Universität zu Köln

Stuckenschneider, Tim ORCID: 0000-0002-0972-4377, Abeln, Vera, Foitschik, Tina, Abel, Thomas, Polidori, Maria Cristina and Strueder, Heiko K. (2021). Disease-inclusive exercise classes improve physical fitness and reduce depressive symptoms in individuals with and without Parkinson's disease-A feasibility study. Brain Behav., 11 (10). HOBOKEN: WILEY. ISSN 2162-3279

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Abstract

Background and purpose Exercise is an adjunctive treatment in the management of Parkinson's disease (PD), but barriers such as health status, fear of overexertion, and lack of transportation to the location prevent regular exercise participation. Disease-inclusive exercise classes may offer an opportunity to make exercise more accessible for older adults with and without diseases. However, the efficacy of such heterogenous exercise classes is still widely unknown. Therefore, it was the aim of this study to analyze the feasibility of disease-inclusive exercise classes in older adults with and without PD. Methods Twenty-one older adults (healthy older adults (HOA): n = 13; PD: n = 8) completed an 8-week multimodal exercise intervention in supervised group sessions. Exercise classes lasted 60 min with the goal of two participations a week. We assessed physical fitness (timed up and go test [TUG], 6-minute walking test [6MWT], single leg stance), depressive symptoms and cognitive functions, and we determined growth factors (BDNF & IGF-1) before and after the intervention to determine the effects and by that, the feasibility of a disease-inclusive exercise program. Repeated measures ANOVA were used to establish changes. Results TUG and 6MWT improved significantly after the training in both HOA (p = .008; p < .001) and individuals with PD (p = .024; p < .001). Furthermore, individuals with PD increased single leg stance left (p = .003). HOA (p = .003) and individuals with PD (p = .001) decreased their depressive symptoms between pre- and post-test significantly. Whereas growth factors tended to improve, no differences in cognitive functions were revealed. Conclusion Disease-inclusive multicomponent exercise improved physical functions and reduced depressive symptoms independent of health status. This should encourage exercise providers, researchers, and clinicians to further investigate disease-inclusive exercise, because they may have an important social impact and represent a more inclusive society.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stuckenschneider, Tim UNSPECIFIED orcid.org/0000-0002-0972-4377 UNSPECIFIED Abeln, Vera UNSPECIFIED UNSPECIFIED UNSPECIFIED Foitschik, Tina UNSPECIFIED UNSPECIFIED UNSPECIFIED Abel, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, Maria Cristina UNSPECIFIED UNSPECIFIED UNSPECIFIED Strueder, Heiko K. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-580052
DOI:	10.1002/brb3.2352
Journal or Publication Title:	Brain Behav.
Volume:	11
Number:	10
Date:	2021
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	2162-3279
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MONTREAL COGNITIVE ASSESSMENT; QUALITY-OF-LIFE; HEALTH; BRAIN; MOBILITY; IMPAIRMENT; PREVENTION; PREDICTOR; STRENGTH; BARRIERS Multiple languages Behavioral Sciences; Neurosciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58005