Making preventive medicine more personalized. Implications for exercise-related research.
Open accessAbstract
Objective This commentary offers a discussion of the need to consider behavioral interventions such as physical exercise as integral components of personalized medicine. Methods We discuss the concept of personalized medicine and review existing evidence of variability in response to exercise training. Results We argue that increased understanding is needed regarding sources of variability in exercise responsiveness, and that such understanding should lead to more tailored, often multimodal interventions. Conclusion Studies of personalized medicine to date have primarily investigated heterogeneity in drug responsiveness; we believe it is time to begin considering preventive strategies such as exercise within a broader scope of personalized care.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is large interindividual heterogeneity in psychophysiological responses to acute physical exercises and in long-term adaptations to physical training.
“Based on the large interindividual heterogeneity (i) in psychophysiological responses to acute physical exercises and (ii) in long-term adaptions to a physical training”
From Dose-Response Matters! - A Perspective on the Exercise Prescription in Exercise-Cognition Research (2019) · cites this paper as Buford and Pahor, 2012
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Path to Personalized Medicine
Hamburg, M. A., & Collins, F. S. (2010) · New England Journal of Medicine · doi:10.1056/nejmp1006304 · Cited by 1,970 · see citing works
Weight loss, exercise, or both and physical function in obese older adults
Villareal, D. T., Chode, S., Parimi, N., Sinacore, D. R., Hilton, T., Armamento-Villareal, R., Napoli, N., Qualls, C., & Shah, K. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1008234 · Cited by 1,096 · see citing works
Messier, S. P., Loeser, R. F., Miller, G. D., Morgan, T. M., Rejeski, W. J., Sevick, M. A., Ettinger, W. H., Pahor, M., & Williamson, J. D. (2004) · Arthritis & Rheumatism · doi:10.1002/art.20256 · Cited by 1,065 · see citing works
Self-citationGenomic and personalized medicine: foundations and applications
Ginsburg, G. S., & Willard, H. F. (2009) · Translational Research · doi:10.1016/j.trsl.2009.09.005 · Cited by 637 · see citing works
Wang, L., McLeod, H. L., & Weinshilboum, R. M. (2011) · New England Journal of Medicine · doi:10.1056/nejmra1010600 · Cited by 613 · see citing works
Initial National Priorities for Comparative Effectiveness Research
(2010) · Critical Values · doi:10.1093/criticalvalues/3.1.16 · Cited by 394 · see citing works
The danger of weight loss in the elderly
Miller, S. L., & Wolfe, R. R. (2008) · The Journal of nutrition, health and aging · doi:10.1007/bf02982710 · Cited by 384 · see citing works
Effects of gender, age, and fitness level on response of VO2max to training in 60-71 yr olds
Kohrt, W. M., Malley, M. T., Coggan, A. R., Spina, R. J., Ogawa, T., Ehsani, A. A., Bourey, R. E., Martin, W. H., & Holloszy, J. O. (1991) · Journal of Applied Physiology · doi:10.1152/jappl.1991.71.5.2004 · Cited by 383 · see citing works
(2005) · PubMed · Cited by 354 · see citing works
Variability in Muscle Size and Strength Gain After Unilateral Resistance Training
Shrier, I. (2006) · Yearbook of Sports Medicine · doi:10.1016/s0162-0908(08)70354-4 · Cited by 348 · see citing works
The HERITAGE family study. Aims, design, and measurement protocol.
