ArticleBMC sports science, medicine & rehabilitation2025
From theory into practice: insights from a real-world implementation model for tailored exercise prescription in chronic diseases.
Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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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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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough physical exercise is an evidence-based treatment for patients with chronic diseases, providing benefits in terms of morbidity, mortality and quality of life, its implementation in real-world healthcare systems is still limited. Even when physicians recommend physical activity, compliance and adherence to exercise programs remain very low. This study aims to implement a real-world model for tailored exercise prescription (TEP) in an outpatient clinic to evaluate feasibility, effectiveness, compliance and adherence.
methodsA TEP was set for each participant, based on a complete clinical and functional evaluation including cardiopulmonary exercise testing and fitness test battery. Subsequent supervised training sessions (STS) were performed for at least 6 weeks. After 6 months functional evaluations were repeated, also assessing compliance with general recommendations and adherence to the prescribed exercise program.
resultsA total of 312 patients (44% male) with a mean age of 52.1 ± 13.6 years were enrolled. The most frequent main chronic conditions were obesity (47%), solid organ transplantation (32%), primary cardiovascular diseases (8%) and cancer (4%). The initial STS program was completed by 85.9% of patients, all without adverse events. Patient compliance, measured as attendance at the follow-up meeting, was 53.2%, while adherence to the TEP during the 6-month program was 44.9%.
conclusionA real-word model for TEP followed by a period of STS is feasible in patients with chronic diseases in a real outpatient clinical setting. However, intervention strategies based on behavioral change and motivation are needed to foster greater compliance and adherence in the mid-to-long term.
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