scholarly journals Diet Quality and Social Engagement of People With Parkinson's Disease and Their Informal Caregivers

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 928-928
Author(s):  
Angelique Szymanski ◽  
Ingrid Lofgren ◽  
Skye Leedahl ◽  
Furong Xu ◽  
Matthew Delmonico ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Diet Quality ◽  
Social Engagement ◽  
Social Groups ◽  
Informal Caregivers ◽  
Positive Association ◽  
Volunteer Work ◽  
Social Activities ◽  
Group Exercise

Abstract Objectives To describe and compare the diet quality and social engagement of people with Parkinson's disease (PwPD) and their informal caregivers (ICG). To explore relationships in diet quality and social engagement activities. Methods Forty participants (20PwPD, 20ICG) were assessed. They rated their participation in seven social activities (visiting friends, social groups, social events, group exercise, educational courses, paid and volunteer work) on a scale of 0–3 (never, rarely, sometimes, often). Diet quality was assessed using Healthy Eating Index (HEI) 2015 scores (ranged from 0–100). Descriptive statistics were reported. Pearson Chi-Square analysis compared social engagement activities between PwPD and ICG. Spearman correlations explored the association between diet quality and social engagement variables. Results Mean age of participants was 68.05 ± 11.2 yr, and 57.5% were female. Mean HEI-2015 score was 58.2 ± 11.4, with no difference in scores between ICG and PwPD. Half of participants (PwPD = 9, ICG = 11) reported participating in volunteer work at least once a month, and 72.5% (PwPD = 14, ICG = 15) attended social groups at least once a month. Only 30% (PwPD = 6, ICG = 6) reported taking education courses at least monthly. Eighty % of PwPD and 35% of ICG attended group exercise classes at least once a week. PwPD were more likely to participate in group exercise programs than ICG (P = 0.03). There was no association between diet quality and social engagement variables. There was a positive association between being involved in social groups and volunteering (r = 0.3, P = 0.03), taking courses (r = 0.4, P = 0.02), and visiting friends (r = 0.4, P = 0.01). A positive association was found between visiting friends and paid community work (r = 0.3, P = 0.04) and between volunteer work and taking educational courses (r = 0.5, P = 0.002). Conclusions PwPD and ICG have low diet quality, but are engaged in a variety of social activities. Although no association between diet quality and social engagement, future research should explore if relationships exist in a larger, more diverse sample to understand how involvement in these activities can impact diet quality and quality of life. Funding Sources There was no external funding for this study.

scholarly journals A cohort study on diet and the risk of Parkinson's disease: the role of food groups and diet quality

2012 ◽  
Vol 109 (2) ◽  
pp. 329-337 ◽  
Author(s):  
K. Sääksjärvi ◽  
P. Knekt ◽  
A. Lundqvist ◽  
S. Männistö ◽  
M. Heliövaara ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Adjusted Relative Risk ◽  
Inverse Association ◽  
Food Groups ◽  
Incident Cases

Previous studies on individual foods and nutrients and Parkinson's disease (PD) risk have been inconsistent. Furthermore, only one study has examined the association between the quality of diet and PD. We investigated the prediction of food groups and diet quality on PD in the Finnish Mobile Clinic Survey (1966–72). The population comprised 4524 individuals, aged 40–79 years and free from PD at baseline. Data collection included health examinations, a questionnaire and a 1-year dietary history interview. A modified Alternate Healthy Eating Index was formed to assess diet quality. Statistical analyses were based on Cox's model. During a 41-year follow-up, eighty-five incident cases of PD occurred. No statistically significant associations were found between PD incidence and most of the food groups examined. A few exceptions were fruits and berries in men and milk in women, which showed positive associations. An inverse association between the intake of meat products and PD was found in women. The diet quality index did not predict PD, the adjusted relative risk between the highest and lowest quartiles being 1·83 (95 % CI 0·65, 5·18) in men and 0·97 (95 % CI 0·38, 2·48) in women. The present study suggests that since most of the single food groups or the quality of diet did not predict PD occurrence, the role of diet is apparently rather modest.

scholarly journals Executive functioning and serum lipid fractions in Parkinson’s disease—a possible sex-effect: the PACOS study

2022 ◽  
Author(s):  
Antonina Luca ◽  
Roberto Monastero ◽  
Calogero Edoardo Cicero ◽  
Roberta Baschi ◽  
Giulia Donzuso ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Executive Functioning ◽  
Lipid Profile ◽  
Serum Lipid ◽  
Density Lipoprotein ◽  
Positive Association ◽  
Executive Dysfunction ◽  
Lipoprotein Cholesterol ◽  
Lipid Fractions

