联合有氧运动和阻力运动对早期帕金森病患者预后的影响。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Yumei Chen, Yanbin Chen
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引用次数: 0

摘要

背景:尽管有文献表明运动可以改善帕金森病(PD)患者的症状,但有关有氧运动和阻力训练(AE&RT)在帕金森病早期阶段的效果的研究仍然有限。了解这些运动方式的协同作用可以为优化帕金森病患者的运动干预提供有价值的见解,尤其是在疾病的早期阶段,因为在这一阶段的干预可能对长期功能结果产生最大的影响:本研究旨在探讨 AE&RT 联合项目对早期帕金森病患者的运动功能、姿势稳定性和认知处理速度的影响:在这项随机对照试验中,共有 236 名早期帕金森氏症患者被分配到有氧运动组(AE 组)(112 人)或 AE&RT 组(124 人)。该研究采用了为期一年的监督锻炼计划,有氧锻炼组参与有氧活动,而有氧锻炼和康复训练组则参与有氧锻炼和康复训练相结合的活动。结果测量包括症状改善、运动功能、姿势稳定性、认知处理速度、峰值耗氧量、生活质量评估和不良事件发生率:结果:与 AE 组相比,AE&RT 组在震颤、肌肉僵硬、步态不稳、睡眠问题和嗅觉减退方面的改善更大。此外,联合运动组的认知处理速度更快,运动功能和姿势稳定性也有所增强。AE&RT 组的峰值耗氧量明显更高。不过,生活质量评估显示,AE 组的生活质量在统计学上更高。两组的不良反应发生率无明显差异:研究结果表明,与单纯的有氧运动相比,早期帕金森病患者在运动疗法和康复训练相结合后,运动症状、认知功能、姿势稳定性和心血管健康都会得到更全面的改善。这些结果对于制定有针对性的运动干预措施以提高早期帕金森病患者的身体和认知健康水平具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of combined aerobic and resistance exercise on the prognosis of early Parkinson's disease patients.

Background: Although literature suggests that exercise can improve symptoms in Parkinson's Disease (PD) patients, research on the effects of aerobic exercise and resistance training (AE&RT) in early-stage PD remains limited. Understanding the synergistic effects of these exercise modalities can provide valuable insights for optimizing exercise interventions for PD patients, particularly in the early stages of the disease, where interventions may have the greatest impact on long-term functional outcomes.

Objective: This study aimed to investigate the effects of a combined AE&RT program on motor function, postural stability, and cognitive processing speed in early stage PD patients.

Methods: A total of 236 participants with early-stage PD were assigned to either the Aerobic Exercise Group (AE group) (n= 112) or the AE&RT Group (n= 124) inthis controlled randomized trial. The study employed a one-year supervised exercise program, with the AE Group participating in aerobic activities and the AE&RT Group engaging in combined AE&RT. Outcome measures included symptom improvement, motor function, postural stability, cognitive processing speed, peak oxygen consumption, quality of life evaluation, and the incidence of adverse events.

Results: The AE&RT Group demonstrated greater improvements in tremor, muscle rigidity, gait instability, sleep problems, and hyposmia compared to the AE Group. Additionally, the combined exercise group exhibited better cognitive processing speed, as well as enhanced motor function and postural stability. Peak oxygen consumption was significantly higher in the AE&RT Group. However, the quality of life evaluation indicated a statistically higher quality of life in the AE Group. There was no significant difference in the incidence of adverse events between the two groups.

Conclusion: The findings suggest that the integration of AE&RT in early-stage PD patients leads to more comprehensive improvements in motor symptoms, cognitive function, postural stability, and cardiovascular fitness compared to aerobic exercise alone. These results have important implications for developing tailored exercise interventions to enhance the physical and cognitive well-being of individuals with early-stage PD.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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