Sedentary Behavior and Quality of Life in Individuals With Parkinson’s Disease

Abstract

Background. Sedentary behavior is a growing public health concern and may have particular relevance for the Parkinson disease (PD) population. However, the influence of sedentary time on factors associated with quality of life (QOL) in PD is unknown. The primary purpose of this study was to examine relationships between sedentary behaviors and markers of PD-specific QOL. A secondary purpose was to examine relationships between physical activity behaviors and QOL. Methods. We assessed sedentary and active behaviors using objective and interview measures and examined relationships between these behaviors and a measure of PD-specific QOL in individuals with PD. Results. Results demonstrated that sedentary time was significantly related to several aspects of QOL, including perceived deficits in the domains of mobility, cognitive processing, and communication. Additionally, results showed that time spent watching television was more strongly associated with lower levels of QOL than other more engaging sedentary activities. For physical activity, relationships between objective measures and QOL were weaker and only significantly associated with mobility. Time spent doing housework was associated with lower levels of QOL, whereas time spent in recreational activity was associated with lower levels of discomfort. Discussion. These results suggest that targeting decreases in sedentary behaviors (eg, reducing time spent watching television, breaking up prolonged bouts of sedentary time) may be effective for improving QOL in individuals with PD.

Physical activity profiles in Parkinson’s disease

“…Although this group spent time in LIPA in the morning, this activity drops steadily from midday onwards, explaining a total activity count that is 75% lower than "Steady Movers". It is previously reported that prolonged bouts of SB appear characteristic of more advanced PD compared to controls [37] and these uninterrupted bouts also appear more strongly associated with quality of life in this group [38]. A feasible starting point for PA promotion for this group, could be to break up bouts of prolonged sitting in the afternoon and evening time.…”

The Association of Objectively Measured Physical Activity and Sedentary Behavior with (Instrumental) Activities of Daily Living in Community-Dwelling Older Adults: A Systematic Review

“…A total of 24,959 (range: 23 to 3749) community-dwelling older adults were included with mean or median age ranging from 60.0 to 92.3 years and, on average, populations were 54.6% female. In 11 articles, specific disease groups were studied: osteoarthritis (OA), 34 , 36 , 44 , 54 chronic obstructive pulmonary disease (COPD), 28 , 39 , 45 , 56 cirrhosis, 37 Parkinson’s disease, 38 and stroke survivors. 40 Longitudinal associations were reported in six articles 27 , 31 , 34 , 36 , 53 , 54 (mean follow-up period of 3.1 years) and represented 7554 older adults with mean or median age ranging from 62.4 to 80.6 years (56.8% female); remaining articles reported cross-sectional associations ( Table 1 ).…”

“…Accelerometers were used in 28 studies, while two studies 27 , 28 used pedometers to objectively measure PA/SB ( Table 3 ). The following measures of PA/SB were included: number of steps (or walking duration), 27 , 28 , 37 , 38 , 41 , 44 , 45 , 50 , 55 activity counts (or accelerations, movement intensity), 29 , 33 , 42 , 43 , 45 , 49 , 53 , 55 , 56 energy expenditure (EE), 31 , 37 , 45 , 50 duration (in different units of time) of total PA (TPA) (or mobile duration), 45 , 47 , 51 , 56 moderate to vigorous PA (MVPA) (or moderate PA (MPA) or vigorous PA (VPA) individual), 30–32 , 34 , 36–40 , 46–49 , 51 , 52 , 54 , 55 light PA (LPA), 34 , 40 , 47 , 49 , 52 , 55 and SB (or lying duration, immobile time), 30–32 , 35 , 37 , 38 , 40 , 43 , 45 , 47 , 49 , 52 , 55 breaks per sedentary hour (SB break rate), 52 and breaks in sedentary time (BST). 32 , 52 , 55 …”

Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial

“…On the other hand, using the present design, we managed to explore the differences between a widely used training method (FW) and a new method (NW). We aimed to perform a clinical trial testing the superiority of a relatively new endurance modality (NW) against a well-known endurance activity (FW) that has already shown positive results in the literature [ 28 , 29 , 30 ]. Third, the limitations include the short time of the intervention.…”