Jéssica Amaro Moratelli, Clynton Lourenço Corrêa, Alexandro Andrade, Vanessa Bellani Lyra, Adriana Coutinho de Azevedo Guimarães
{"title":"功能训练和普拉提对帕金森病患者的非运动症状有积极影响，可以改善认知、抑郁症状、焦虑和幸福感：一项随机对照临床试验。","authors":"Jéssica Amaro Moratelli, Clynton Lourenço Corrêa, Alexandro Andrade, Vanessa Bellani Lyra, Adriana Coutinho de Azevedo Guimarães","doi":"10.1080/13607863.2025.2496728","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the short-term (12-wk post-intervention) and long-term (6-month follow-up) effects of two exercise interventions (functional training or Mat Pilates) compared to a control group and a healthy reference group on non-motor symptoms in people with Parkinson's disease.</p><p><strong>Method: </strong>35 individuals with Parkinson's disease were randomized into three groups: functional training, Mat Pilates, and control group, along with 11 age- and sex-matched healthy individuals for the healthy reference group. The exercise groups received twice-weekly 60-min sessions for 12 wk. The control group and healthy reference group maintained routine activities and also received educational lectures during the 12-wk period. Outcome measures included cognition (MoCA), depressive symptoms (BDI), anxiety (BAI), mood (BRUMS), and aging perspective (Sheppard Inventory).</p><p><strong>Results: </strong>Short-term effects were observed for the functional training group in the short term for depressive symptoms (<i>p</i> = 0.010) and cognition (<i>p</i> = 0.040), and in the short and long term for anxiety (<i>p</i> = 0.007) and happiness (aging perspective) (<i>p</i> = 0.002). For the Mat Pilates group, effects were observed in cognition (<i>p</i> = 0.048) and confusion (<i>p</i> = 0.049) in the short term, and in depressive symptoms (<i>p</i> < 0.001), anxiety (<i>p</i> = 0.033), happiness (<i>p</i> < 0.001), and loneliness (aging perspective) (<i>p</i> = 0.017) in the short and long term. The control group showed worsening in depressive symptoms (<i>p</i> = 0.030) and confusion (<i>p</i> = 0.033).</p><p><strong>Conclusion: </strong>Mat Pilates and functional training classes were effective in improving cognition, depressive symptoms, anxiety, and happiness. The control group and healthy reference group did not show significant effects in most studied variables. Both types of exercise can be recommended by professionals working with people with Parkinson's disease.</p><p><strong>Registration: </strong>ReBEC - RBR-6ckggn.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1892-1901"},"PeriodicalIF":2.4000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Functional training and Mat Pilates have a positive effect on non-motor symptoms improving cognition, depressive symptoms, anxiety, and happiness in people with Parkinson's disease: a randomized controlled clinical trial with follow-up.\",\"authors\":\"Jéssica Amaro Moratelli, Clynton Lourenço Corrêa, Alexandro Andrade, Vanessa Bellani Lyra, Adriana Coutinho de Azevedo Guimarães\",\"doi\":\"10.1080/13607863.2025.2496728\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To analyze the short-term (12-wk post-intervention) and long-term (6-month follow-up) effects of two exercise interventions (functional training or Mat Pilates) compared to a control group and a healthy reference group on non-motor symptoms in people with Parkinson's disease.</p><p><strong>Method: </strong>35 individuals with Parkinson's disease were randomized into three groups: functional training, Mat Pilates, and control group, along with 11 age- and sex-matched healthy individuals for the healthy reference group. The exercise groups received twice-weekly 60-min sessions for 12 wk. The control group and healthy reference group maintained routine activities and also received educational lectures during the 12-wk period. Outcome measures included cognition (MoCA), depressive symptoms (BDI), anxiety (BAI), mood (BRUMS), and aging perspective (Sheppard Inventory).</p><p><strong>Results: </strong>Short-term effects were observed for the functional training group in the short term for depressive symptoms (<i>p</i> = 0.010) and cognition (<i>p</i> = 0.040), and in the short and long term for anxiety (<i>p</i> = 0.007) and happiness (aging perspective) (<i>p</i> = 0.002). For the Mat Pilates group, effects were observed in cognition (<i>p</i> = 0.048) and confusion (<i>p</i> = 0.049) in the short term, and in depressive symptoms (<i>p</i> < 0.001), anxiety (<i>p</i> = 0.033), happiness (<i>p</i> < 0.001), and loneliness (aging perspective) (<i>p</i> = 0.017) in the short and long term. The control group showed worsening in depressive symptoms (<i>p</i> = 0.030) and confusion (<i>p</i> = 0.033).</p><p><strong>Conclusion: </strong>Mat Pilates and functional training classes were effective in improving cognition, depressive symptoms, anxiety, and happiness. The control group and healthy reference group did not show significant effects in most studied variables. Both types of exercise can be recommended by professionals working with people with Parkinson's disease.</p><p><strong>Registration: </strong>ReBEC - RBR-6ckggn.</p>\",\"PeriodicalId\":55546,\"journal\":{\"name\":\"Aging & Mental Health\",\"volume\":\" \",\"pages\":\"1892-1901\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aging & Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13607863.2025.2496728\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aging & Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13607863.2025.2496728","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/28 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Functional training and Mat Pilates have a positive effect on non-motor symptoms improving cognition, depressive symptoms, anxiety, and happiness in people with Parkinson's disease: a randomized controlled clinical trial with follow-up.
Objectives: To analyze the short-term (12-wk post-intervention) and long-term (6-month follow-up) effects of two exercise interventions (functional training or Mat Pilates) compared to a control group and a healthy reference group on non-motor symptoms in people with Parkinson's disease.
Method: 35 individuals with Parkinson's disease were randomized into three groups: functional training, Mat Pilates, and control group, along with 11 age- and sex-matched healthy individuals for the healthy reference group. The exercise groups received twice-weekly 60-min sessions for 12 wk. The control group and healthy reference group maintained routine activities and also received educational lectures during the 12-wk period. Outcome measures included cognition (MoCA), depressive symptoms (BDI), anxiety (BAI), mood (BRUMS), and aging perspective (Sheppard Inventory).
Results: Short-term effects were observed for the functional training group in the short term for depressive symptoms (p = 0.010) and cognition (p = 0.040), and in the short and long term for anxiety (p = 0.007) and happiness (aging perspective) (p = 0.002). For the Mat Pilates group, effects were observed in cognition (p = 0.048) and confusion (p = 0.049) in the short term, and in depressive symptoms (p < 0.001), anxiety (p = 0.033), happiness (p < 0.001), and loneliness (aging perspective) (p = 0.017) in the short and long term. The control group showed worsening in depressive symptoms (p = 0.030) and confusion (p = 0.033).
Conclusion: Mat Pilates and functional training classes were effective in improving cognition, depressive symptoms, anxiety, and happiness. The control group and healthy reference group did not show significant effects in most studied variables. Both types of exercise can be recommended by professionals working with people with Parkinson's disease.
期刊介绍：
Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods.
Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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