Exercise Habits in People with Parkinson's: A Multinational Survey.
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Jagota Priya, Phutrakool Phanupong, Kamble Nitish, Dang Thuong Huyen Thi, Aldaajani Zakiyah, Hatano Taku, Hoskere Sreenivasa Deva Kumar, Tripura Telugu, Kukkle Prashanth Lingappa, Jeon Beomseok, Nishikawa Noriko, Oji Yutaka, Tran Tai Ngoc, Susatia Frandy, Fabbri Margherita, Leung Clémence, Alonso Canovas Araceli, Kamel Walaa A, Pal Pramod Kumar, Rakesh Kempaiah, Abu Snineh Muneer, Chairangsaris Parnsiri, Lolekha Praween, Jamora Roland Dominic G, Mohamed Ibrahim Norlinah, Desa Siti Hajar Mat, Tan Ai Huey, Toh Tzi Shin, Obaid Mona, Fung Victor S C, Lang Anthony, Lin Chin-Hsien, Regragui Wafa, Bouslam Naima, Bhidayasiri Roongroj
Аннотация
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.