The practice of physical activity and physical therapy in individuals with Parkinson's disease
DOI:
https://doi.org/10.11606/issn.2317-0190.v27i3a169050Keywords:
Parkinson Disease, Motor Activity, Physical Therapy ModalitiesAbstract
Objective: The present study aimed to evaluate the profile of physical activity (PA) and physical therapy in individuals with Parkinson's disease (PD). Methods: Patients were recruited from two Outpatient Movement Disorder Clinics (Ambulatório Bias Fortes, Universidade Federal de Minas Gerais, and Centro Metropolitano de Especialidades Médicas, Santa Casa de Belo Horizonte) between February and December 2019. Results: One hundred and eighty-five individuals answered a questionnaire with sociodemographic profiles, medical conditions, and the practice of PA and physical therapy. When comparing individuals from the two centers, differences were only observed concerning the frequency of comorbidities. Arterial hypertension proved to be the most prevalent comorbidity. Only 37.8% and 20.5% of the individuals reported practicing PA or physical therapy, respectively. Walking was the most common physical activity. Sedentary patients were older, had lower levels of education, presented a longer duration of PD, and were more affected by other comorbidities, when compared to more physically active patients. Conclusion: The present study shows the influence of age, education, and PD time on adherence to the practice of PA and physical therapy. Public health initiatives are needed to promote behavioral change and improve PA opportunities among individuals with PD.
Downloads
References
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-31.
Levine JA. Non-exercise activity thermogenesis (NEAT). Nutr Rev. 2004;62(7 Pt 2):S82-97. Doi: https://doi.org/10.1111/j.1753-4887.2004.tb00094.x
Abbruzzese G, Marchese R, Avanzino L, Pelosin E. Rehabilitation for Parkinson's disease: current outlook and future challenges. Parkinsonism Relat Disord. 2016;22 Suppl 1:S60-4. Doi: https://doi.org/10.1016/j.parkreldis.2015.09.005
Bouça-Machado R, Rosário A, Caldeira D, Castro Caldas A, Guerreiro D, Venturelli M, et al. Physical activity, exercise, and physiotherapy in parkinson's disease: defining the concepts. Mov Disord Clin Pract. 2019;7(1):7-15. Doi: https://doi.org/10.1002/mdc3.12849
Aaseth J, Dusek P, Roos PM. Prevention of progression in Parkinson's disease. Biometals. 2018;31(5):737-747. Doi: https://doi.org/10.1007/s10534-018-0131-5
Marras C, Canning CG, Goldman SM. Environment, lifestyle, and Parkinson's disease: Implications for prevention in the next decade. Mov Disord. 2019;34(6):801-811. Doi: https://doi.org/10.1002/mds.27720
Nag N, Jelinek GA. More Research Is Needed on Lifestyle Behaviors That Influence Progression of Parkinson's Disease. Front Neurol. 2019;10:452. Doi: https://doi.org/10.3389/fneur.2019.00452
Monteiro-Junior RS, Cevada T, Oliveira BR, Lattari E, Portugal EM, Carvalho A, et al. We need to move more: Neurobiological hypotheses of physical exercise as a treatment for Parkinson's disease. Med Hypotheses. 2015;85(5):537-41. Doi: https://doi.org/10.1016/j.mehy.2015.07.011
Uhrbrand A, Stenager E, Pedersen MS, Dalgas U. Parkinson's disease and intensive exercise therapy--a systematic review and meta-analysis of randomized controlled trials. J Neurol Sci. 2015;353(1-2):9-19. Doi: https://doi.org/10.1016/j.jns.2015.04.004
Flach A, Jaegers L, Krieger M, Bixler E, Kelly P, Weiss EP, Ahmad SO. Endurance exercise improves function in individuals with Parkinson's disease: A meta-analysis. Neurosci Lett. 2017;659:115-119. Doi: https://doi.org/10.1016/j.neulet.2017.08.076
Silva FC, Iop RDR, Oliveira LC, Boll AM, Alvarenga JGS, Gutierres Filho PJB, et al. Effects of physical exercise programs on cognitive function in Parkinson's disease patients: a systematic review of randomized controlled trials of the last 10 years. PLoS One. 2018;13(2):e0193113. Doi: https://doi.org/10.1371/journal.pone.0193113
Hirsch MA, Farley BG. Exercise and neuroplasticity in persons living with Parkinson's disease. Eur J Phys Rehabil Med. 2009;45(2):215-29.
