Evidence map›Paper›PMID 40443451›Full record

SynthesisFrontiers in physiology2025

The effects of exercise based on adherence to ACSM recommendations on pulmonary function and quality of life in adults with asthma: a systematic review and meta-analysis.

Jinhan Li, Jianxu Zhao, Jiahao Wei, Baofa Wu, Wuzhuang Sun

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Jinhan LiDepartment of Respiratory and Critical Care Medicine, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Jianxu ZhaoDepartment of Neurobiology, Hebei Medical University, Shijiazhuang, China.
Jiahao WeiDepartment of Respiratory and Critical Care Medicine, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Baofa WuDepartment of Respiratory and Critical Care Medicine, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Wuzhuang SunDepartment of Respiratory and Critical Care Medicine, The First Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adherence to ACSM exercise guidelines is linked to improved clinical outcomes in asthma patients, yet its effects on pulmonary function and QOL remain unclear. This study aims to comprehensively assess the impact of ACSM-based exercise adherence on lung function and patient-reported QOL in adults with asthma. Methods: A systematic search of Cochrane, Web of Science, Embase, and PubMed was conducted to review a meta-analysis on exercise regimens with tailored prescriptions for symptomatic bronchial asthma patients. Eligible randomized controlled trials comparing exercise interventions to non-intervention were selected and analyzed using SMD and 95% CI. Study quality was assessed using the revised Cochrane Risk of Bias tool, while Egger's regression and Begg's test evaluated publication bias. Studies were classified based on adherence to ACSM guidelines, and subgroup analyses employed a random-effects model where appropriate to enhance result reliability and interpretability. Results: A total of 18 studies were included, with 9 classified as high adherence to ACSM guidelines and 9 as low/uncertain adherence. For FVC values were 0.72 (95% CI: 0.02, 1.42) and 0.64 (95% CI: 0.18, 1.11), respectively. The FEV1/FVC ratio was 0.19 (95% CI: -0.30, 0.69) versus 0.16 (95% CI: -0.95, 1.28). QOL scores demonstrated the most pronounced difference, with SMD at 0.85 (95% CI: 0.39, 1.32) for high adherence and 0.07 (95% CI: -0.22, 0.37) for low/uncertain adherence. Conclusion: This meta-analysis revealed that exercise interventions with high adherence to ACSM guidelines led to greater changes in QOL scores among asthma patients. While the high-adherence group outperformed the low/uncertain-adherence group in FEV Systematic Review Registration: identifier CRD42024553618.

Indexed as

ACSM exercise recommendationsbronchial asthmaexercise interventionhealth related quality of liferespiratory function

Identifiers

PMID40443451
PMCPMC12119264

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Registered trials

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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.