Perceived exercise habits of individuals with Parkinson’s disease living in the community

The therapeutic effects of multimodal exercise for people with Parkinson's: A longitudinal community-based study

“…Although several exercise modalities have been investigated, it is not clear which modality and dose of exercise (i.e., type, duration, frequency and intensity) are superior to address PD symptoms and elicit a therapeutic response. Nonetheless, current advice [4] recommends working at a high intensity with goalrelated exercises (mimicking activities of daily living [ADLs]); using complex and combined movements with cognitive load, posture control, and promoting symmetry and full range of motion rather than performing individual exercise modalities alone [5][6][7][8][9]. Multimodal (MM) exercise interventions, which include multiple components of fitness (i.e., aerobic, flexibility, resistance, and neuromotor), potentially offer great utility due to their capacity to improve physical function and reduce PD's disability [7,8,[10][11][12].…”

Natural Walking Intensity in Persons With Parkinson Disease

“…Studies using accelerometry and estimated energy expenditure (eg, metabolic equivalents or kilocalories) reported that persons with PD tend to spend little time engaging in physical activity at the moderate to vigorous intensity range. 7,12,13,24,25 Similarly, studies describing moderate to vigorous intensity walking in terms of the number of minutes containing 100 steps and greater 26 found that persons with relatively mild PD generally engaged in few, if any, such minutes per day. 8,9 These studies, although informative, either focused on physical activity in general or narrowly focused only on moderate to vigorous intensity walking.…”

“…For example, in a study of perceived exercise habits in PD,23 participants never or only sometimes experienced typical symptoms associated with moderate-intensity physical activity (eg, sweating, shortness of breath, muscle soreness). Studies using accelerometry and estimated energy expenditure (eg, metabolic equivalents or kilocalories) reported that persons with PD tend to spend little time engaging in physical activity at the moderate to vigorous intensity range 7,12,13,24,25. Similarly, studies describing moderate to vigorous intensity walking in terms of the number of minutes containing 100 steps and greater26 found that persons with relatively mild PD generally engaged in few, if any, such minutes per day 8,9…”