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'Exercise Is Medicine' for People With Parkinson's

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'Exercise Is Medicine' for People With Parkinson's

THURSDAY, Sept 19, 2024 (HealthDay News) — Exercise, whether moderate- or high-intensity, can help ease Parkinson’s symptoms, including fatigue, new research shows.

As study lead author Dr. Philip Millar explained, Parkinson’s patients are too often overwhelmed by shame or depression, so they stop going to the gym or exercising. That’s too bad, Millar said, because “if you stop physical activity, your body adapts and you lose physical function.”

Just how beneficial can exercise be for patients?

To find out, Millar’s team at the University of Guelph, in Ontario, Canada, had three groups of 10 people in various stages of Parkinson’s disease. Each group exercised three times per week at the gym, for a period of 10 weeks.

The male and female participants ranged in age from 45 to 79, and they engaged in one of two modes of exercise training, moderate intensity or high intensity.

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Millar’s team tracked various physiological metrics — the person’s “maximal oxygen consumption,” their level of fatigue or vulnerability to fatigue, gait, balance and motor symptoms.

“Prior work found that high-intensity interval training may improve how far someone with Parkinson’s can walk, but this could be due to becoming more stable or confident in their gait,” said Millar, who is an associate professor of human health and nutritional science at Guelph. “It might have had nothing to do with cardiorespiratory fitness and the impact on motor symptoms was previously never studied.”

His team found that:

  • Exercise training boosted oxygen capacity, with a bigger benefit seen with high- versus moderate-intensity training

  • Motor symptoms were also reduced by about 25%, and the intensity of exercise didn’t seem to matter

  • Fatigue levels also declined over time, regardless of the intensity of the exercise program

  • Gait, balance and blood pressure did not change, regardless of which exercise regimen was used

The findings were published recently in the Journal of Applied Physiology.

According to the authors, the findings suggests that, for the most part, people with Parkinson’s can pick whatever level of exercise they are comfortable with, without fearing that they might be losing out on any benefit.

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The reduction in motor symptoms, especially, “is a very significant amount that can make a meaningful change to someone’s life,” Millar said in a university news release. “We want to help contribute to greater knowledge of the benefits of exercise for those with Parkinson’s so that clinicians, rehabilitation specialists, community supports, partners and family can help advocate for patients to exercise as much as they should.”

In general, he said, “a big push is convincing people of the benefits. Across any disease, when we think of taking medication, we should equally think of exercise as well.”

More information

Find out more about Parkinson’s disease at the Parkinson’s Foundation.

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I’m a strength coach – this exercise ‘looks easy’ but do it right, and you’ll have stronger obliques and better core stability

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I’m a strength coach – this exercise ‘looks easy’ but do it right, and you’ll have stronger obliques and better core stability

Heel touches are one of those exercises you look at and either think, ‘is that it?’ or ‘that looks nice and easy!’, depending on how much you enjoy core exercises. For those who’d rather avoid planks and crunches, this movement makes for a good alternative – and it can be done lying down.

This exercise targets the obliques, muscles that sit on the sides of our core and help stabilise the spine and support hip strength. Often underworked and underrated, these muscles are essential for everyday movements like bending down and twisting, which in turn may help prevent lower back pain.

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Teen attitudes to exercise shape fitness years later

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Teen attitudes to exercise shape fitness years later

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Teenagers who see exercise as fun, social and good for their health are significantly fitter by late adolescence than those driven by competition, pressure or fear of judgement, new research led by Flinders University shows.

Tracking more than 1,000 young people from age 14 to 17, researchers found early attitudes to physical activity strongly predict measurable aerobic fitness three years later.

The national study, using data from the long‑running Raine Study, was led by Flinders University in collaboration with the University of Notre Dame Australia, and has been published in Child: Care, Health and Development journal.

Researchers examined how teenagers’ beliefs about physical activity relate to aerobic fitness in late adolescence, measured using a standard laboratory cycling test at age 17.

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The findings show that intrinsic motivations – such as enjoying physical activity, feeling healthy, keeping fit and spending time with friends – consistently matter most between the ages of 14 and 17.

Teenagers who value these factors are significantly fitter at 17 than those motivated primarily by winning, external rewards or pressure from others.

Senior author Associate Professor Mandy Plumb, a clinical exercise physiologist at Flinders University, says the results underline the importance of understanding what genuinely motivates young people.

