Exercise Habits in People with Parkinson's: A Multinational Survey

Jagota P 1 , Phutrakool P 2 , Kamble N 3 , Dang THT 4 , Aldaajani Z 5 , Hatano T 6 Show all authors , Hoskere Sreenivasa DK 7 , Tripura T 8 , Kukkle PL 7 , Jeon B 9 , Nishikawa N 6 , Oji Y 6 , Tran TN 4 , Susatia F 10 , Fabbri M 11 , Leung C 11 , Alonso Canovas A 12 , Kamel WA 13 , Pal PK 3 , Rakesh K 3 , Abu Snineh M 14 , Chairangsaris P 15 , Lolekha P 16 , Jamora RDG 17 , Mohamed Ibrahim N 18 , Desa SHM 19 , Tan AH 20 , Toh TS 20 , Obaid M 21 , Fung VSC 22 , Lang A 23 , Lin CH 24 , Regragui W 25 , Bouslam N 25 , Bhidayasiri R 1

Affiliations 

  • 1 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
  • 2 Chula Data Management Center, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • 3 Department of Neurology, National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, India
  • 4 Movement Disorder Unit, Neurology Department, University Medical Center HCMC, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
  • 5 Neuroscience Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia
  • 6 Department of Neurology, Juntendo University Faculty of Medicine, Tokyo, Japan
  • 7 Parkinson's Disease and Movement Disorders Clinic, Bangalore, India
  • 8 Center for Parkinson's Disease and Movement Disorders, Manipal Hospital, Bangalore, India
  • 9 Department of Neurology, Seoul National University, Seoul, Republic of Korea
  • 10 Siloam Parkinson's Disease and Movement Disorders Center, Siloam Hospitals Kebon Jeruk, Jakarta, Indonesia
  • 11 Department of Neurosciences, Clinical Investigation Center CIC 1436, Parkinson Toulouse Expert Centre, NS-Park/FCRIN Network, Toulouse, and Multiple System Atrophy Reference Centre, CHU Toulouse, Toulouse, France
  • 12 Movement Disorders Unit, Hospital Ramón y Cajal, Madrid, Spain
  • 13 Neurology Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
  • 14 Department of Neurology, Hadassah Hebrew University Hospital, Jerusalem, Israel
  • 15 Neurology Division, Department of Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand
  • 16 Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
  • 17 Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  • 18 Neurology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • 19 Department of Nursing Services, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia
  • 20 Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 21 Neuroscience Department, King Fahad Medical City, Riyadh, Saudi Arabia
  • 22 Movement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia
  • 23 Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
  • 24 Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan
  • 25 Department of Neurology B, hôpital des Spécialités, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat, Université Mohamed V, Rabat, Morocco
Mov Disord Clin Pract, 2024 Aug 29.
PMID: 39206964 DOI: 10.1002/mdc3.14197

Abstract

BACKGROUND: 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.

OBJECTIVES: To investigate exercise preferences, levels, influencing factors among a diverse Parkinson's disease (PD) population, to understand exercise adoption patterns and plan informed interventions.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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