AbstractThe association between dyslipidemia and cognitive performance in Parkinson’s disease (PD) patients still needs to be clarified. Aim of the study was to evaluate the presence of possible associations between serum lipids fractions and executive dysfunction also exploring the sex-specific contribute of lipids level on cognition. Patients from the PACOS cohort, who underwent a complete serum lipid profile measures (total cholesterol-TC, low-density lipoprotein cholesterol-LDL, high-density lipoprotein cholesterol-HDL and triglycerides-TG) were selected. Adult Treatment Panel III guidelines of the National Cholesterol Education Program were used to classify normal/abnormal lipid fractions. Executive functioning was assessed with the Frontal Assessment Battery (FAB). Logistic regression was performed to assess associations between lipids fractions and FAB score. Correlations between lipids fractions and FAB score were explored. Sex-stratified analysis was performed. Three hundred and forty-eight PD patients (148 women; age 66.5 ± 9.5 years; disease duration 3.9 ± 4.9 years) were enrolled. Women presented significantly higher TC, LDL and HDL than men. In the whole sample, any association between lipid profile measures and FAB score was found. Among women, a positive association between hypertriglyceridemia and FAB score under cutoff was found (OR 3.4; 95%CI 1.29–9.03; p value 0.013). A statistically significant negative correlation was found between the FAB score and triglyceride serum levels (r = − 0.226; p value 0.005). Differently, among men, a statistically significant negative association between hypercholesterolemia and FAB score under cutoff (OR 0.4; 95%CI 0.17–0.84; p value 0.018) and between high LDL levels and FAB score under cutoff (OR 0.4; 95%CI 0.18–0.90; p value 0.027) were found. Our data suggest a sex-specific different role of lipids in executive functioning.

scholarly journals Assessing Diet Quality of People with Parkinson's Disease: Dietary Screening Tool Versus HEI-2015

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 517-517
Author(s):  
Sarah Dobiszewski ◽  
Leslie Mahler ◽  
Ingrid Lofgren
Keyword(s):  
Parkinson’S Disease ◽  
At Risk ◽  
Parkinson's Disease ◽  
Diet Quality ◽  
Screening Tool ◽  
Healthy Eating Index ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Not At Risk

Abstract Objectives To assess the diet quality of people with Parkinson's Disease (PwPD) using two assessment tools: Healthy Eating Index (HEI)-2015 and the Dietary Screening Tool (DST). HEI-2015 and DST scores were compared for alignment to explore associations between HEI-2015 and DST total scores and sub-scores. Methods This secondary data analysis utilized a total of 28 participants from two studies examining PwPD and their informal caregivers. Dietary data was collected with two 24-hour recalls using the multiple pass method and entered into the Nutrition Data System for Research (NDSR). SAS Version 9.4 was used to compute HEI-2015 scores to assess diet quality. The HEI-2015 score is a total of 100 points and is based on the Dietary Guidelines for Americans for 2015–2020. Total HEI-2015 scores and 13 component scores were interpreted using the graded approach (grades A-F). Radar graphs provide a visual representation. Participants also completed the DST. The DST is a 25-item questionnaire used to identify dietary patterns and assess nutritional risk. Total scores were categorized into at risk <60, possibly risk 60–75, and not at risk >75. Sub-scores were calculated with point classifications for specific food categories. These sub-scores were divided into tertials of recommended intakes less than 50%, 50–80% and 80–100%, and compared for alignment between DST sub-scores and HEI-2015 sub-scores by assessing total number of pairs per category. Results The mean total score was 59.4 ± 28.6 for DST and 58.7 ± 22.2 for HEI-2015. HEI-2015 scores fell into grades of A (n = 0) B (n = 3) C (n = 3) D (n = 7) F (n = 14). PwPD who were categorized at risk from the DST scores (n = 18) received an HEI grade of D/F. PwPD who were at possible risk (n = 7) received a grade of B/C/D. PwPD who were not at risk (n = 3) received a grade of B/C/D for sub-scores, vegetable intake had a 50% alignment in scores, fat/sugar 43% alignment, whole grains and dairy 46% alignment and fruit 39% alignment. Conclusions There appeared to be partial alignment between the total HEI-2015 scores and DST nutritional risk scores. Sub-scores differ 50% of the time. Due to differences between the assessment tools, more research is needed to validate the DST in PwPD as this can be a less taxing assessment compared with 24-hour recalls. Funding Sources There was no external funding for this study.

scholarly journals Positive association of Parkinson’s disease with ankylosing spondylitis: a nationwide population-based study

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Fu-Chiang Yeh ◽  
Hsiang-Cheng Chen ◽  
Yu-Ching Chou ◽  
Cheng-Li Lin ◽  
Chia-Hung Kao ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Ankylosing Spondylitis ◽  
Cox Model ◽  
Positive Association ◽  
Underlying Mechanism ◽  
Population Based ◽  
Neurodegenerative Process ◽  
Increased Risk ◽  
Using Data

