PARKINSON DISEASE (Disorder), Physical Activity, Sedentary Behaviors
Conditions
Keywords
Parkinson's disease, Physical activity, activity monitors, accelerometers
Brief summary
This project aims to identify why some people with Parkinson's disease (PwPD) become less physically active, and which factors support or hinder activity. Understanding these factors is essential for developing person centred interventions and effective support that can be implemented in routine healthcare. A national, multicentre longitudinal cohort study will be conducted including approx 450 PwPD from five Swedish regions (including the internal pilot NCT06901869). Physical activity will be measured objectively with activity monitors, combined with clinical assessments and digital questionnaires over four years. The primary outcome is physical activity level (accelerometer measured decline), and exposure variables include physical, cognitive, disease specific, social, environmental, motivational, and personal factors. Data collection involves clinical tests, questionnaires, accelerometer data, and patient reported experiences. This is a continuation of an internal pilot study NCT06901869. The study will enable early identification of those at risk for declining activity and guide development of person centred, evidence based interventions. Long term, it aims to integrate activity monitoring and risk factor screening into routine care to improve health and quality of life for PwPD.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* People diagnosed with idiopathic Parkinson's disease * Hoehn \& Yahr 1 to 4
Exclusion criteria
* Hoehn \& Yahr 5 (i.e. wheelchair bound or bedridden unless aided) * Unable to perform critical physical activity and clinical assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity - low and moderate intensity | Baseline and yearly follow-ups for 3 years | The primary outcome is changes over time in PA (i.e. low + moderate-vigorous intensity PA in time spent per day) measured with accelerometers (Actigraph GT3X+, Pensacola, FL, US) during 7 days in people with Parkinson's disease everyday life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity - total vector magnitude | Baseline and yearly follow-ups for 3 years | The secondary outcomes are change over time in total vector magnitude measured with accelerometers (Actigraph GT3X+, Pensacola, FL, US) during 7 days in people with Parkinson's disease everyday life. |
| Physical activity - low intensity | Baseline and yearly follow-ups for 3 years | The secondary outcomes are change in time spent in low intensity physical activity per day measured with accelerometers (Actigraph GT3X+, Pensacola, FL, US) during 7 days in people with Parkinson's disease everyday life. |
| Physical activity - moderate high intensity | Baseline and yearly follow-ups for 3 years | The secondary outcomes are change in time spent in moderate-vigorous physical activity per day measured with accelerometers (Actigraph GT3X+, Pensacola, FL, US) during 7 days in people with Parkinson's disease everyday life. |
| Physical activity- sedentary | Baseline and yearly follow-ups for 3 years | The secondary outcomes are change in sedentary time per day measured with accelerometers (Actigraph GT3X+, Pensacola, FL, US) during 7 days in people with Parkinson's disease everyday life. |
| Physical activity - steps | Baseline and yearly follow-ups for 3 years | The secondary outcomes are change in steps per day measured with accelerometers (Actigraph GT3X+, Pensacola, FL, US) during 7 days in people with Parkinson's disease everyday life. |
Countries
Sweden
Contacts
Karolinska Institutet