Bouchard, C., Leon, A. S., Rao, D. C., Skinner, J. S., Wilmore, J. H., & Gagnon, J. (1995) · PubMed · Cited by 331 · see citing works
The Lifestyle Interventions and Independence for Elders Study: Design and Methods
Fielding, R. A., Rejeski, W. J., Blair, S. N., Church, T. S., Espeland, M. A., Gill, T. M., Guralnik, J. M., Hsu, F.-C., Katula, J. A., King, A. C., et al. (2011) · The Journals of Gerontology Series A · doi:10.1093/gerona/glr123 · Cited by 278 · see citing works
Self-citationAims, design, and measurement protocol
BOUCHARD, C., LEON, A. S., RAO, D. C., SKINNER, J. S., WlLMORE, J. H., & GAGNON, J. (1995) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199505000-00015 · Cited by 271 · see citing works
Phenomics: the systematic study of phenotypes on a genome-wide scale
Bilder, R. M., Sabb, F. W., Cannon, T. D., London, E. D., Jentsch, J. D., Parker, D. S., Poldrack, R. A., Evans, C. J., & Freimer, N. B. (2009) · Neuroscience · doi:10.1016/j.neuroscience.2009.01.027 · Cited by 234 · see citing works
Volume of Exercise and Fitness Nonresponse in Sedentary, Postmenopausal Women
SISSON, S. B., KATZMARZYK, P. T., EARNEST, C. P., BOUCHARD, C., BLAIR, S. N., & CHURCH, T. S. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181896c4e · Cited by 160 · see citing works
Rejeski, W. J., Brubaker, P. H., Goff, D. C., Bearon, L. B., McClelland, J. W., Perri, M. G., & Ambrosius, W. T. (2011) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.522 · Cited by 156 · see citing works
The future: genes, physical activity and health
Booth, F. W., & Laye, M. J. (2010) · Acta Physiologica · doi:10.1111/j.1748-1716.2010.02117.x · Cited by 87 · see citing works
Anton, S. D., Manini, T. M., Milsom, V. A., Dubyak, P. J., Cesari, M., Cheng, J., Daniels, M. J., Marsiske, M., Pahor, M., Leeuwenburgh, C., et al. (2011) · Clinical Interventions in Aging · doi:10.2147/cia.s17001 · Cited by 83 · see citing works
Self-citationFunctional Polymorphisms Associated with Human Muscle Size and Strength
Thompson, P. D., Moyna, N. M., Seip, R. L., Price, T. B., Clarkson, P. M., Angelopoulos, T. J., Gordon, P. M., Pescatello, L. S., Visich, P. S., Zoeller, R. F., et al. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000132274.26612.23 · Cited by 77 · see citing works
Individual differences in the response to regular exercise.
Bouchard, C. (1995) · PubMed · Cited by 68 · see citing works
Pharmacogenetics of Coumarinic Oral Anticoagulants
Manolopoulos, V. G., Ragia, G., & Tavridou, A. (2010) · Pharmacogenomics · doi:10.2217/pgs.10.31 · Cited by 60 · see citing works
Genomics and personalized medicine.
Meadows, M. (2006) · PubMed · Cited by 45 · see citing works
Exercise Training in Heart Failure With Preserved Ejection Fraction
Kitzman, D. W. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2011.07.024 · Cited by 31 · see citing works
Frailty, Aging, and Cardiac Surgery Outcomes
Cleveland, J. C. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.07.021 · Cited by 29 · see citing works
The genomics and Personalized Medicine Act of 2006.
Obama, B. (2007) · PubMed · Cited by 29 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Herold, F., Törpel, A., Schega, L., & Müller, N. G. (2019) · European Review of Aging and Physical Activity · doi:10.1186/s11556-019-0217-2 · Cited by 349 · see citing works
Herold, F., Hamacher, D., Schega, L., & Müller, N. G. (2018) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2018.00228 · Cited by 295 · see citing works
Hortobágyi, T., Lesinski, M., Gäbler, M., VanSwearingen, J. M., Malatesta, D., & Granacher, U. (2015) · Sports Medicine · doi:10.1007/s40279-015-0371-2 · Cited by 204 · see citing works
Dose-Response Matters! - A Perspective on the Exercise Prescription in Exercise-Cognition Research
Herold, F., Müller, P., Gronwald, T., & Müller, N. G. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02338 · Cited by 196 · see citing works
Toward exercise as personalized medicine.
Buford, T. W., Roberts, M. D., & Church, T. S. (2013) · Sports Medicine · doi:10.1007/s40279-013-0018-0 · Cited by 158 · see citing works
Self-citationKobsar, D., Osis, S. T., Boyd, J. E., Hettinga, B. A., & Ferber, R. (2017) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-017-0309-z · Cited by 68 · see citing works
Optimizing the Benefits of Exercise on Physical Function in Older Adults
Buford, T., Anton, S. D., Clark, D. J., Higgins, T. J., & Cooke, M. B. (2013) · PM & R : the journal of injury, function, and rehabilitation · doi:10.1016/j.pmrj.2013.11.009 · Cited by 56 · see citing works
Self-citationUse of a physiological profile to document motor impairment in ageing and in clinical groups
Lord, S. R., Delbaere, K., & Gandevia, S. C. (2015) · The Journal of Physiology · doi:10.1113/jp271108 · Cited by 53 · see citing works
