دورية أكاديمية
Feasibility and effect of high-intensity training on the progression of motor symptoms in adult individuals with Parkinson's disease: A systematic review and meta-analysis.
العنوان: | Feasibility and effect of high-intensity training on the progression of motor symptoms in adult individuals with Parkinson's disease: A systematic review and meta-analysis. |
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المؤلفون: | Sena IG; Multicenter Postgraduate Program in Physiological Sciences, Health Sciences College, State University of Rio Grande do Norte (UERN), Mossoro, Brazil., Costa AVD; Department of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil., Santos IKD; Department of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil.; Departament of Physical Education, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil., Araújo DP; Laboratory of Experimental Neurology, Multicenter Postgraduate Program in Physiological Sciences, Nursing College, UERN, Mossoro, Brazil., Gomes FTDS; Multicenter Postgraduate Program in Physiological Sciences, Health Sciences College, State University of Rio Grande do Norte (UERN), Mossoro, Brazil., Cavalcanti JRLP; Laboratory of Experimental Neurology, Multicenter Postgraduate Program in Physiological Sciences, Nursing College, UERN, Mossoro, Brazil., Knackfuss MI; Department of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil., Andrade MF; Postgraduate Program in Health Society, Health Sciences College, Molecular Biology Laboratory, UERN, Mossoro, Brazil., Melo PKM; Multicenter Postgraduate Program in Physiological Sciences, Health Sciences College, State University of Rio Grande do Norte (UERN), Mossoro, Brazil., Fonseca IAT; Department of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil.; Department of Physical Education, Multicenter Postgraduate Program in Physiological Sciences, UERN, Mossoro, Brazil. |
المصدر: | PloS one [PLoS One] 2023 Nov 10; Vol. 18 (11), pp. e0293357. Date of Electronic Publication: 2023 Nov 10 (Print Publication: 2023). |
نوع المنشور: | Meta-Analysis; Systematic Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: San Francisco, CA : Public Library of Science |
مواضيع طبية MeSH: | Parkinson Disease*/therapy, Humans ; Adult ; Aged ; Quality of Life ; Feasibility Studies ; Exercise |
مستخلص: | Background: To determine the feasibility and effect of high-intensity interval training (HIIT) in individuals with Parkinson's and their effect on symptom modification and progression. Methods: We conducted this systematic review following the Preferred Reporting Items for systematic review and meta-analysis (PRISMA). All studies were searched in seven databases: MEDLINE (PubMed), Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, SPORTDiscus, Virtual Health Library (VHL) and SCOPUS in September 2020 and updated in June 2023. The risk of bias was assessed by the Cochrane Collaboration tool and Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. We used standardized mean difference (SMD) with a 95% confidence interval (CI) and random effects models, as well as the non-parametric Cochran's Q test and I2 inconsistency test to assess heterogeneity. Results: A total of 15 randomized clinical trials with 654 participants (mean age, 65.4 years). The majority of studies included high intensity training interventions versus moderate intensity, usual care, or control group. The meta-analysis comparing high-intensity exercise versus control group showed an improvement in the disease severity (MD = -4.80 [95%CI, -6.38; -3.21 high evidence certainty); maximum oxygen consumption (MD = 1.81 [95%CI, 0.36; 3.27] very low evidence certainty) and quality of life (MD = -0.54 [95%CI, -0.94; -0.13] moderate evidence certainty). The results showed that high-intensity exercise compared with moderate intensity exercise group showed a improve motor function and functional mobility measured by the TUG test (MD = -0.38 [95%CI, -0.91; 0.16] moderate evidence certainty) with moderate heterogeneity between studies. Conclusion: High-intensity exercise performed in both continuous and interval modes when compared with control groups may provide motor function benefits for individuals with Parkinson's disease. HIIT may be feasible, but the intensity of the exercise may influence individuals with Parkinson's disease. However, there was a lack of evidence comparing high intensity and moderate intensity for this population, as the results showed heterogeneity. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Sena et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
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تواريخ الأحداث: | Date Created: 20231110 Date Completed: 20231113 Latest Revision: 20231114 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10637666 |
DOI: | 10.1371/journal.pone.0293357 |
PMID: | 37948405 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1932-6203 |
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DOI: | 10.1371/journal.pone.0293357 |