Motivators and Barriers to Exercise in Parkinson's Disease
Motivators and Barriers to Exercise in Parkinson's Disease
复制标题
DOI：
10.3233/jpd-171173
复制
发表时间：
2017-01-01
影响因子：
5.2
通讯作者：
Bega, Danny
中科院分区：
文献类型：
--
作者：
Afshari, Mitra;Yang, Amy;Bega, Danny
背景：尽管有证据表明锻炼对帕金森病(PD)有好处，但许多患者仍出于不明原因而久坐不动。目的：比较低运动者(每周3小时)和高运动者(每周3小时)的锻炼习惯、对锻炼的看法以及锻炼障碍。方法：在一家门诊学术中心对PD患者进行了一项48项调查。采用卡方检验比较低运动量和高运动量者之间的百分比差异，采用双侧检验，显著性水平为0.05。结果：3个月共收集到243份调查问卷，其中28份因资料不完整而排除，215份待分析。49.3%的人称自己做了“低”运动，50.7%的人说自己做了“高”运动。高运动者参加高强度运动养生(83.4%比32.1%，p=0.001)。高运动量的人在确诊后更有可能开始锻炼(54.2%比27.8%，p<；0.001)，而低运动量的人更有可能减少运动量(40.2%比15.9%，p<；0.001)。运动量少的人需要更多的激励因素。这两组人都受益于有一个重要的另一半或私人教练激励他们，如果他们的神经科医生鼓励他们，两组都更有可能锻炼。低运动量的人报告的障碍是高运动者的两倍(p=0.001)。在低运动量的人中，更常见的障碍是：缺乏人来激励他们(33.3%比10.5%，p<；0.001)，疲劳(20.8%比15.2%，p=0.005)和抑郁(16.7%比7.6%，p=0.045)。结论：经常锻炼的帕金森病患者和不经常锻炼的人在动机和障碍方面存在显著差异。在为PD患者量身定做鼓励锻炼的建议时，以及在设计未来的干预措施时，应该考虑这些发现。
Background: Despite evidence for the benefits of exercise in Parkinson's disease (PD), many patients remain sedentary for undefined reasons.Objective: To compare exercise habits, perceptions about exercise, and barriers to exercise in 'low' (< 3 h/week) and 'high' (>= 3 h/week) exercisers with PD.Methods: A 48-item survey was administered to PD patients at an outpatient academic center. Chi-squared tests were used to compare the percentage differences between low-and high-exercisers with two-sided tests and a significant level of 0.05.Results: 243 surveys were collected over three months; 28 were excluded due to incomplete data, leaving 215 to be analyzed. 49.3% reported 'low'-exercise and 50.7% reported 'high'-exercise. High-exercisers participated in higher intensity exercise regimens (83.4% versus 32.1%, p=0.001). High-exercisers were more likely to start exercising after being diagnosed (54.2% versus 27.8%, p < 0.001), whereas low-exercisers were more likely to reduce their amount of exercise (40.2% versus 15.9%, p < 0.001). Low-exercisers required more motivating factors. Both groups benefited from having a significant other or a personal trainer motivate them, and both were more likely to exercise if their neurologist encouraged them. Low-exercisers reported twice as many barriers as high-exercisers (p = 0.001). Barriers that were significantly more common in low-exercisers were: lacking someone to motivate them (33.3% versus 10.5%, p < 0.001), fatigue (20.8% versus 15.2%, p = 0.005), and depression (16.7% versus 7.6%, p = 0.045).Conclusions: There are significant differences between people with PD who exercise regularly and those who do not in terms of motivators and barriers. These findings should be considered when tailoring recommendations for PD patients to encourage exercise, and in designing future interventions.