HomeRecoletos Multidisciplinary Research Journalvol. 14 no. 1 (2026)

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.



References:

  1. Adams, J. (2013). The fourth age of research. Nature, 497(7451), 557–560. https://doi.org/10.1038/497557a
  2. American College of Sports Medicine. (n.d.). Exercise is medicine®. https://www.exerciseismedicine.org/
  3. Anderson, E., & Durstine, J. L. (2019). Physical activity, exercise, and chronic diseases: A brief review. Sports Medicine and Health Science, 1(1), 3–10. https://doi.org/10.1016/j.smhs.2019.08.006
  4. Aria, M., & Cuccurullo, C. (2017). Bibliometrix: An R-tool for comprehensive science mapping analysis. Journal of Informetrics, 11(4), 959–975. https://doi.org/10.1016/j.joi.2017.08.007
  5. Bi, S., Yuan, J., Wang, Y., Zhang, W., Zhang, L., Zhang, Y., Zhu, R., & Luo, L. (2024). Effectiveness of digital health interventions in promoting physical activity among college students: Systematic review and meta-analysis. Journal of Medical Internet Research, 26, e51714. https://doi.org/10.2196/51714
  6. Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. https://doi.org/10.1002/cphy.c110025
  7. Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., Horton, E. S., Castorino, K., & Tate, D. F. (2016). Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(11), 2065–2079. https://doi.org/10.2337/dc16-1728
  8. Coombes, J. S., Williams, A., & Radford, J. (2021). Training health professionals to provide physical activity counselling. Progress in Cardiovascular Diseases, 64, 76–82. https://doi.org/10.1016/j.pcad.2020.12.005
  9. Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017). The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiologic Reviews, 39(1), 71–92. https://doi.org/10.1093/epirev/mxx007
  10. Ding, D., Ramirez Varela, A., Bauman, A. E., Ekelund, U., Lee, I-Min., Heath, G., Katzmarzyk, P. T., Reis, R., & Pratt, M. (2020). Towards better evidence-informed global action: Lessons learnt from the Lancet series and recent developments in physical activity and public health. British Journal of Sports Medicine, 54(8), 462–468. https://doi.org/10.1136/bjsports-2019-101001
  11. Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285–296. https://doi.org/10.1016/j.jbusres.2021.04.070
  12. Freeman, K. J., Grega, M., Friedman, S., Patel, P., Stout, R., Campbell, T., Tollefson, M., Lianov, L., Pauly, K., Pollard, K., & Karlsen, M. (2021). Lifestyle medicine reimbursement: A proposal for policy priorities informed by a cross-sectional survey of lifestyle medicine practitioners. International Journal of Environmental Research and Public Health, 18(21), 11632. https://doi.org/10.3390/ijerph182111632
  13. Hernández-Beltrán, V., Espada, M. C., Santos, F. J., Ferreira, C. C., & Gamonales, J. M. (2023). Documents publication evolution (1990–2022) related to physical activity and healthy habits, a bibliometric review. Healthcare (Basel), 11(12), 1669. https://doi.org/10.3390/healthcare11121669
  14. Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89(9), 1322–1327. https://doi.org/10.2105/ajph.89.9.1322
  15. Leydesdorff, L., & Wagner, C. S. (2008). International collaboration in science and the formation of a core group. Journal of Informetrics, 2(4), 317–325. https://doi.org/10.1016/j.joi.2008.07.003
  16. Lobelo, F., Stoutenberg, M., & Hutber, A. (2014). The exercise is medicine global health initiative: A 2014 update. British Journal of Sports Medicine, 48(22), 1627–1633. https://doi.org/10.1136/bjsports-2013-093080
  17. Merton, R. K. (1968). The matthew effect in science: The reward and communication systems of science are considered. Science, 159(3810), 56–63. https://doi.org/10.1126/science.159.3810.56
  18. Pavey, T. G., Taylor, A. H., Fox, K. R., Hillsdon, M., Anokye, N., Campbell, J. L., Foster, C., Green, C., Moxham, T., Mutrie, N., Searle, J., Trueman, P., & Taylor, R. S. (2011). Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: Systematic review and meta-analysis. BMJ, 343, d6462. https://doi.org/10.1136/bmj.d6462
  19. Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports, 25(S3), 1–72. https://doi.org/10.1111/sms.12581
  20. Rebar, A. L., Stanton, R., Geard, D., Short, C., Duncan, M. J., & Vandelanotte, C. (2015). A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations. Health Psychology Review, 9(3), 366–378. https://doi.org/10.1080/17437199.2015.1022901
  21. Rennie, K., Ahern, A., King, B., Spillman, L., Hartley, P., Lawlor, E., & Wareham, N. (2020). Integration of physical activity promotion within primary and secondary care settings: Rapid evidence review and lessons from practice case studies. Public Health England. https://doi.org/10.17863/cam.64187
  22. Sallis, R. E. (2009). Exercise is medicine and physicians need to prescribe it! British Journal of Sports Medicine, 43, 3–4. https://doi.org/10.1136/bjsm.2008.054825
  23. Silva, C. S., Godinho, C., Encantado, J., Rodrigues, B., Carraça, E. V., Teixeira, P. J., & Silva, M. N. (2023). Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: A systematic review. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09881-y
  24. van Eck, N. J., & Waltman, L. (2010). Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics, 84(2), 523–538. https://doi.org/10.1007/s11192-009-0146-3
  25. Wagner, C. S., Whetsell, T. A., & Leydesdorff, L. (2017). Growth of international collaboration in science: Revisiting six specialties. Scientometrics, 110(3), 1633–1652. https://doi.org/10.1007/s11192-016-2230-9
  26. Waltman, L. (2016). A review of the literature on citation impact indicators. Journal of Informetrics, 10(2), 365–391. https://doi.org/10.1016/j.joi.2016.02.007
  27. Warburton, D. E. R., & Bredin, S. S. D. (2017). Health benefits of physical activity: A systematic review of current systematic reviews. Current Opinion in Cardiology, 32(5), 541–556. https://doi.org/10.1097/hco.0000000000000437
  28. World Health Organization. (2022). Global status report on physical activity 2022. https://www.who.int/publications/i/item/9789240059153
  29. World Health Organization. (2023). WHO report on the global tobacco epidemic, 2023: Protect people from tobacco smoke. https://www.who.int/publications/i/item/9789240077164