Physical activity and its impact on non-motor aspects of Parkinson’s disease - the Early Parkinson’s Disease Longitudinal Singapore (PALS) study

2018 ◽  
Vol 46 ◽  
pp. e18
Author(s):  
Y.E. Samuel Ng ◽  
M. Mirza Abbas ◽  
S.E. Hannah Heng ◽  
F. Setiawan ◽  
A. Sanchalika ◽  
...  
2019 ◽  
Vol 61 ◽  
pp. 118-125 ◽  
Author(s):  
Amy W. Amara ◽  
Lana Chahine ◽  
Nicholas Seedorff ◽  
Chelsea J. Caspell-Garcia ◽  
Christopher Coffey ◽  
...  

2021 ◽  
Vol 22 (2) ◽  
pp. 795
Author(s):  
Milos Stanojlovic ◽  
Jean Pierre Pallais ◽  
Catherine M. Kotz

Aside from the classical motor symptoms, Parkinson’s disease also has various non-classical symptoms. Interestingly, orexin neurons, involved in the regulation of exploratory locomotion, spontaneous physical activity, and energy expenditure, are affected in Parkinson’s. In this study, we hypothesized that Parkinson’s-disease-associated pathology affects orexin neurons and therefore impairs functions they regulate. To test this, we used a transgenic animal model of Parkinson’s, the A53T mouse. We measured body composition, exploratory locomotion, spontaneous physical activity, and energy expenditure. Further, we assessed alpha-synuclein accumulation, inflammation, and astrogliosis. Finally, we hypothesized that chemogenetic inhibition of orexin neurons would ameliorate observed impairments in the A53T mice. We showed that aging in A53T mice was accompanied by reductions in fat mass and increases in exploratory locomotion, spontaneous physical activity, and energy expenditure. We detected the presence of alpha-synuclein accumulations in orexin neurons, increased astrogliosis, and microglial activation. Moreover, loss of inhibitory pre-synaptic terminals and a reduced number of orexin cells were observed in A53T mice. As hypothesized, this chemogenetic intervention mitigated the behavioral disturbances induced by Parkinson’s disease pathology. This study implicates the involvement of orexin in early Parkinson’s-disease-associated impairment of hypothalamic-regulated physiological functions and highlights the importance of orexin neurons in Parkinson’s disease symptomology.


2021 ◽  
Vol 11 ◽  
Author(s):  
Samuel Yong-Ern Ng ◽  
Nicole Shuang-Yu Chia ◽  
Mirza Masoom Abbas ◽  
Ehsan Seyed Saffari ◽  
Xinyi Choi ◽  
...  

Objective: In a prospective study, we investigated the association between physical activity and various motor, non-motor outcomes, and quality of life in early Parkinson's disease (PD) participants in the PD Longitudinal Singapore Study.Background: Prospective studies that examined the association between physical activity and motor and non-motor domains in early PD are lacking.Methods: 121 PD participants were followed-up prospectively to evaluate the association of physical activity with various symptom domains. The Physical Activity Scale for the Elderly (PASE) was used to measure physical activity annually. PD-related symptoms were categorized by motor, non-motor, and quality of life measures. Multivariate regression with gain score analysis was performed to understand the association of baseline PASE scores with the change of each variable at 1-year follow-up.Results: Higher baseline PASE scores (greater activity) were associated with a younger age, lower MDS-UPDRS motor scores, a smaller levodopa equivalent daily dose, better attention and memory scores, and better QoL. Activity scores in early PD declined on follow-up. Multivariate analysis revealed higher baseline physical activity to be associated with decreased anxiety and apathy scores at 1-year follow-up, after adjusting for demographic variables and medications.Conclusion: We demonstrated that higher baseline physical activity was associated with improved anxiety and apathy symptoms in early PD over a 1-year period.


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