Abstract Background Ankylosing spondylitis (AS) is characterized by excessive production of inflammatory cytokines. Recent evidence suggests that inflammation underlies the neurodegenerative process of Parkinson’s disease (PD). Whether AS has an influence on the development of PD is unclear. We aimed to examine a relationship, if any exists between AS and PD. Methods A population-based matched cohort study was performed using data from the 2000–2010 Taiwan National Health Insurance database. 6440 patients with AS and 25,760 randomly selected, age- and sex-matched controls were included in this study. The risk of PD in the AS cohort was evaluated by using a Cox model. Results This study revealed a positive association between AS and the risk of PD regardless of sex and age (aHR 1.75, p < .001). Particularly, AS cohort to non-AS cohort relative risk of PD significantly increased for the patients aged below 49 and above 65 years (aHR 4.70, p < .001; aHR 1.69, p < .001, respectively) and the patients with and without comorbidities (aHR 1.61, p < .001; aHR 2.71, p < .001, respectively). Furthermore, NSAID use was associated with lower risk of PD (aHR 0.69, p < .05). However, the risk of PD was higher (aHR 2.40, p < .01) in patients with AS receiving immunosuppressants than in those not receiving (aHR 1.70, p < .001). Conclusions Patients with AS had an increased risk of PD which might be related to underlying chronic inflammation. Further research is required to elucidate the underlying mechanism.

Group Exercise: A Nursing Therapy in Parkinson's Disease

1987 ◽  
Vol 12 (5) ◽  
pp. 242-245 ◽  
Author(s):  
Pamela H. Mitchell ◽  
Mary Ann Mertz ◽  
Marci-Lee Catanzaro
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Group Exercise

scholarly journals Perspectives on Care for Late-Stage Parkinson’s Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Kristina Rosqvist ◽  
Marianne Kylberg ◽  
Charlotte Löfqvist ◽  
Anette Schrag ◽  
Per Odin ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Health Care ◽  
Parkinson's Disease ◽  
Everyday Life ◽  
Residential Care ◽  
Home Health Care ◽  
Late Stage ◽  
Informal Caregivers ◽  
Home Health ◽  
Main Category

In the late stage of Parkinson’s disease (PD), there is an increasing disease burden not only for the patients but also for their informal caregivers and the health and social services systems. The aim of this study was to explore experiences of late-stage PD patients’ and their informal caregivers’ satisfaction with care and support, in order to better understand how they perceive the treatment and care they receive. This qualitative substudy was part of the longitudinal European multicentre Care of Late Stage Parkinsonism (CLaSP) project. Individual semistructured interviews were conducted with patients (n = 11) and informal caregivers (n = 9) in Sweden. Data were analysed through the content analysis technique. The final analyses generated one main category: “We are trying to get by both with and without the formal care” and five subcategories: “Availability of health care is important for managing symptoms and everyday life”; “Dependence on others and scheduled days form everyday life”; “There is a wish to get adequate help when it is needed”; “Mixed feelings on future housing and respite care”; and “Family responsibility and loyalty for a functioning everyday life”. Having regular contact with PD-specialised health care was perceived as important. Greater access to physiotherapy was wished for. Maintaining autonomy was perceived as important by patients, in both home health care and a future residential care setting. Responsibility and loyalty between spouses and support from children enabled everyday life to carry on at home, indicating a vulnerability for those without an informal caregiver. The results suggest that regular access to PD-specialised health care is important and that a specialised and multidisciplinary approach to the management of PD symptomatology is likely necessary. Non-PD-specialised staff in home health care and residential care facilities should regularly be given opportunities to obtain PD-specific education and information.

scholarly journals Gut bacterial tyrosine decarboxylase gene abundance associates with disease duration, medication exposure, and gastrointestinal symptoms in a longitudinal cohort of Parkinson's disease patients.

2021 ◽  
Author(s):  
Sebastiaan P van Kessel ◽  
Petri Auvinen ◽  
Filip Scheperjans ◽  
Sahar El Aidy
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Drug Exposure ◽  
Disease Duration ◽  
Gastrointestinal Symptoms ◽  
Drug Efficacy ◽  
Positive Association ◽  
Significant Positive Association ◽  
Longitudinal Cohort ◽  
Gene Abundance

Gut microbiota influences the clinical response of a wide variety of orally administered drugs. However, the underlying mechanisms by which drug-microbiota interactions occur are still obscure. Previously, we reported that tyrosine decarboxylating (TDC) bacteria may restrict the levels of levodopa reaching the circulation in patients with Parkinson's disease (PD). We observed a significant positive association between disease duration and the abundance of the bacterial tdc-gene. The question arises whether increased exposure to anti-PD medication could affect the abundance of bacterial TDC, to ultimately impact drug efficacy. To this end, we investigated the potential association between anti-PD drug exposure and bacterial tdc-gene abundance over a time period of two years in a longitudinal cohort of PD patients and healthy controls. Our data reveal significant associations between tdc-gene abundance, anti-PD medication, and gastrointestinal symptoms and warrants further research on the effect of anti-PD medication on microbial changes and gastrointestinal-function.

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