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We did not find any difference in outcomes between exercise referral schemes and the other two comparator groups. None of the included trials separately reported outcomes in individuals with specific medical diagnoses. Substantial heterogeneity in the quality and nature of the exercise referral schemes across studies might have contributed to the inconsistency in outcome findings.Conclusions Considerable uncertainty remains as to the effectiveness of exercise referral schemes for increasing physical activity, fitness, or health indicators, or whether they are an efficient use of resources for sedentary people with or without a medical diagnosis.IntroductionPhysical activity contributes to the prevention and management of many medical conditions and diseases, including coronary heart disease, type 2 diabetes, some cancers, and mental illness cheap pandora, such as dementia and depression.1 2 Despite recommendations that adults should undertake at least 30 minutes of exercise of moderate intensity at least five times a week, only about a third are active to this level.3Primary care is a key setting for the promotion of physical activity.

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