“When adolescents see physical activity as enjoyable, social and good for their health, they are more likely to develop lasting fitness into later adolescence,” says Associate Professor Plumb, who is based at Flinders’ Rural and Remote Health NT.

Participants reported both how important they believed different outcomes of physical activity were, and how likely they thought those outcomes were to occur, including enjoyment, health benefits and appearance.

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While most motivational factors remained relatively stable across adolescence, improving appearance was the only factor that increased in importance for both boys and girls by age 17.

Associate Professor Plumb says this reflects normal adolescent development.

“As teenagers get older, they become more aware of their bodies and how they are perceived by others, which is why appearance becomes more influential in later adolescence,” she says.

The study also identified clear gender differences in how motivation relates to fitness outcomes.

Boys tended to have higher aerobic fitness at 17 when motivated by competition, winning and external rewards.

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Girls, by contrast, were fitter when motivated by enjoyment, feeling healthy, weight control and supportive social environments.

Associate Professor Plumb says these findings show youth sport and physical activity programs need to be more targeted.

“One‑size‑fits‑all approaches don’t work, particularly for girls during adolescence,” she says.

The research also highlights the damaging impact of negative social experiences, especially for teenage girls.

Girls who believed others would make fun of them for being physically active were significantly less fit by age 17.

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“Fear of judgement can directly reduce participation in physical activity, leading to poorer long‑term fitness outcomes,” says Associate Professor Plumb.

Importantly, the study shows that attitudes formed in early adolescence influence later health outcomes – not just behaviour at the time.

“What teenagers believe about physical activity at 14 continues to shape their fitness several years later,” says Associate Professor Plumb.

The authors say the findings have clear implications for parents, schools, coaches and policymakers.

“Programs that prioritise fun, friendship and feeling healthy may be more effective than those focused on competition or performance alone,” says Associate Professor Plumb.

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“Reducing pressure, bullying and overly competitive environments could help more young people stay active throughout adolescence.”

The authors say that schools and community sports organisations are well placed to apply the findings to help reverse declining physical activity levels among teenagers.

The paper, Perceptions of the Likelihood and Importance of Physical Activity Outcomes at 14 Years Affects Physical Fitness at 17 Years by Amanda Timler, Paola Chivers, Helen Parker, Elizabeth Rose, Jocelyn Tan, Beth Hands and Mandy S. Plumb was published in Child: Care, Health and Development journal. DOI: 10.1111/cch.70276

Acknowledgements: The Raine Study Gen2-14 year follow-up received funding from NHMRC (Sly et al., ID 211912), NHMRC Program Grant (Stanley et al.,ID 003209) and The Raine Medical Research Foundation. The Raine Study Gen2-17 year follow-up was funded through a NHMRC Program Grant (Stanley et al., ID 353514).

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Monroe Center hosts Health and Fitness Day for Older Americans Month

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Monroe Center hosts Health and Fitness Day for Older Americans Month

The Monroe Center for Healthy Aging will mark Older Americans Month by hosting a Health and Fitness Day on May 27, according to a community announcement.

The event is designed to promote wellness, physical activity and a positive approach to aging, organizers said. Programming reflects the center’s philosophy that many factors influencing how people age — including nutrition, movement and mindset — are within individual control, according to the announcement.

Exercise classes and health screenings

The day begins with the Movin’ and Groovin’ exercise class at 9 a.m., followed by the EnhanceFitness class offered by the Monroe Family YMCA at 10 a.m.

Cholesterol checks will also be available, though space is limited and advance registration is required by calling 734‑241‑0404. Participants are asked to fast for eight hours before the screening, according to the announcement.

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Lunch and educational presentation

A complimentary lunch will be served at 11:30 a.m. Registration is required and can be completed by calling 734‑241‑0404.

Following lunch, Chris Boudrie will present a program titled “The Pay‑Offs of Moving Your Body.” The presentation will examine the health benefits of physical activity and include a head‑to‑toe movement routine, according to the announcement.

Boudrie is a retired biology and health sciences professor at Lourdes University in Sylvania, Ohio, and currently works part‑time with the Monroe County Library System, and has been associated with the Monroe Center for Healthy Aging since 1987, organizers said.

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This story was created by Dave DeMille, ddemille@gannett.com, with the assistance of Artificial Intelligence (AI). Journalists were involved in every step of the information gathering, review, editing and publishing process. Learn more at cm.usatoday.com/ethical-conduct.

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