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Identifying Exploratory Physical Activity Thresholds Associated With Symptom Severity in Older Adults With Parkinson’s Disease

AI Summary
  • Quadratic regression of PASE scores identified minimum and optimal thresholds of 150 and 245 respectively for motor, nonmotor, and depressive symptoms.
  • Meeting minimum PASE threshold (150) linked to lower odds of hypertension 21.1%, diabetes 40.6%, and mild cognitive impairment 57.9% (p < .01).
  • Findings offer evidence-based exploratory PA thresholds to inform future research and clinical guidance on activity patterns in older adults with Parkinson's disease.
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Adapt Phys Activ Q. 2026 Nov 13:1-9. doi: 10.1123/apaq.2025-0165. Online ahead of print.

ABSTRACT

This research identified exploratory physical activity (PA) thresholds associated with symptom severity in older adults with Parkinson’s disease and assessed their association with cardiometabolic and cognitive health. Data were collected from 3,259 participants (age: 65.64 ± 10.37) in the Fox Insight database. PA was measured using Physical Activity Scale for the Elderly. Quadratic regression identified exploratory PA thresholds for managing motor, nonmotor, and depressive symptoms, with minimum thresholds based on literature-defined cut points and optimal thresholds based on symptom plateaus. Logistic regression assessed relationship between these thresholds and prevalence of hypertension, diabetes, and mild cognitive impairment. Analyses identified exploratory minimum and optimal Physical Activity Scale for the Elderly threshold of 150 and 245. Meeting minimum PA threshold was associated with lower odds of hypertension (21.1%), diabetes (40.6%), and mild cognitive impairment (57.9%; p < .01). These findings provide evidence-based exploratory PA thresholds to guide future research on PA patterns in older adults with Parkinson’s disease.

PMID:43033819 | DOI:10.1123/apaq.2025-0165

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