TY - JOUR
T1 - Back to the basics
T2 - Regular exercise matters in Parkinson's disease: Results from the National Parkinson Foundation QII registry study
AU - Oguh, O.
AU - Eisenstein, A.
AU - Kwasny, M.
AU - Simuni, T.
N1 - Publisher Copyright:
© 2014 Elsevier Ltd.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Background: There is a substantial interest in the impact of exercise on reduction of disability and rate of progression of Parkinson's disease (PD). Objective: The primary aim was to describe exercise habits of PD patients and factors associated with greater levels of exercise. The secondary aim was to explore whether regular exercise is associated with a slower decline of function, disease-related quality of life, and caregiver burden. Methods: The National Parkinson's Foundation (NPF) QII Registry data was used to analyze variables that correlate with levels of exercise in PD patients across disease severity. Subjects were categorized into three groups: non-exercisers (0min/week), low exercisers (1-150min/week), and regular exercisers (>150min/week). Health related outcomes, disease metrics, and demographic factors associated with exercise were examined using bivariate analyses. Multiple regression models controlled for disease duration, severity, and cognitive function. An exploratory analysis was completed on the association of baseline level of exercise with health outcomes at one year follow up. Results: 4866 subjects were included in the baseline analysis and 2252 subjects who had second visits were included in the longitudinal data. Regular exercisers at baseline were associated with better QOL, mobility, and physical function, less progression of disease, less caregiver burden and less cognitive decline one year later, after controlling for demographic and disease severity variables. Conclusions: This study provides important preliminary evidence of the beneficial effects of regular exercise in a large PD cohort. Longitudinal studies will be essential to confirm findings.
AB - Background: There is a substantial interest in the impact of exercise on reduction of disability and rate of progression of Parkinson's disease (PD). Objective: The primary aim was to describe exercise habits of PD patients and factors associated with greater levels of exercise. The secondary aim was to explore whether regular exercise is associated with a slower decline of function, disease-related quality of life, and caregiver burden. Methods: The National Parkinson's Foundation (NPF) QII Registry data was used to analyze variables that correlate with levels of exercise in PD patients across disease severity. Subjects were categorized into three groups: non-exercisers (0min/week), low exercisers (1-150min/week), and regular exercisers (>150min/week). Health related outcomes, disease metrics, and demographic factors associated with exercise were examined using bivariate analyses. Multiple regression models controlled for disease duration, severity, and cognitive function. An exploratory analysis was completed on the association of baseline level of exercise with health outcomes at one year follow up. Results: 4866 subjects were included in the baseline analysis and 2252 subjects who had second visits were included in the longitudinal data. Regular exercisers at baseline were associated with better QOL, mobility, and physical function, less progression of disease, less caregiver burden and less cognitive decline one year later, after controlling for demographic and disease severity variables. Conclusions: This study provides important preliminary evidence of the beneficial effects of regular exercise in a large PD cohort. Longitudinal studies will be essential to confirm findings.
KW - Exercise
KW - Falls
KW - PDQ-39
KW - Parkinson's disease
KW - Quality of life
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U2 - 10.1016/j.parkreldis.2014.09.008
DO - 10.1016/j.parkreldis.2014.09.008
M3 - Article
C2 - 25258329
AN - SCOPUS:84908570183
VL - 20
SP - 1221
EP - 1225
JO - Parkinsonism and Related Disorders
JF - Parkinsonism and Related Disorders
SN - 1353-8020
IS - 11
ER -