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Factors Influencing Habitual Physical Activity in Parkinson’s Disease: Considering the Psychosocial State and Wellbeing of People with Parkinson’s and Their Carers

Lookup NU author(s): Dr Ríona McArdle, Dr Silvia Del DinORCiD, Dr Lisa AlcockORCiD, Dr Alison Yarnall, Professor David Burn, Professor Lynn Rochester, Dr Rachael Lawson

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Participating in habitual physical activity (HPA) may slow onset of dependency and disability for people with Parkinson’s disease (PwP). While cognitive and physical determinants of HPA are well understood, psychosocial influences are not. This pilot study aimed to identify psychosocial factors associated with HPA to guide future intervention development. Sixty-four PwP participated in this study; forty had carer informants. PwP participants wore a tri-axial accelerometer on the lower back continuously for seven days at two timepoints (18 months apart), measuring volume, pattern and variability of HPA. Linear mixed effects analysis identified relationships between demographic, clinical and psychosocial data and HPA from baseline to 18 months. Key results in PwP with carers indicated that carer anxiety and depression were associated with increased HPA volume (p < 0.01), while poorer carer self-care was associated with reduced volume of HPA over 18 months (p < 0.01). Greater carer strain was associated with taking longer walking bouts after 18 months (p < 0.01). Greater carer depression was associated with lower variability of HPA cross-sectionally (p = 0.009). This pilot study provides preliminary novel evidence that psychosocial outcomes from PwP’s carers may impact HPA in Parkinson’s disease. Interventions to improve HPA could target both PwP and carers and consider approaches that also support psychosocial wellbeing.


Publication metadata

Author(s): Mc Ardle R, Del Din S, Morris R, Alcock L, Yarnall AJ, Burn DJ, Rochester L, Lawson RA

Publication type: Article

Publication status: Published

Journal: Sensors

Year: 2022

Volume: 22

Issue: 3

Online publication date: 24/01/2022

Acceptance date: 14/01/2022

Date deposited: 26/01/2022

ISSN (print): 1424-8239

ISSN (electronic): 1424-8220

Publisher: MDPI AG

URL: https://doi.org/10.3390/s22030871

DOI: 10.3390/s22030871


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Funding

Funder referenceFunder name
G-1507
G-1301
J-0802Parkinson`s UK (formerly Parkinson`s Disease Society)

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