engleski

Inactivity and Social Isolation in Patients with Parkinson's Disease

Introduction/Objectives: Parkinson's disease is a progressive neurodegenerative disorder and occurs due to loss of nigrostriatal dopaminergic neurons. In addition to the motor symptoms of the disease, non-motor symptoms can certainly affect the psychosocial aspects. Physical activity (PA) is one of the most important key points of slowing disease progression. The aim of this study was to prove that physical inactivity leads to social isolation of patients. Participants, Materials/Methods: In this study IPAQ (International Physical Activity Questionnare) was used, because it measures multiple domains of PA (household/caregiving, occupational, active livins, sports). Patients completed the self-administered IPAQ regarding the amount of PA and time spent in specific domains of PA within last 7 days. Phi coefficient was used to measure association between three categories of PA level and neuropsychiatric symptoms. Results: This study included 72 patient. Fifthy percent of patients with Parkinson's disease have low level of PA, 33.3% of then have moderate level and 16.7% high level of PA. It is noticed that woman are more depressed than men (p=0.01, Phi coefficient -0.302). High level of PA measured by IPAQ is associated with reduced presence of neuropsychiatric symptoms. Conclusions: Neuropsychiatric symptoms (depression and apathy) affect quality of life and low level of PA in patients with Parkinson's disease is associated with neuropsychiatric symptoms. Early recognition and prompt treatment of these symptoms could prevent inactivity and social isolation of these patients.

Inactivity ; IPAQ ; Parkinson's Disease

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