Kim Minkyeong, Kim Eunji, Kim Minjun, Moon Seok Min, Kim Minjung, Kim Dukjoong, Je Seoung Hyeon, Kang Heeyoung
Department of Neurology, Gyeongsang National University Hospital, Jinju, Korea.
OHRAE Incorporation, Busan, Korea.
J Clin Neurol. 2025 Jan;21(1):13-20. doi: 10.3988/jcn.2024.0328.
Parkinson's disease (PD) significantly impacts the quality of life via both motor and nonmotor symptoms. Exercise is a valuable nonpharmacological intervention that can alleviate PD symptoms and slow disease progression. Understanding the factors that motivate and restrict exercise in PD patients is essential for promoting engagement. This study aimed to identify the motivators and barriers affecting exercise in PD patients.
This cross-sectional study assessed exercise habits, motivators, and barriers among PD patients with a modified Hoehn and Yahr stage of ≤2.5. Participants were categorized into non-, low-, and high-exercise groups based on the World Health Organization guidelines. The International Physical Activity Questionnaire, the Korean version of the Sport Motivation Scale, and a barriers-to-exercise questionnaire were utilized.
Data from 165 of 196 enrolled patients were analyzed: 28 (17.0%), 88 (53.3%), and 49 (29.7%) in the non-, low-, and high-exercise groups, respectively. The nonexercise group demonstrated higher levels of fatigue and apathy, and more-severe cardiovascular, mood, intellectual, attention, gastrointestinal, and urinary symptoms. While all groups recognized the benefit of exercise, those in the nonexercise group viewed PD symptoms and depressive mood as major barriers, whereas those in the high-exercise group were primarily motivated by personal satisfaction.
This study highlights the importance of enjoyment and personal satisfaction to the maintenance of exercise habits among PD patients. By enhancing specific motivators and overcoming barriers, particularly PD symptoms and related nonmotor symptoms, tailored interventions can be implemented to increase exercise adherence and, eventually, improve the quality of life of PD patients.
帕金森病（PD）通过运动和非运动症状显著影响生活质量。运动是一种有价值的非药物干预措施，可减轻PD症状并减缓疾病进展。了解影响PD患者运动的动机和限制因素对于促进其参与运动至关重要。本研究旨在确定影响PD患者运动的动机和障碍。
本横断面研究评估了改良Hoehn和Yahr分期≤2.5的PD患者的运动习惯、动机和障碍。根据世界卫生组织指南，将参与者分为不运动、低运动量和高运动量组。使用了国际体力活动问卷、韩国版运动动机量表和运动障碍问卷。
对196名入组患者中的165名患者的数据进行了分析：不运动组28例（17.0%），低运动量组88例（53.3%），高运动量组49例（29.7%）。不运动组表现出更高水平的疲劳和冷漠，以及更严重的心血管、情绪、智力、注意力、胃肠道和泌尿系统症状。虽然所有组都认识到运动的益处，但不运动组的患者将PD症状和抑郁情绪视为主要障碍，而高运动量组的患者主要受个人满意度的激励。
本研究强调了愉悦感和个人满意度对PD患者保持运动习惯的重要性。通过增强特定的动机并克服障碍，特别是PD症状和相关的非运动症状，可以实施针对性的干预措施以提高运动依从性，并最终改善PD患者的生活质量。
