Chulalongkorn Centre of Excellence for Parkinson's Disease and Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.
Chula Data Management Center, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Mov Disord Clin Pract. 2024 Nov;11(11):1396-1409. doi: 10.1002/mdc3.14197. Epub 2024 Aug 29.
Exercise has been demonstrated to result in improvements in physical function, cognition, and quality of life in People with Parkinson's (PwP) but its adoption is variable.
To investigate exercise preferences, levels, influencing factors among a diverse Parkinson's disease (PD) population, to understand exercise adoption patterns and plan informed interventions.
A cross-sectional survey collected data through online platforms and paper-based methods. The Exercise Index (ExI) calculated exercise level based on frequency and duration.
Of 2976 PwP, 40.6% exercised regularly, 38.3% occasionally, and 21.2% did not exercise. The overall mean ExI was 18.99 ± 12.37. Factors associated with high exercise levels included exercising in groups (ExI 24-26), weightlifting (ExI 27 (highest)), using muscle-building equipment (ExI 25-26), and exercising at home following an app (ExI 26). A positive trend between ExI and varied exercise groups, locations, types, and equipment was observed. No expected benefit from exercise achieved the lowest ExI (8). Having at least two exercise-promoting factors, a bachelor's degree or higher, receiving exercise advice at initial visits, and aged ≤40 years at PD onset were strong predictors of exercise (adjust OR = 7.814; 6.981; 4.170; 3.565). Falls and "other" most troublesome PD symptoms were negative predictors (aOR = 0.359; 0.466). Barriers to exercise did not predict the odds of exercise.
The study shows that PwP's exercise behavior is influenced by their exercise belief, age at PD onset, doctor's advice at initial visits, education level, symptoms, and exercise-promoting factors. High exercise levels were associated with certain types of exercises and exercising in groups.
运动已被证明能改善帕金森病患者的身体机能、认知能力和生活质量，但运动的采用情况却各不相同。
调查帕金森病患者（PwP）的运动偏好、水平和影响因素，了解运动采用模式并计划实施干预措施。
通过在线平台和纸质方法收集横断面调查数据。运动指数（ExI）根据频率和持续时间计算运动水平。
在 2976 名 PwP 中，40.6%经常运动，38.3%偶尔运动，21.2%不运动。总的 ExI 平均值为 18.99±12.37。与高运动水平相关的因素包括集体运动（ExI 24-26）、举重（ExI 27（最高））、使用肌肉锻炼设备（ExI 25-26）和按照应用程序在家运动（ExI 26）。观察到 ExI 与不同的运动群体、地点、类型和设备之间呈正相关趋势。未达到预期运动获益的患者（ExI 8）的 ExI 最低。具有至少两个促进运动的因素、学士学位或更高学历、在初次就诊时获得运动建议以及帕金森病发病时年龄≤40 岁是运动的有力预测因素（调整后的 OR=7.814；6.981；4.170；3.565）。跌倒和“其他”最麻烦的帕金森病症状是负面预测因素（aOR=0.359；0.466）。运动障碍并未预测运动的几率。
本研究表明，PwP 的运动行为受到运动信念、帕金森病发病年龄、初次就诊时医生的建议、教育水平、症状和促进运动的因素的影响。高运动水平与某些类型的运动和集体运动有关。
