Evidence mapPaperPMID 41312137Full record

ReviewFrontiers in physiology2025

Clinical effect and mechanism of aerobic exercise for knee osteoarthritis: a mini review.

Hao-Yu Hu, Lu-Ning Jia, Wen-Yu Zhao, Sheng-Jie Guo, Zhi-Min Fang, Xi-Yue Li, Yi-Li Zheng, Pei-Jie Chen

Abstract readReview
In one paragraph

Review 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Exercise-myokine relationships in osteoarthritis.Journal of translational medicine · 2026
    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

8 authors.

Hao-Yu Hu *Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Lu-Ning Jia *Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Wen-Yu ZhaoDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Sheng-Jie GuoDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Zhi-Min FangDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Xi-Yue LiDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Yi-Li ZhengDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
Pei-Jie ChenDepartment of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knee osteoarthritis (KOA) is a prevalent degenerative joint disease characterized by pain, dysfunction, and stiffness, significantly impairing quality of life. While various interventions exist, aerobic exercise stands out as a safe and effective core treatment. This review synthesizes current evidence on the therapeutic benefits and underlying mechanisms of aerobic exercise for KOA. We recommend low-to-moderate intensity aerobic training (RPE 11-14) for KOA patients, performed 3-4 times per week for 30-60 min, for at least 6 weeks. Recommended modalities include gentle exercises like Wuqinxi, Baduanjin, and yoga, or water-based exercises and swimming, which can offer additional benefits for weight management. The therapeutic effects of aerobic exercise on KOA are multifaceted. Mechanistically, it modulates inflammatory responses by balancing pro- and anti-osteoclastogenic cytokines and inhibiting inflammatory signaling pathways, thereby alleviating pain and promoting cartilage repair. Additionally, aerobic exercise contributes to weight control, reducing knee joint load and improving cartilage health. It also provides appropriate mechanical loading to facilitate osteogenesis and preserves muscle mass, particularly in the lower extremities, mitigating muscle loss and reducing joint pressure. Despite these benefits, the precise exercise modalities, patterns, and intensities for different KOA grades remain to be fully defined and require further clinical validation. Future research should focus on quantifying exercise prescriptions to optimize anti-inflammatory effects, muscle preservation, and cartilage regeneration, as well as exploring the potential of combining aerobic exercise with other training types to enhance outcomes.

Indexed as

aerobic exercisebiological mechanismexercise therapyknee osteoarthritisknee pain

Identifiers

PMID41312137
PMCPMC12646927

What Socratic 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 Socratic graph.