Individuals With Parkinson Disease Are Adherent to a High-Intensity Community-Based Cycling Exercise Program

Abstract

Background and Purpose: Parkinson disease is a progressive neurological disorder with no known cure or proven method of slowing progression. High-intensity, laboratory-based aerobic exercise interventions are currently being pursued as candidates for altering disease progression. The aim of this project was to evaluate the translation of a laboratory-based intervention to the community by monitoring exercise adherence (eg, attendance) and intensity (eg, heart rate [HR] and cadence) in 5 established Pedaling for Parkinson's exercise classes. A secondary aim was to determine the impact of disease severity and demographics variables on exercise adherence. Methods: A 12-month pragmatic design was utilized to monitor attendance, HR, and cadence during each Pedaling for Parkinson's class session. Over the course of 1 year, approximately 130 sessions were offered. Forty-nine (n = 30 males) persons with mild to moderate Parkinson disease from 5 community fitness facilities participated. Results: Out of the approximately 130 cycling sessions offered at each site over 12 months, 37% of the participants attended greater than 2 classes per week (80-130 total sessions), 47% attended 1 to 1.9 classes per week (40-79 total sessions), and less than 17% attended less than 1 class per week (<40 total sessions). Average pedaling cadence was 74.1 ± 9.6 rpms while average percentage of HR maximum was 68.9 ± 12.0%. There were no significant differences between cycling adherence and intensity variables based on disease severity, age, or sex. Discussion and Conclusions: Consistent attendance and exercise performance at moderate to high intensities are feasible in the context of a community-based Pedaling for Parkinson's class. Consistency and intensity of aerobic exercise have been proposed as critical fea-Department of Biomedical Engineering (A.

Community‐based high‐intensity cycling improves disease symptoms in individuals with Parkinson's disease: A six‐month pragmatic observational study

“…Several of the sites in this study offer free classes to the participants, while others charge a monthly membership fee to the facility. Notably, there was no difference in attendance or exercise performance across sites(Rosenfeldt et al, 2022), suggesting fee structure in this study population did not serve as a barrier or facilitator to exercise adherence.Further work should be conducted to minimise socioeconomic and racial disparities in community-based care to better understand factors associated with community-based exercise program utilization and adherence. 5 | CON CLUS ION Adherence data support the feasibility of translating a successful laboratory exercise protocol for people with PD to a community setting.…”

“…Depending on the facility and internet access at each site, one of the following monitoring systems were utilised for continuous exercise variable monitoring: FitMetrix Indoor Cycling System (Atlanta, GA), Stages Cycling Flight System (Boulder, CO), or the Wahoo Fitness mobile application (Atlanta, GA). FitMetrix and Stages Flight systems were web‐based group monitoring systems, while the Wahoo Fitness mobile application operated on each participant's smartphone; each has been described in detail in a previous publication (Rosenfeldt et al, 2022 ). Each participant was provided a Bluetooth Wahoo Fitness HR and cadence monitor, which was de‐identified using a study ID within the monitoring system.…”

“…We previously reported exercise adherence and intensity data from a cohort of 49 individuals with PD participating in the PFP program over a 12‐month period (Rosenfeldt et al, 2022 ). Data indicated that the majority of participants attend an average of 1–2 classes per week and exercise at a mean cadence of approximately 74 rpms.…”

Proceedings of the 2022 Neuromuscular Study Group Meeting

“…K. J. Suetterlin 1,2 , R. Männikkö 1 , E. Matthews 1,3 , L. Greensmith 1 , M.G. Hanna 1 , H. Bostock 1 , S.V.…”

“…Neurology,2 Biological Chemistry & Pharmacology,3 Molecular Genetics, OSU Wexner Medical Center, Columbus, Ohio Single nucleotide variants in the cargo-binding domain of KIF5A, a neuronal motor protein involved in transport along microtubules, have been linked to ALS. Specifically, the variants are clustered near exon 27 splice-site junctions.…”