Frazzitta G, Maestri R, Ghilardi MF, Riboldazzi G, Perini M, Bertotti G, et al. Intensive rehabilitation increases BDNF serum levels in parkinsonian patients: a randomized study. Neurorehabil Neural Repair. 2014;28(2):163-8. Doi: https://doi.org/10.1177/1545968313508474
He YY, Zhang XY, Yung WH, Zhu JN, Wang JJ. Role of BDNF in central motor structures and motor diseases. Mol Neurobiol. 2013;48(3):783-93. Doi: https://doi.org/10.1007/s12035-013-8466-y
Real CC, Ferreira AF, Chaves-Kirsten GP, Torrão AS, Pires RS, Britto LR. BDNF receptor blockade hinders the beneficial effects of exercise in a rat model of Parkinson's disease. Neuroscience. 2013;237:118-29. Doi: https://doi.org/10.1016/j.neuroscience.2013.01.060
van Nimwegen M, Speelman AD, Hofman-van Rossum EJ, Overeem S, Deeg DJ, Borm GF, et al. Physical inactivity in Parkinson's disease. J Neurol. 2011;258(12):2214-21. Doi: https://doi.org/10.1007/s00415-011-6097-7
Andreotti MC, Okuma SS. Perfil sociodemográfico e perfil inicial de idosos ingressantes em um programa de Educação Física. Rev Paul Educ. Fís. 2003;17(2):142-53. Doi: https://doi.org/10.11606/issn.2594-5904.rpef.2003.137571
Gomes SR, Trippo KV, Guimarães DO, Oliveira Filho J, Dominguez-Ferraz D. Motivation of elderly with Parkinson's disease submitted to functional training, aerobic exercise and exergame. Acta Fisiatr. 2018;25(3):119-23. Doi: https://doi.org/10.11606/issn.2317-0190.v25i3a162643
Sociedade Brasileira de Cardiologia. 7ª Diretriz Brasileira de Hipertensão Arterial. Arq Bras Cardiol. 2016;107(3 Supl.3) 1:3.
Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25 Suppl 3:1-72. Doi: https://doi.org/10.1111/sms.12581
Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The Physical Activity Guidelines for Americans. JAMA. 2018;320(19):2020-2028. Doi: https://doi.org/10.1001/jama.2018.14854
Phillips C, Baktir MA, Srivatsan M, Salehi A. Neuroprotective effects of physical activity on the brain: a closer look at trophic factor signaling. Front Cell Neurosci. 2014;8:170. Doi: https://doi.org/10.3389/fncel.2014.00170
El-Sayes J, Harasym D, Turco CV, Locke MB, Nelson AJ. Exercise-Induced Neuroplasticity: A Mechanistic Model and Prospects for Promoting Plasticity. Neuroscientist. 2019;25(1):65-85. Doi: https://doi.org/10.1177/1073858418771538
Spielman LJ, Little JP, Klegeris A. Physical activity and exercise attenuate neuroinflammation in neurological diseases. Brain Res Bull. 2016;125:19-29. Doi: https://doi.org/10.1016/j.brainresbull.2016.03.012
Wu PL, Lee M, Huang TT. Effectiveness of physical activity on patients with depression and Parkinson's disease: A systematic review. PLoS One. 2017;12(7):e0181515. Doi: https://doi.org/10.1371/journal.pone.0181515
Cusso ME, Donald KJ, Khoo TK. The Impact of Physical Activity on Non-Motor Symptoms in Parkinson's Disease: A Systematic Review. Front Med (Lausanne). 2016;3:35. Doi: https://doi.org/10.3389/fmed.2016.00035
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Acta Fisiátrica
![Creative Commons License](http://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.