001     155685
005     20240122130402.0
024 7 _ |a 10.1016/j.parkreldis.2020.11.015
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024 7 _ |a 1353-8020
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024 7 _ |a 1873-5126
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037 _ _ |a DZNE-2021-00853
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Sulzer, Patricia
|0 P:(DE-2719)2811919
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245 _ _ |a Cognitive impairment and sedentary behavior predict health-related attrition in a prospective longitudinal Parkinson's disease study.
260 _ _ |a Amsterdam [u.a.]
|c 2021
|b Elsevier Science
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520 _ _ |a In Parkinson's disease (PD), the high burden of motor and non-motor symptoms, such as cognitive impairment or falls, is associated with rapid disease progression and mortality. This is often reflected by an increased drop-out rate of PD patients in longitudinal studies. Active physical behavior can impact the disease course beneficially and has an overall positive effect on health. Contrarily, sedentary behavior is associated with cognitive impairment in PD. The aim of this study was to investigate whether sedentary physical behavior assessed in the home environment and cognitive impairment can predict health-related study attrition due to sickness and death in PD.Data of 45 PD patients, longitudinally assessed, were analyzed. Of those, 20 patients completed six yearly visits, 16 dropped out due to sickness or death, and nine for other reasons. All patients wore a mobile device to assess physical behavior and completed cognitive testing.Logistic regression revealed global cognition was the primary predictor for health-related drop-out in varying models (p ≤ .04). In the survival analysis, cognitive impairment (p = .005) and longer sedentary mean bout length (p = .02) were associated with drop-out due to sickness and death. The occurrence of health-related study drop-out or death was highest in patients with both impaired cognition and longer sedentary bouts.Cognition was the primary predictor for study drop-out due to sickness and death. However, it seems that sedentary behavior might have a potential negative influence on PD patients' health, especially those with cognitive impairment.
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650 _ 7 |a Accelerometer
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650 _ 7 |a Attrition
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650 _ 7 |a Cognition
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650 _ 7 |a Disease progression
|2 Other
650 _ 7 |a Parkinson's disease
|2 Other
650 _ 7 |a Physical behavior
|2 Other
650 _ 7 |a Sedentary behavior
|2 Other
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Cognitive Dysfunction: etiology
|2 MeSH
650 _ 2 |a Cognitive Dysfunction: physiopathology
|2 MeSH
650 _ 2 |a Disease Progression
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Longitudinal Studies
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Parkinson Disease: complications
|2 MeSH
650 _ 2 |a Parkinson Disease: mortality
|2 MeSH
650 _ 2 |a Parkinson Disease: physiopathology
|2 MeSH
650 _ 2 |a Patient Dropouts
|2 MeSH
650 _ 2 |a Prognosis
|2 MeSH
650 _ 2 |a Sedentary Behavior
|2 MeSH
700 1 _ |a Gräber-Sultan, Susanne
|0 P:(DE-2719)2810662
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700 1 _ |a Schäffer, Eva
|0 P:(DE-2719)2811829
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700 1 _ |a van Lummel, Rob
|b 3
700 1 _ |a Berg, Daniela
|0 P:(DE-2719)2000059
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700 1 _ |a Maetzler, Walter
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700 1 _ |a Liepelt-Scarfone, Inga
|0 P:(DE-2719)2109499
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773 _ _ |a 10.1016/j.parkreldis.2020.11.015
|g Vol. 82, p. 37 - 43
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|t Parkinsonism & related disorders
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