ArticlePloS one2020
The epidemiology of muscle-strengthening exercise in Europe: A 28-country comparison including 280,605 adults.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05371587 (The Effects of the Autonomy and Perceptions Approach to Resistance Training), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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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.
The Effects of the Autonomy and Perceptions Approach to Resistance Training (APART) on Body Composition, Physiological and Performance Outcomes in Healthy Young Adults: a Non-inferiority Randomized Controlled Trial
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of mHealth interventions to prescribe resistance training: a systematic review and meta-analysis of randomized controlled trials.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Correlates and determinants of physical activity among older adults of lower versus higher socio-economic status: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Breathing technique-dependent acute cardiopulmonary responses during squats in healthy females.Physiological reports · 2026Trial
- mHealth to support resistance training using outdoor gyms: the ecofit hybrid type 3 implementation-effectiveness trial.Translational behavioral medicine · 2026Trial
- Public Engagement to Inform Messaging Aligning With the Muscle-Strengthening Guidelines.Clinical and public health guidelines · 2026Article
- Physical activity patterns from mid- to late adulthood and risk of sarcopenia in older adults: the HUNT study.BMC geriatrics · 2026Article
- Reference values for handgrip strength in Europe: analysis of individual participant data from 27 countries.GeroScience · 2026Article
- From Nature to Strength: A Proof-of-Concept Study Integrating a Nature-Based Intervention with Virtually Supported Resistance Training in Young Men.Healthcare (Basel, Switzerland) · 2026Article
- Physical activity in professional training of physiotherapists.Annals of medicine · 2025Article
- Are strategies to increase muscle mass and strength as effective in people with type 2 diabetes?Reviews in endocrine & metabolic disorders · 2025Review
- Analysis of Reddit Discussions on Motivational Factors for Physical Activity: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Effect of resistance exercise on body composition, muscle strength and cardiometabolic health during dietary weight loss in people living with overweight or obesity: a systematic review and meta-analysis.BMJ open sport & exercise medicine · 2025Article
- Unpicking Causal Relationships Between Grip Strength and Cardiorespiratory Fitness: A Bidirectional Mendelian Randomization Study.Scandinavian journal of medicine & science in sports · 2024Article
- Resistance Exercise Participation in Community-Dwelling Older Adults in Korea: Associated Factors and Sex Differences.Journal of clinical medicine · 2024Article
- How many adults have sufficient muscle-strengthening exercise and the associated factors: A systematic review consisting of 2,629,508 participants.Journal of exercise science and fitness · 2024Review
- Descriptive epidemiology of muscle-strengthening activities in Japanese middle-aged and older adults: the Hisayama Study.BMJ public health · 2024Article
- Weight training and risk of all-cause, cardiovascular disease and cancer mortality among older adults.International journal of epidemiology · 2024Article
- Sedentary time at school and work in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Impact of a 16-week strength training program on physical performance, body composition and cardiac remodeling in previously untrained women and men.European journal of sport science · 2024Article
- Resistance exercise for anxiety and depression: efficacy and plausible mechanisms.Trends in molecular medicine · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMuscle-strengthening exercise (use of weight machines, free weights, push-ups, sit-ups), has multiple independent health benefits, and is a component of the Global physical activity guidelines. However, there is currently a lack of multi-country muscle-strengthening exercise prevalence studies. This study describes the prevalence and correlates of muscle-strengthening exercise across multiple European countries.
methodsData were drawn from the European Health Interview Survey Wave 2 (2013-14), which included nationally representative samples (n = 3,774-24,016) from 28 European countries. Muscle-strengthening exercise was assessed using the European Health Interview Survey Physical Activity Questionnaire. Population-weighted proportions were calculated for (1) "insufficient" (0-1 days/week) or (2) "sufficient" muscle-strengthening exercise (≥2 days/week). Prevalence ratios were calculated using multivariate Poisson regression for those reporting sufficient muscle-strengthening by country and by sociodemographic/lifestyle characteristics (sex, age, education, income, self-rated health etc.).
resultsData were available for 280,605 European adults aged ≥18 years. Overall, 17.3% (95% CI = 17.1%-17.5%) reported sufficient muscle-strengthening exercise (≥2 days/week). Muscle-strengthening exercise was geographically patterned with the lowest prevalence reported in South-eastern European countries (Romania, Malta and Cyprus: range: 0.7%-7.4%), and the highest prevalence in the Nordic countries (Iceland, Sweden, and Denmark: range: 34.1%-51.6%). Older age, insufficient aerobic activity, poorer self-rated health, lower income/education, being female, and being overweight/obese were significantly associated with lower likelihood of reporting sufficient muscle-strengthening exercise, independently of other characteristics.
conclusionsMost European adults do not report sufficient muscle-strengthening exercise, and prevalence estimates varied considerably across countries. Low participation in muscle-strengthening exercise is widespread across Europe, and warrants public health attention.
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Registered trials
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