Parkinson’s Disease Research, Education and Clinical Center, Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd, 127 PD, Houston, TX 77030, USA.
J Neurol. 2012 Aug;259(8):1686-93. doi: 10.1007/s00415-011-6400-7.
Movement disorder specialists have limited information on the specifics of how patients with Parkinson’s disease (PD) spend their time. We deemed it important to examine the relationships among activity and daily energy expenditure (DEE), non-motor symptoms, and body mass index in veterans with PD who were outpatients at a Veterans Affairs medical center. In this exploratory study, we mailed demographic and activity questionnaires and gathered data on 100 patients. Activity was categorized into five domains and three intensity levels, and DEE was measured in kilocalories. Light activities accounted for 64.9% of DEE (9.1 h), moderate activities for 32.9% (2.1 h), and vigorous activities for 2.2% (0.1 h) of DEE. Television viewing comprised 10.6% (2.5 h) of the day. The effects of non-motor symptoms were significantly associated with more time spent on activities of daily life (ADL). Patients rated fatigue and pain as having the greatest impact on their daily activities. The overweight/obese group of PD patients expended more overall DEE (p = 0.044) and more DEE on social activities (p = 0.024) and light intensity activities (p = 0.021) than did the underweight/normal group. Leisure activities for both groups changed from active to passive. Veterans with PD primarily expended DEE on ADL, TV viewing, and light intensity activities. Television viewing time may have been under reported. Movement disorder specialists can be more proactive in referring patients to physical therapy and encouraging their participation in community exercise and support groups.
运动障碍专家对帕金森病（PD）患者的时间分配细节知之甚少。我们认为，对退伍军人事务部医疗中心的 PD 门诊患者的活动与日常能量消耗（DEE）、非运动症状和体重指数之间的关系进行研究非常重要。在这项探索性研究中，我们邮寄了人口统计学和活动问卷，并收集了 100 名患者的数据。活动分为五个领域和三个强度级别，DEE 以千卡为单位进行测量。轻度活动占 DEE 的 64.9%（9.1 小时），中度活动占 32.9%（2.1 小时），剧烈活动占 DEE 的 2.2%（0.1 小时）。看电视占一天的 10.6%（2.5 小时）。非运动症状的影响与日常生活活动（ADL）的时间分配显著相关。患者认为疲劳和疼痛对他们的日常活动影响最大。超重/肥胖的 PD 患者组比体重不足/正常组的患者总体 DEE 消耗更多（p = 0.044），社交活动（p = 0.024）和轻强度活动（p = 0.021）的 DEE 消耗更多。两组的休闲活动都从主动变为被动。PD 退伍军人主要将 DEE 用于 ADL、看电视和轻强度活动。看电视的时间可能被低估了。运动障碍专家可以更积极地转介患者进行物理治疗，并鼓励他们参与社区锻炼和支持小组。
