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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(02): 112-116
DOI: 10.1590/0004-282X20160009
ARTICLE

Main determinants of physical activity levels in individuals with Parkinson’s disease

Fatores determinantes do nível de atividade física de indivíduos com doença de Parkinson
Raquel de Carvalho Lana
1   Universidade Federal de Minas Gerais, Programa de Pós-graduação em Ciências da Reabilitação, Belo Horizonte MG, Brazil;
,
Lysandra Nogueira de Araujo
2   Universidade Federal de Minas Gerais, Departamento de Fisioterapia, Belo Horizonte MG, Brazil;
,
Francisco Cardoso
3   Universidade Federal de Minas Gerais, Departamento de Medicina Interna, Belo Horizonte MG, Brazil.
,
Fátima Rodrigues-de-Paula
2   Universidade Federal de Minas Gerais, Departamento de Fisioterapia, Belo Horizonte MG, Brazil;
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ABSTRACT

This study analyzed the relationship between patient characteristics, factors associated with Parkinson’s disease (PD), and physical activity level of individuals affected by the disease. Forty-six volunteers with mild-to-moderate idiopathic PD were assessed using sections II/III of the Unified Parkinson’s Disease Rating Scale and their motor functions were classified according to the modified Hoehn and Yahr (HY) scale. Data such as age, disease duration, the Human Activity Profile (HAP), the Fatigue Severity Scale were collected. Lower limb bradykinesia and clinical subtypes of PD were defined. Two models that explained 76% of the variance of the HAP were used. The first comprised age, ability to perform activities of daily living (ADL), and the HY scale; the second comprised age, ability to perform ADL, and lower limb bradykinesia. Possible modifiable factors such as the ability to perform ADL and lower limb bradykinesia were identified as predictors of physical activity level of individuals with PD.

RESUMO

Este estudo analisou a relação entre características dos pacientes, fatores associados com a doença de Parkinson (DP) e nível de atividade física de indivíduos afetados pela doença. Quarenta e seis voluntários com DP leve a moderada foram avaliados usando a Escala de Avaliação Unificada da Doença de Parkinson (UPDRS), e classificados de acordo com a Escala de Hoehn e Yahr modificada (HY). Dados como idade, duração da doença, Perfil de Atividade Humana (PAH), Escala da Severidade da Fatiga (FSS) foram coletados. Bradicinesia de membros inferiores e subtipos clínicos foram definidos. Dois modelos que explicaram 76% da variância do PAH foram observados. O primeiro compreende idade, habilidade de realizar Atividades de Vida Diária (AVD) e a escala de HY modificada; e o segundo compreende idade, habilidade de realizar AVD, e bradicinesia. Fatores modificáveis como a habilidade de realizar AVD e bradicinesia foram identificados como preditores do nível de atividade física de indivíduos com DP.

Parkinson’s disease - physical activity - bradykinesia - fatigue
doença de Parkinson - atividade física - bradicinesia - fadiga

Support: Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Pró-reitoria de Pós-graduação da Universidade Federal de Minas Gerais (UFMG).




Publication History

Received: 31 October 2014

Accepted: 13 October 2015

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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