Department of Neurobiology (B.L., M.H., D.A.C., E.F.), Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden; Research and Development Department (B.L., E.F.), Stockholm Sjukhem's Foundation, Stockholm, Sweden; Academic Primary Care Centre (M.H.), Region Stockholm, Stockholm, Sweden; and Medical Unit Occupational Therapy & Physiotherapy (D.M.C., E.F.), Theme Women's Health and Allied Health Professional, Karolinska University Hospital, Stockholm, Sweden.
J Neurol Phys Ther. 2021 Oct 1;45(4):266-272. doi: 10.1097/NPT.0000000000000372.
People with Parkinson disease (PD) are known to be at risk of physical inactivity and may therefore be especially vulnerable to negative health outcomes during the COVID-19 pandemic due to social distancing recommendations.
To investigate sensor-derived physical activity and perceived health of people with PD during the first wave of the COVID-19 pandemic, as well as the factors associated with these outcomes.
Physical activity was measured over 7 days using the Actigraph GT3x accelerometer. Data were collected regarding perceived health status and physical activity habits, as well as rehabilitation attendance during the pandemic. Multiple linear and logistic regression analyses were used to identify factors associated with physical activity and perceived changes in health.
Of 89 participants, a majority (67%) reported a pandemic-related reduction in exercise habits. Women more commonly reported a reduction in scheduled exercise and cancelled rehabilitation than men. Study participants took on average 5876 ± 3180 steps per day. In the multivariate analysis, female gender, being 70 years of age and older, and greater reported mobility problems were associated with being less physically active. A pandemic-induced deterioration in health was reported by 42% and women were 5 times more likely than men to do so (odds ratio: 5.12, 95% confidence interval, 1.87-15.03; P = 0.002).
Despite a pandemic-related reduction in reported exercise habits and rehabilitation, the participants in this Swedish sample were relatively physically active. However, women were less active at moderate-vigorous levels and were at greater risk of deterioration in perceived health during this time.Video Abstract available for more insight from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A359).
已知帕金森病（PD）患者存在身体活动不足的风险，因此由于社交距离建议，他们在 COVID-19 大流行期间可能特别容易出现负面健康后果。
调查 COVID-19 大流行第一波期间 PD 患者的传感器衍生身体活动和感知健康状况，以及与这些结果相关的因素。
使用 Actigraph GT3x 加速度计在 7 天内测量身体活动。收集了关于感知健康状况和身体活动习惯的数据，以及大流行期间的康复出勤率。使用多元线性和逻辑回归分析来确定与身体活动和感知健康变化相关的因素。
在 89 名参与者中，大多数（67%）报告说与大流行相关的锻炼习惯减少。女性比男性更常见地报告减少计划锻炼和取消康复。研究参与者平均每天走 5876±3180 步。在多变量分析中，女性、70 岁及以上以及报告的行动问题更大与身体活动减少有关。42%的人报告健康状况恶化，女性比男性更有可能恶化（比值比：5.12，95%置信区间，1.87-15.03；P=0.002）。
尽管与大流行相关的报告锻炼习惯和康复减少，但瑞典样本中的参与者仍然相对活跃。然而，女性在中高强度水平上的活动较少，并且在此期间更有可能出现感知健康恶化的风险。视频摘要可从作者处获得更多见解（请观看视频，补充数字内容 1，可在 http://links.lww.com/JNPT/A359 处获取）。
