ArticleAtencion primaria2026
[Rethinking exercise prescription in primary care: from physiological dose to health asset].
Article in Atencion primaria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
2 authors.
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Abstract
Population-level evidence on the benefits of physical activity is robust, but its translation into individual clinical practice is not automatic. When exercise prescription in primary care is reduced to a physiological dose without proper assessment of biographical context, motivation, opportunity cost and adequate progression, it ceases to function as an effective preventive intervention and may generate psychological burden, dropout and, in extreme cases, compulsive behaviour. This article proposes a reformulation: prescription should be understood as a complex and individualised behavioural intervention aimed at generating health resources, not as an imposition of minutes. Six minimum components are proposed: biographical context assessment, shared negotiation, tailored progression, sustained behavioural support, cost monitoring and autonomous motivation, applicable across the primary care team, and it is argued that load-based reductionism may constitute an avoidable form of iatrogenesis.
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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.