Cross-Model Consistency of AI-Generated Exercise Prescriptions: A Repeated Generation Study Across Three Large Language Models

This study compared repeated generation consistency of exercise prescription outputs across three large language models (LLMs), specifically GPT-4.1, Claude Sonnet 4.6, and Gemini 2.5 Flash, under temperature=0 conditions. Each model generated prescriptions for six clinical scenarios 20 times, yielding 360 total outputs analyzed across four dimensions: semantic similarity, output reproducibility, FITT classification, and safety expression. Mean semantic similarity was highest for GPT-4.1 (0.955), followed by Gemini 2.5 Flash (0.950) and Claude Sonnet 4.6 (0.903), with significant inter-model differences confirmed (H = 458.41, p < .001). Critically, these scores reflected fundamentally different generative behaviors: GPT-4.1 produced entirely unique outputs (100%) with stable semantic content, while Gemini 2.5 Flash showed pronounced output repetition (27.5% unique outputs), indicating that its high similarity score derived from text duplication rather than consistent reasoning. Identical decoding settings thus yielded fundamentally different consistency profiles, a distinction that single-output evaluations cannot capture. Safety expression reached ceiling levels across all models, confirming its limited utility as a differentiating metric. These results indicate that model selection constitutes a clinical rather than merely technical decision, and that output behavior under repeated generation conditions should be treated as a core criterion for reliable deployment of LLM-based exercise prescription systems.

Consistency of AI-Generated Exercise Prescriptions: A Repeated Generation Study Using a Large Language Model

Background: Large language models (LLMs) have been explored as tools for generating personalized exercise prescriptions, yet the consistency of outputs under identical conditions remains insufficiently examined. Objective: This study evaluated the intra-model consistency of LLM-generated exercise prescriptions using a repeated generation design. Methods: Six clinical scenarios were used to generate exercise prescriptions using Gemini 2.5 Flash (20 outputs per scenario; total n = 120). Consistency was assessed across three dimensions: (1) semantic consistency using SBERT-based cosine similarity, (2) structural consistency based on the FITT principle using an AI-as-a-judge approach, and (3) safety expression consistency, including inclusion rates and sentence-level quantification. Results: Semantic similarity was high across scenarios (mean cosine similarity: 0.879-0.939), with greater consistency in clinically constrained cases. Frequency showed consistent patterns, whereas variability was observed in quantitative components, particularly exercise intensity. Unclassifiable intensity expressions were observed in 10-25% of resistance training outputs. Safety-related expressions were included in 100% of outputs; however, safety sentence counts varied significantly across scenarios (H=86.18, p less than 0.001), with clinical cases generating more safety expressions than healthy adult cases. Conclusions: LLM-generated exercise prescriptions demonstrated high semantic consistency but showed variability in key quantitative components. Reliability depends substantially on prompt structure, and additional structural constraints and expert validation are needed before clinical deployment.