Kobsar, D., & Ferber, R. (2018) · Sensors · doi:10.3390/s18092828 · Cited by 46 · see citing works
A Method to Stop Analyzing Random Error and Start Analyzing Differential Responders to Exercise
Dankel, S. J., & Loenneke, J. P. (2019) · Sports Medicine · doi:10.1007/s40279-019-01147-0 · Cited by 44 · see citing works
Layne, A. S., Hsu, F., Blair, S. N., Chen, S.-H., Dungan, J., Fielding, R. A., Glynn, N. W., Hajduk, A. M., King, A. C., Manini, T. M., et al. (2016) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2016.07.019 · Cited by 44 · see citing works
Self-citationKobsar, D., Osis, S. T., Hettinga, B. A., & Ferber, R. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139923 · Cited by 41 · see citing works
Park, S.-K., Kobsar, D., & Ferber, R. (2016) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2016.08.009 · Cited by 36 · see citing works
Klamroth, S., Gaßner, H., Winkler, J., Eskofier, B. M., Klucken, J., Pfeifer, K., & Steib, S. (2019) · Neurology Report · doi:10.1097/npt.0000000000000291 · Cited by 28 · see citing works
Introduction to Personalized Medicine in Diabetes Mellitus
Glauber, H. S., Rishe, N. D., & Karnieli, E. (2014) · Rambam Maimonides Medical Journal · doi:10.5041/rmmj.10136 · Cited by 26 · see citing works
Prediabetes Phenotype Influences Improvements in Glucose Homeostasis with Resistance Training
Eikenberg, J. D., Savla, J. T., Marinik, E. L., Davy, K. P., Pownall, J., Baugh, M. E., Flack, K. D., Boshra, S. S., Winett, R. A., & Davy, B. M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0148009 · Cited by 26 · see citing works
Effect of genomics-related literacy on non-communicable diseases
Nakamura, S., Narimatsu, H., Katayama, K., Sho, R., Yoshioka, T., Fukao, A., & Kayama, T. (2017) · Journal of Human Genetics · doi:10.1038/jhg.2017.50 · Cited by 13 · see citing works
Beyond FITTPreprint
Herold, F., Zou, L., Theobald, P., Manser, P., Falck, R. S., Yu, Q., Liu-Ambrose, T. Y. L., Hillman, C. H., Kramer, A. F., Erickson, K. I., et al. (2024) · doi:10.51224/srxiv.411 · Cited by 6 · see citing works
Fatigue in Women with Fibromyalgia: A Gene-Physical Activity Interaction Study
Estévez‐López, F., Salazar‐Tortosa, D. F., Camiletti‐Moirón, D., Gavilán‐Carrera, B., Aparicio, V. A., Acosta‐Manzano, P., Segura‐Jiménez, V., Álvarez‐Gallardo, I. C., Carbonell‐Baeza, A., Munguía‐Izquierdo, D., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10091902 · Cited by 4 · see citing works
Use of heart rate variability in biomedical training control
Gallo‐Villegas, J. (2020) · Journal of Cardiovascular Medicine and Cardiology · doi:10.17352/2455-2976.000139 · Cited by 1 · see citing works
Nicoletti, C. F., de Oliveira, B. A. P., Pinhel, M. A. S., & Nonino, C. B. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816193-7.00021-x · Cited by 1 · see citing works
Kobsar, D. (2017) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/28515
Inleiding: Een kennismaking met de inspannings- en sportfysiologie
Kenney, L. W., Wilmore, J. H., COSTILL, D. L., & Lindauer, R. (2023) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2921-2_0
García-García, C., Moreno, L. G., Martínez, L. A., & Alacreu, M. (2026) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2026.1702851
Duque-Villarejo, V., Cabrera, S. R., Quiceno-Carmona, A., Mantilla-Gómez, F., Calderón, J. C., Aristizábal-Ocampo, D., & Gallo‐Villegas, J. (2026) · European Journal of Applied Physiology · doi:10.1007/s00421-026-06203-y
Li, G., & Li, Y. (2026) · Brain Structure and Function · doi:10.1007/s00429-026-03132-6
- Authors
- Buford, T. W., & Pahor, M.
- Affiliations
- University of Florida (US)
- Corresponding author
- Buford, Thomas W.
- ORCID
- Buford, Thomas W.
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 55
- Issue
- 1
- Pages
- 34-36
- ISSN
- 0091-7435 (ISSN-L)
- PMC
- PMC3612277
- OpenAlex
- W2058615952
- Cited by
- 28
- References
- 25
- Citations by year
- 2026: 3 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 7 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 2
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH
- University of Florida Claude D. Pepper Older Americans Independence Center (1P30AG028740)
- Clinical and Translational Science Institute (1KL2RR029888)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Physical Performance
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- personalized medicine, physical activity, behavioral interventions, multimodal intervention, personalized interventions
- MeSH terms
- Community-Institutional Relations, Health Policy, Health Promotion, Health Services Research, Humans, Organizational Innovation, Outcome and Process Assessment, Health Care, Pharmacogenetics, Physician-Patient Relations, Preventive Medicine, United States, Health Behavior, Exercise, Guideline Adherence, Genomics, Precision Medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review