 adults to 1,196 primary care providers. MAIN MEASURES: Exercise documentation in physician progress notes; lifestyle-related referrals (e.g. exercise programs, nutrition and weight loss consultation); patient report of physician exercise counseling; weight change among overweight/obese patients; and HbA1c changes among patients with diabetes. KEY
resultsEVS implementation was associated with greater exercise-related progress note documentation (26.2 % vs 23.7 % of visits, aOR 1.12 [95 % CI: 1.11-1.13], p < 0.001) and referrals (2.1 % vs 1.7 %; aOR 1.14 [1.11-1.18], p < 0.001) compared to visits without EVS. Surveyed patients (n = 6,880) were more likely to report physician exercise counseling (88 % vs. 76 %, p < 0.001). Overweight patients (BMI 25-29 kg/m(2), n = 230,326) had greater relative weight loss (0.20 [0.12 - 0.28] lbs, p < 0.001) and patients with diabetes and baseline HbA1c > 7.0 % (n = 30,487) had greater relative HbA1c decline (0.1 % [0.07 %-0.13 %], p < 0.001) in EVS practices compared to non-EVS practices.
conclusionsSystematically collecting exercise information during outpatient visits is associated with small but significant changes in exercise-related clinical processes and outcomes, and represents a valuable first step towards addressing the problem of inadequate physical activity.
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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.