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REVIEW article

Front. Public Health

Sec. Aging and Public Health

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1643407

This article is part of the Research TopicExercise as a Central Pillar for Targeted Health and PerformanceView all 9 articles

Research Progress on Zero-Time Exercise Interventions in Patients with Chronic Diseases:A Narrative Review

Provisionally accepted
  • 1China Three Gorges University, Yichang, China
  • 2Yichang Central People's Hospital, Yichang, China

The final, formatted version of the article will be published soon.

Traditional exercise programs are often challenging for patients with chronic diseases due to time constraints, physical limitations, and other barriers. Zero-time exercise (ZETx) is an innovative approach that requires no additional time, equipment, or financial investment, making it particularly suitable for these patients. This narrative review aims to explore the conceptual framework, theoretical foundations, and health benefits of ZETx, as well as its acceptability and adherence among chronic disease patients. We conducted a comprehensive search in electronic databases (PubMed, Embase, Web of Science, Cochrane Library) using relevant search terms related to ZETx. Studies published in English and focusing on ZETx interventions were included. The search spanned from the inception of the databases to July 2025. ZETx interventions have demonstrated significant health benefits, including improvements in cardiorespiratory function, musculoskeletal health, cognitive function, and metabolic parameters. Additionally, ZETx has been found to be highly acceptable and feasible among chronic disease patients, with adherence rates exceeding those of traditional exercise programs. Future research should focus on standardizing exercise prescriptions, leveraging technological innovations such as wearable devices and virtual reality, and developing multidisciplinary intervention models. This approach has the potential to transform current practice paradigms in chronic disease management by providing a novel pathway for improving cardiovascular health, metabolic capacity, and overall well-being.

Keywords: zero-timeexercise, chronic diseases, physicalactivity, Healthbehavior, Exercise prescription

Received: 08 Jun 2025; Accepted: 23 Oct 2025.

Copyright: © 2025 Ban, Li and Yue. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Chaxiang Li, 2938634818@qq.com

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