Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis
Authors' conclusion
Higher or lower compliance with ACSM exercise prescription guidelines did not influence exercise outcomes.
Study context
- Population
- RCTs of resistance and/or aerobic exercise for knee osteoarthritis (OA)
- Comparison
- Higher vs lower compliance with American College of Sports Medicine (ACSM) exercise prescription guidelines
- Outcome
- Pain and function
Methodological detailsstratified by compliance with ACSM guidelines
- Stratified by compliance with ACSM guidelines
Pooled result
As reported in the abstract
Pain, combined resistance and aerobic programs (25 trials, 3,290 participants)
| Group | SMD | 95% CI |
|---|---|---|
| Higher compliance | −0.38 | −0.59 to −0.17 |
| Lower compliance | −0.31 | −0.45 to −0.16 |
SMD
Higher compliance−0.38
Lower compliance−0.31
95% CI
Higher compliance−0.59 to −0.17
Lower compliance−0.45 to −0.16
Further pooled results
| Outcome | Higher compliance | Lower compliance |
|---|---|---|
| Function, combined resistance and aerobic programs | ||
| SMD | −0.43 | −0.36 |
| 95% CI | −0.64 to −0.21 | −0.58 to −0.14 |
| Pain, resistance exercise (66 trials, 5,231 participants) | ||
| SMD | −0.60 | −0.93 |
| 95% CI | −0.81 to −0.39 | −1.27 to −0.59 |
| Function, resistance exercise | ||
| SMD | −0.64 | −0.85 |
| 95% CI | −0.83 to −0.44 | −1.20 to −0.49 |
| Pain, aerobic exercise (12 trials, 958 participants) | ||
| SMD | −0.79 | −1.00 |
| 95% CI | −1.20 to −0.38 | −2.52 to 0.53 |
| Function, aerobic exercise | ||
| SMD | −0.83 | −0.76 |
| 95% CI | −1.27 to −0.38 | −2.02 to 0.50 |
Pain, resistance exercise (66 trials, 5,231 participants)
- No differences between higher and lower compliance
Pain, aerobic exercise (12 trials, 958 participants)
- No differences between higher and lower compliance
Original publication
Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis. Arthritis Care Res (Hoboken). Published 15 November 2024. doi:10. 1002/ acr. 25451
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