Evidence map›Paper›PMID 27900165›Full record

ArticleBMJ open sport & exercise medicine2016

Evaluation of cardiovascular risk-lowering health benefits accruing from laboratory-based, community-based and exercise-referral exercise programmes.

R Webb, J E S Thompson, J-S Ruffino, N A Davies, L Watkeys, S Hooper, P M Jones, G Walters, D Clayton, A W Thomas and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. A systematic review and narrative synthesis of physical activity referral schemes' components.The international journal of behavioral nutrition and physical activity · 2023
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
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

15 authors at 2 institutions in 1 country.

R WebbDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
J E S ThompsonDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
J-S RuffinoDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
N A DaviesDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
L WatkeysDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
S HooperDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
P M JonesDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
G WaltersDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
D ClaytonDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
A W ThomasDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
K MorrisDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
D H LlewellynDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
M WardBlaengad Ltd , Wales , UK.
J Wyatt-WilliamsDepartment of Public Health Wales , Hayden Ellis Building , Cardiff , UK.
B J McDonnellDepartment of Biomedical Sciences , Cardiff Metropolitan University , Cardiff , UK.
Cardiff Metropolitan University · GBPublic Health Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the ability of community-based exercise programmes to facilitate public participation in exercise and hence improved cardiovascular health, we assessed the respective impacts of: a continuously monitored exercise programme based within our university (study 1); a Valleys Regional Park-facilitated community-based outdoor exercise programme (study 2); a Wales National Exercise Referral Scheme-delivered exercise-referral programme (study 3).

methodsBiomolecular (monocytic PPARγ target gene expression), vascular haemodynamic (central/peripheral blood pressure, arterial stiffness), clinical (insulin sensitivity, blood lipids) and anthropometric (body mass index, waist circumference, heart rate) parameters were investigated using RT-PCR, applanation tonometry, chemical analysis and standard anthropometric techniques.

resultsIn studies 1-3, 22/28, 32/65 and 11/14 participants adhered to their respective exercise programmes, and underwent significant increases in physical activity levels. Importantly, beneficial effects similar to those seen in our previous studies (eg, modulations in expression of monocytic PPARγ target genes, decreases in blood pressure/arterial stiffness, improvements in blood lipids/insulin sensitivity) were observed (albeit to slightly differing extents) only in participants who adhered to their respective exercise programmes. While study 1 achieved more intense exercise and more pronounced beneficial effects, significant cardiovascular risk-lowering health benefits related to biomolecular markers, blood pressure, arterial stiffness and blood lipids were achieved via community/referral-based delivery modes in studies 2 and 3.

conclusionsBecause cardiovascular health benefits were observed in all 3 studies, we conclude that the majority of benefits previously reported in laboratory-based studies can also be achieved in community-based/exercise-referral settings. These findings may be of use in guiding policymakers with regard to introduction and/or continued implementation of community/referral-based exercise programmes.

Indexed as

CardiovascularOutdoorPhysical activity promotion in primary careWalking

Identifiers

PMID27900165
PMCPMC5117059
OpenAlexW2310273452

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.