Evidence map›Paper›PMID 28381272›Full record

ArticleBMC public health2017

A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training.

James Steele, James Fisher, Martin Skivington, Chris Dunn, Josh Arnold, Garry Tew, Alan M Batterham, David Nunan, Jamie M O'Driscoll, Steven Mann and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Physical fitness training for stroke patients.The Cochrane database of systematic reviews · 2020
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Cancer survivors' interests and preferences for muscle-strengthening activity interventions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

17 authors.

James SteeleSchool of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN, UK. james.steele@solent.ac.uk.ORCID 0000-0002-8003-0757
James FisherSchool of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN, UK.
Martin SkivingtonSchool of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN, UK.
Chris DunnSchool of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN, UK.
Josh ArnoldSchool of Sport, Health, and Social Science, Southampton Solent University, Southampton, SO14 0YN, UK.
Garry TewExercise and Health Sciences Department: Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, NE1 8ST, UK.
Alan M BatterhamSchool of Health and Social Care, Teesside University, Middleborough, TS1 3BA, UK.
David NunanCentre for Evidence-Based Medicine, Nuffield Department of Primary |Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
Jamie M O'DriscollSchool of Human and Life Sciences, Canterbury Christ Church University, Kent, CT1 1QU, UK.
Steven MannUK Active Research Institute, UK Active, London, WC1R 4HE, UK.
Chris BeedieSchool of Human and Life Sciences, Canterbury Christ Church University, Kent, CT1 1QU, UK.
Simon JobsonDepartment of Sport & Exercise, University of Winchester, Winchester, SO22 4NR, UK.
Dave SmithDepartment of Exercise and Sport Science, Manchester Metropolitan University, Crewe, CW1 5DU, UK.
Andrew VigotskyDepartment of Biomedical Engineering, Northwestern University, Evanston, IL, USA.
Stuart PhillipsDepartment of Kinesiology, McMaster University, Hamilton, ON, Canada.
Paul EstabrooksCollege of Public Health, University of Nebraska Medical Centre, Omaha, NE, USA.
Richard WinettPsychology Department, Virginia Tech, Blacksburg, VA, USA.

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI RIZZO, MATTHEW · 2016 to 2025
$42.8M
Medical Research Council MR/K02325X/1NIGMS NIH HHS U54 GM115458
6 · The paper itself

Abstract

It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and muscle mass) also to morbidity and mortality risk. Current guidelines about the performance of moderate/vigorous physical activity using aerobic exercise modes focuses upon the accumulation of a minimum volume of physical activity and/or exercise, and have thus far produced disappointing outcomes. As such there has been increased interest in the use of higher effort physical activity and exercise as being potentially more efficacious. Though there is currently debate as to the effectiveness of public health prescription based around higher effort physical activity and exercise, most discussion around this has focused upon modes considered to be traditionally 'aerobic' (e.g. running, cycling, rowing, swimming etc.). A mode customarily performed to a relatively high intensity of effort that we believe has been overlooked is resistance training. Current guidelines do include recommendations to engage in 'muscle strengthening activities' though there has been very little emphasis upon these modes in either research or public health effort. As such the purpose of this debate article is to discuss the emerging higher effort paradigm in physical activity and exercise for public health and to make a case for why there should be a greater emphasis placed upon resistance training as a mode in this paradigm shift.

Indexed as

Health Services Needs and DemandResistance TrainingHumansObesityPublic HealthState MedicineUnited KingdomCardiorespiratoryExerciseFitnessMorbidityMortalityMusclePhysical activityPublic healthStrength

Identifiers

PMID28381272
PMCPMC5382466

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.