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

Mc Ardle, Ríona, Del Din, Silvia, Morris, Rosie, Alcock, Lisa, Yarnall, Alison J., Burn, David J., Rochester, Lynn, Lawson, Rachael A. and ICICLE-PD Study Group, (2022) Factors Influencing Habitual Physical Activity in Parkinson’s Disease: Considering the Psychosocial State and Wellbeing of People with Parkinson’s and Their Carers. Sensors, 22 (3). p. 871. ISSN 1424-8220

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

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.

Item Type: Article
Additional Information: Funding information: This research was funded by Parkinson’s UK, grant number J-0802, G-1301, G-1507. The research was supported by the Lockhart Parkinson’s Disease Research Fund and the National Institute for Health Research (NIHR) Newcastle Biomedical Research Centre and the Clinical Ageing Research Unit based at Newcastle upon Tyne Hospitals NHS Foundation Trust.
Uncontrolled Keywords: Parkinson’s disease, habitual physical activity, wearable technology, wellbeing, carer, accelerometer, psychosocial, remote monitoring
Subjects: B100 Anatomy, Physiology and Pathology
B800 Medical Technology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Rachel Branson
Date Deposited: 28 Jan 2022 16:26
Last Modified: 28 Jan 2022 16:30
URI: http://nrl.northumbria.ac.uk/id/eprint/48294

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