Evidence map›Paper›PMID 34150320›Full record

ReviewBMJ open sport & exercise medicine2021

ABC of prescribing exercise as medicine: a narrative review of the experiences of general practitioners and patients.

Andrew O'Regan, Michael Pollock, Saskia D'Sa, Vikram Niranjan

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in BMJ open sport & exercise medicine, 2021. 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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT05792657 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The ABEL Feasibility Study (Adherence, Better Health, Exercise and Life Satisfaction): A Randomized Controlled Trial

TypeinterventionalSponsorNorges idrettshøgskoleRan2023 to 2023Enrolled200ConditionsObesityArmsHigh dosage in-person exercise coaching, Medium dosage in-person exercise coaching., Low dosage in-person exercise coaching
NCT07154355 narecruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Study Protocol on the Impact of Community-Based Exercise Training on the Exercise Capacity of Patients With Reduced Cardiovascular and Pulmonary Function

TypeinterventionalSponsorGuangdong Provincial People's HospitalRan2025 to 2030Enrolled200ConditionsCoronary Heart Disease (CHD), Heart Failure, Cardiomyopathy, COPDArmscommunity-based exercise training
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Physical Activity and Hypertension.Reviews in cardiovascular medicine · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. How can GPs get people moving more?The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  17. The Application of Exercise Prescription Education in Medical Training.Journal of medical education and curricular development
    Article
  18. 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

4 authors at 3 institutions in 2 countries.

Andrew O'ReganSchool of Medicine, Health Research Institute, University of Limerick, Limerick, Ireland.ORCID 0000-0001-8470-2736
Michael PollockMcMaster University, Hamilton, Ontario, Canada.
Saskia D'SaSchool of Medicine, Health Research Institute, University of Limerick, Limerick, Ireland.
Vikram NiranjanSchool of Medicine, University College Dublin, Dublin, Ireland.
University of Limerick · IEMcMaster University · CAUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise prescribing can help patients to overcome physical inactivity, but its use in general practice is limited. The purpose of this narrative review was to investigate contemporaneous experiences of general practitioners and patients with exercise prescribing.

methodPubMed, Scopus, Science Direct and Cochrane reviews were reviewed using the terms 'exercise prescription', 'exercise prescribing', 'family practice', 'general practice', 'adults' and 'physical activity prescribing'.

resultsAfter screening by title, abstract and full paper, 23 studies were selected for inclusion. Qualitative, quantitative and mixed-methods studies revealed key experiences of general practitioners and patients. Barriers identified included: physician characteristics, patients' physical and psychosocial factors, systems and cultural failures, as well as ambiguity around exercise prescribing. We present a synthesis of the key strategies to overcome these using an ABC approach: A: assessment of physical activity: involves asking about physical activity, barriers and risks to undertaking an exercise prescription; B: brief intervention: advice, written prescription detailing frequency, intensity, timing and type of exercise; and C: continued support: providing ongoing monitoring, accountability and progression of the prescription. Multiple supports were identified: user-friendly resources, workshops for doctors, guidelines for specific illnesses and multimorbidity, electronic devices, health system support and collaboration with other healthcare and exercise professionals. DISCUSSION: This review has identified levers for facilitating exercise prescribing and adherence to it. The findings have been presented in an ABC format as a guide and support for general practitioners to prescribe exercise.

Indexed as

exercisemedicinephysical activitysports medicine

Identifiers

PMID34150320
PMCPMC8174512
OpenAlexW3171047080

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.