The effect of resistance training on the anxiety symptoms and quality of life in elderly people with Parkinson's disease: a randomized controlled trial

Ferreira, Renilson Moraes; Alves, Wilson Mateus Gomes da Costa; Lima, Tiago Alencar de; Alves, Thiago Goçalves Gibson; Alves Filho, Pedro Artur Madureira; Pimentel, Clebson Pantoja; Sousa, Evitom Correa; Cortinhas-Alves, Erik Artur

doi:10.1590/0004-282X20180071

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Article • Arq. Neuro-Psiquiatr. 76 (8) • Aug 2018 • https://doi.org/10.1590/0004-282X20180071 copy

The effect of resistance training on the anxiety symptoms and quality of life in elderly people with Parkinson's disease: a randomized controlled trial

O efeito do treinamento resistido sobre sintomas de ansiedade e qualidade de vida em idosos com doença de Parkinson's: ensaio randomizado controlado

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To assess the effects of resistance training on the anxiety symptoms and quality of life in patients with Parkinson's disease.

Methods:

Thirty-five elderly patients were randomly divided into two groups: 17 patients in the control group and 18 in the intervention group. All patients maintained standard pharmacological treatment for Parkinson's disease, but the intervention group participated in a 24-week resistance training program. The anxiety symptoms were assessed through the Beck's Anxiety Inventory, and quality of life by the Parkinson's Disease Questionnaire–39.

Results:

There was a significant reduction in anxiety level and increase in quality of life after 24 weeks of resistance training.

Conclusion:

The results of the present study indicate that resistance training is an effective intervention in the reduction of anxiety symptoms and improves the quality of life in elderly people with Parkinson's disease.

Keywords:
resistance training; anxiety; Parkinson disease; randomized controlled trial

Characteristics		CG (n = 17)		RTG (n = 18)		95% CI	t	p-value^* * Test t samples independents; DM: difference between mean; NA: not available.
Characteristics		Mean	SD	Mean	SD	95% CI	t
Age (years)		67.6	8.9	64.1	7.0	3.53 (-1.97–9.04)	1.306	0.201
Time since PD diagnosis (years)		4.5	4.0	6.4	2.7	-1.9 (-4.23–0.43)	-1.740	0.091
PDQ-39 (score)		47.4	17.3	38.1	20.2	9.3(-3.67–22.27)	1.471	0.151
Symptoms of anxiety (score)		21.3	7.2	18	7.1	3.3 (-1.62–8.22)	1.381	0.177
Height (cm)		156.7	11.4	156.7	8.8	0 (-6.98–6.98)	2.043	0.447
Weight (kg)		66.9	8.3	67.8	11	-0.9 (-7.63–5.83)	-0.854	0.398
BMI (kg/m²)		27.6	4.7	27.6	3.7	0 (-2.90–2.90)	2.030	0.972
Fat weight (kg)		15.6	2.6	16.4	4.6	-0.8 (-3,39–1.79)	-1.241	0.223
Lean weight (kg)		52.7	5.8	52.8	11.5	-0.1 (-6.42–6.22)	-0.100	0.920
Body fat (%)		23.1	1.9	24.5	7	-1.4 (-4.97–2.17)	-1.945	0.060
Waist (cm)		93.1	9.4	91.9	9.6	1.2 (-0.92–3.32)	2.055	0.777
Hip (cm)		99.6	6.5	97.8	7.7	1.8 (-2.83–6.43)	1.994	0.054
Abdomen (cm)		101.9	9.8	100.7	9.4	1.2 (-5.40–7.80)	1.145	0.260
Drugs (mg)
	Levodopa + Carbidopa	5	0	5	0	–	–	NA
	Prolopa	100	0	100	0	–	–	NA
	Benserazide	25	0	25	0	–	–	NA
	Sifrol	0.19	0.06	0.18	0.06	–	–	NA
	Biperiden	157.4	33.1	146.3	25.5	–	–	NA

UPDRS	RTG				Δ%	CG				Δ%
	Pre		Post			Pre		Post
	Median	25^th 75^th	Median	25^t −75^th		Median	25^th 75^th	Median	25^t −75^th
UPDRS - Part I	11.5	(8-17.3)	6.5	(5-8.5)*	-43.5	13.5	(7.7-18.5)	8.5	(6-16.2)*	-37
UPDRS - Part II	19	(15.3-20.8)	19	(10-21.5)	0	18	(14-20.7)	17	(12.5-20)	-12.5
UPDRS - Part III	30	(28.5-39.8)	29	(22.8-48)	-3.3	29	(23.75-39)	34	(26.2-34)	17.2
UPDRS - Part IV	2	(0-4.5)	0	–	-100	4.5	(1-7)	6	(5.2-6)	33.3
UPDRS – Total	65.5	(57-74.8)	54.5	(42.5-73.3)*	-16.8	66.5	(56.5-75.7)	69.2	(60-72.2)	4

Variable		RTG				CG
Variable		Mean	SD	95% CI	Δ%	Mean	SD	95% CI	Δ%
BAI
	Pre	18	7.1	14.5–21.5	-32.8%	21.3	7.2	17.60–25	-6.6%
	Post	12.2	5.5	9.5–14.9		19.9	9.5	15.0–24.8
PDQ-39
	Pre	38.06	20.16	28.03–48.09	-16.7%	47.41	17.27	38.5–56.3	-0.4%
	Post	31.72	19.75	21.9–41.54		47.24	21.34	36.3–58.2

Exercise	Pre-intervention			Post-intervention
Exercise	Mean (kg)	SD (kg)	Min–Max (kg)	Mean (kg)	SD (kg)	Min–Max (kg)
Bench Press	13.6	5.15	4–24	27.5	11.56	10–48
Unilateral rowing – Right	14.2	5.65	2–20	28.8	10.36	6–40
Unilateral rowing - Left	17.5	3.54	15–20	27.5	10.61	20–35
Deadlift	18.4	11.78	4–45	32.1	13.75	10–60
Standing calf raise	24.5	11.17	5–45	43.5	15.1	15–65
Lower abdominal exercise	1	1.05	0–2	4.6	2.32	2–8

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[1] Correspondence: Renilson Moraes Ferreira; Loteamento Jardim Atlântico, 7; 67120-590 Ananindeua PA; E-mail: renilsonmoraesferreira@gmail.com