Factors Influencing Habitual Physical Activity in Parkinson’s Disease: Considering the Psychosocial State and Wellbeing of People with Parkinson’s and Their Carers

Sensors

on behalf of the ICICLE-PD Study Group¹  Alison J. Yarnall²  Rachael A. Lawson²  Lisa Alcock²  Ríona Mc Ardle²  Silvia Del Din²  Lynn Rochester²  David J. Burn³  Rosie Morris⁴ 

[1] ;Faculty of Medical Sciences, Translational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne NE4 5TG, UK;Newcastle Upon Tyne Hospital NHS Foundation Trust, Newcastle Upon Tyne NE7 7DN, UK;Sport, Exercise and Rehabilitation Department, Northumbria University, Newcastle Upon Tyne NE7 7YT, UK;

关键词: Parkinson’s disease;    habitual physical activity;    wearable technology;    wellbeing;    carer;    accelerometer;   

DOI  :  10.3390/s22030871

来源: DOAJ

【 摘 要 】

Participating in habitual physical activity (HPA) may slow onset of dependency and disability for people with Parkinson’s disease (PwP). While cognitive and physical determinants of HPA are well understood, psychosocial influences are not. This pilot study aimed to identify psychosocial factors associated with HPA to guide future intervention development. Sixty-four PwP participated in this study; forty had carer informants. PwP participants wore a tri-axial accelerometer on the lower back continuously for seven days at two timepoints (18 months apart), measuring volume, pattern and variability of HPA. Linear mixed effects analysis identified relationships between demographic, clinical and psychosocial data and HPA from baseline to 18 months. Key results in PwP with carers indicated that carer anxiety and depression were associated with increased HPA volume (p < 0.01), while poorer carer self-care was associated with reduced volume of HPA over 18 months (p < 0.01). Greater carer strain was associated with taking longer walking bouts after 18 months (p < 0.01). Greater carer depression was associated with lower variability of HPA cross-sectionally (p = 0.009). This pilot study provides preliminary novel evidence that psychosocial outcomes from PwP’s carers may impact HPA in Parkinson’s disease. Interventions to improve HPA could target both PwP and carers and consider approaches that also support psychosocial wellbeing.

【 授权许可】

Unknown