Scientific Mapping of Exercise Integration in Chronic Disease Management: Systemic Pathways toward Equitable and Sustainable Population Health
Christie Lynne Codod
Discipline: health studies
Abstract:
Background: Most people recognize exercise as a central strategy in chronic
disease management; however, the global structure and evolution of research
in this field remain insufficiently understood. This study presents a scientometric
analysis of 14,517 peer-reviewed articles indexed in Scopus from 1938 to 2024 to
examine publication trends, intellectual structure, collaboration networks, and
thematic evolution within the Exercise-is-Medicine paradigm and integrated care.
Methods: Bibliometric methods using Bibliometrix (R) and VOSviewer were
applied to analyze citation patterns, co-authorship linkages, and keyword cooccurrence.
Results: Results demonstrate sustained growth in research output, with
strong concentration in high-income countries, reflecting persistent global
inequalities in knowledge production and influence. Citation structures are
predominantly anchored in cardiovascular and respiratory clinical guidelines,
indicating disciplinary dominance that shapes research priorities and
standards. Core themes remain focused on pulmonary rehabilitation and
cardiometabolic conditions. At the same time, emerging areas such as digital
health, self-management, and primary care integration signal a shift toward
implementation-oriented and population-health approaches. These trends
indicate a transition from clinically bound rehabilitation models to more
integrated care frameworks.
Conclusion: Strengthening global collaboration and advancing scalable,
system-level implementation strategies are essential to ensure equitable
integration of exercise into healthcare systems worldwide.
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