Effect of physical exercise on mortality in patients with Parkinson's disease
Abstract
Public health nurses visited and followed up for more than one year 438 patients with Parkinson's disease living in Osaka. The follow-up period averaged 4.1 years, during which 71 deaths were observed. The patients were classified according to the degree of physical exercise they performed, and the ratios of observed to expected deaths were calculated. The exercising group showed the lowest ratio of 1.68 (1.45 for patients able to walk independently, and 1.89 for those could not) while all patients exhibited a ratio of 2.47. Multivariate analysis using Cox's proportional hazard model, adjusted for age, sex, walking ability and duration of disease at study entry, showed that, compared with the exercising group, the non-exercising patients had a hazard ratio of 1.83.
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Longevity in Parkinson disease has been associated with physical exercise.
“Finally, longevity in PD has been associated with physical exercise.11”
From Does vigorous exercise have a neuroprotective effect in Parkinson disease? (2011) · cites this paper as [11]
Cites
Regression Models and Life-Tables
Cox, D. R. (1972) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1972.tb00899.x · Cited by 39,793 · see citing works
Parkinsonism: onset, progression, and mortality
Hoehn, M. M., & Yahr, M. D. (1967) · Neurology · doi:10.1212/wnl.17.5.427 · Cited by 12,107 · see citing works
The Prevention of Acute Gastric Ulcer in the Rat by α-Methyldopa
DJAHANGUIRI, B., Hemmati, S., Sadeghi, D., & Firouzabadi, A. (2008) · Medicina et Pharmacologia Experimentalis · doi:10.1159/000137111 · Cited by 783 · see citing works
Parkinson's disease in a Scottish city.
Mutch, W. J., Dingwall-Fordyce, I., Downie, A. W., Paterson, J. G., & Roy, S. K. (1986) · BMJ · doi:10.1136/bmj.292.6519.534 · Cited by 255 · see citing works
SUGI supplemental library user's guide
Hastings, R. P. (1986) · SAS Institute eBooks · Cited by 231 · see citing works
Welbourn, R. B., & Buxton, J. (1948) · The Lancet · doi:10.1016/s0140-6736(48)91241-0 · Cited by 224 · see citing works
Five Years' Treatment of Parkinson's Disease with Levodopa
Sweet, R. D., & McDOWELL, F. H. (1975) · Annals of Internal Medicine · doi:10.7326/0003-4819-83-4-456 · Cited by 172 · see citing works
The Impact of Treatment with Levodopa on Parkinson's Disease
Shaw, K. M., Lees, A. J., & Stern, G. M. (1980) · QJM · doi:10.1093/oxfordjournals.qjmed.a067623 · Cited by 165 · see citing works
Effect of age at onset on progression and mortality in Parkinson's disease
Diamond, S. G., Markham, C. H., Hoehn, M. M. M., MCDOWELL, F. H., & Muenter, M. D. (1989) · Neurology · doi:10.1212/wnl.39.9.1187 · Cited by 141 · see citing works
An examination of male‐female differences in progression and mortality of Parkinson's disease
Diamond, S. G., Markham, C. H., Hoehn, M. M. M., MCDOWELL, F. H., & Muenter, M. D. (1990) · Neurology · doi:10.1212/wnl.40.5.763 · Cited by 131 · see citing works
Mortality of patients with parkinson's disease treated with levodopa
Marttila, R. J., Rinne, U. K., Siirtola, T., et al. (1977) · Journal of Neurology · doi:10.1007/bf00313615 · Cited by 79 · see citing works
Diamond, S. G., & Markham, C. H. (1976) · Journal of Neural Transmission · doi:10.1007/bf01249443 · Cited by 68 · see citing works
Mortality among Parkinson Patients Treated with L-Dopa Combined with a Decarboxylase Inhibitor
Zumstein, H., & Siegfried, J. (2008) · European Neurology · doi:10.1159/000114756 · Cited by 63 · see citing works
Mortality associated with early and late levodopa therapy initiation in Parkinson's disease
Scigliano, G., Musicco, M., Soliveri, P., et al. (1990) · Neurology · doi:10.1212/wnl.40.2.265 · Cited by 60 · see citing works
Levodopa in Parkinson disease: A long‐term appraisal of mortality
Joseph, C., Chassan, J. B., & Koch, M. (1978) · Annals of Neurology · doi:10.1002/ana.410030205 · Cited by 59 · see citing works
Parkinson's disease in Aberdeen: survival after 3.5 years
Ebmeier, K. P., Calder, S. A., Crawford, J., et al. (2009) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.1990.tb01558.x · Cited by 58 · see citing works
Management of Individuals with Parkinson's Disease: Rationale and Case Studies
Schenkman, M., Donovan, J., Tsubota, J., et al. (1989) · Physical Therapy · doi:10.1093/ptj/69.11.944 · Cited by 58 · see citing works
EFFECT OF L-DOPA ON COURSE OF PARKINSON'S DISEASE
Curtis, L. D., Lees, A. J., Stern, G. M., & Marmot, M. G. (1984) · The Lancet · doi:10.1016/s0140-6736(84)90493-8 · Cited by 54 · see citing works
Result of chronic levodopa therapy and its modification by bromocriptine in Parkinson's disease
Hoehn, M. M. M. (2009) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.1985.tb03173.x · Cited by 40 · see citing works
Cause of death among patients with Parkinson's disease: a rare mortality due to cerebral haemorrhage
Iwasaki, S., Narabayashi, Y., Hamaguchi, K., et al. (1990) · Journal of Neurology · doi:10.1007/bf00314665 · Cited by 30 · see citing works
Effects of Histamine on Protein and Glycoprotein Production of Isolated Pig Gastric Mucosal Cells
Heim, H. ‐., Oestmann, A., & Sewing, K. ‐. (2008) · Pharmacology · doi:10.1159/000138671 · Cited by 24 · see citing works
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Does vigorous exercise have a neuroprotective effect in Parkinson disease?
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Wu, S.-Y., Wang, T.-F., Yu, L., Jen, C. J., Chuang, J.-I., Wu, F.-S., Wu, C.-W., & Kuo, Y.-M. (2011) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2010.09.006 · Cited by 206 · see citing works
Social support for physical activity and perceptions of control in early Parkinson's disease
Ravenek, M. J., & Schneider, M. A. (2009) · Disability and Rehabilitation · doi:10.1080/09638280902850261 · Cited by 81 · see citing works
- Authors
- Kuroda, K., Tatara, K., Takatorige, T., & Shinsho, F.
- Affiliations
- The University of Osaka (JP)
- Corresponding author
- Kuroda, K.
- ORCID
- Kuroda, K.
- Venue
- Acta Neurologica Scandinavica
- Publisher
- Wiley
- Published
- 1992-07
- Volume
- 86
- Issue
- 1
- Pages
- 55-59
- ISSN
- 0001-6314 (ISSN-L)
- 1600-0404
- OpenAlex
- W2003463537
- Cited by
- 98
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 6 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 4 · 2015: 4 · 2014: 4 · 2013: 9 · 2012: 3
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Neurologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- Parkinson's disease, physical activity, mortality, walking ability, public health nursing, long-term follow-up
- MeSH terms
- Female, Humans, Japan, Male, Middle Aged, Neurologic Examination, Parkinson Disease, Exercise, Survival Rate, Proportional Hazards Models
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