{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T19:10:10Z","timestamp":1792350610316,"version":"4.4.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Decreased movement ability, one of the hallmarks of Parkinson disease (PD), may lead to inadequate physical activity (PA) and excessive time spent in sedentary behaviors\u20142 factors associated with an elevated risk for lifestyle-related diseases, poor management of PD, and premature death. To identify the extent to which people with PD are physically active, a comprehensive characterization of PA in this population is needed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The study objective was to describe levels and patterns of PA and sedentary behaviors in elderly people with PD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This cross-sectional study involved a free-living setting and 53 men and 42 women (mean age=73.4 years) with mild to moderate idiopathic PD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Time spent in PA and sedentary behaviors was assessed for 1 week with accelerometers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Mean daily step counts were 4,765; participants spent 589 minutes in sedentary behaviors, 141 minutes in low-intensity activities, 30 minutes in moderate-intensity lifestyle activities, and 16 minutes in moderate- to vigorous-intensity ambulatory activities. No differences were found between weekdays and weekend days. Patterns were characterized by a rise in total PA in the morning, peaking between 10 am and 3 pm, and a gradual decline toward the late evening. The proportion achieving 150 minutes of moderate- to vigorous-intensity PA per week was 27%, and 16% achieved 7,000 or more steps per day.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitations<\/jats:title>\n                  <jats:p>Nonrandomized selection of participants may limit the generalizability of the results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Physical activity levels were generally low, in terms of both total volume and intensity, with only minor variations over the course of a day or between days. These results emphasize the need to develop strategies to increase PA and reduce time spent in sedentary behaviors in elderly people with mild to moderate PD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2522\/ptj.20140374","type":"journal-article","created":{"date-parts":[[2015,2,6]],"date-time":"2015-02-06T06:42:34Z","timestamp":1423204954000},"page":"1135-1141","source":"Crossref","is-referenced-by-count":133,"title":["Levels and Patterns of Physical Activity and Sedentary Behavior in Elderly People With Mild to Moderate Parkinson Disease"],"prefix":"10.1093","volume":"95","author":[{"given":"Martin","family":"Benka Wall\u00e9n","sequence":"first","affiliation":[{"name":"M. Benka Wall\u00e9n, PhD, RPT, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Alfred Nobels Alle 23, 141 83 Huddinge, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Franz\u00e9n","sequence":"additional","affiliation":[{"name":"E. Franz\u00e9n, PhD, RPT, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, and Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e5kan","family":"Nero","sequence":"additional","affiliation":[{"name":"H. Nero, MSc, RPT, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Hagstr\u00f6mer","sequence":"additional","affiliation":[{"name":"M. Hagstr\u00f6mer, PhD, RPT, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, and Department of Physical Therapy, Karolinska University Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"2019123006581316400_B1","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1136\/jnnp.57.6.672","article-title":"Parkinson's disease","volume":"57","author":"Marsden","year":"1994","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2019123006581316400_B2","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.expneurol.2009.06.013","article-title":"Reduced performance in balance, walking and turning tasks is associated with increased neck tone in Parkinson's disease","volume":"219","author":"Franz\u00e9n","year":"2009","journal-title":"Exp Neurol"},{"key":"2019123006581316400_B3","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/S0140-6736(12)61031-9","article-title":"Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy","volume":"380","author":"Lee","year":"2012","journal-title":"Lancet"},{"key":"2019123006581316400_B4","volume-title":"Physical Activity Guidelines Advisory Committee Report","author":"Physical Activity Guidelines Advisory Committee","year":"2008"},{"key":"2019123006581316400_B5","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1093\/eurheartj\/ehq451","article-title":"Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003-06","volume":"32","author":"Healy","year":"2011","journal-title":"Eur Heart J"},{"key":"2019123006581316400_B6","doi-asserted-by":"crossref","first-page":"2895","DOI":"10.1007\/s00125-012-2677-z","article-title":"Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis","volume":"55","author":"Wilmot","year":"2012","journal-title":"Diabetologia"},{"key":"2019123006581316400_B7","doi-asserted-by":"crossref","first-page":"f5577","DOI":"10.1136\/bmj.f5577","article-title":"Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study","volume":"347","author":"Naci","year":"2013","journal-title":"BMJ"},{"key":"2019123006581316400_B8","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1038\/nrneurol.2011.107","article-title":"How might physical activity benefit patients with Parkinson disease?","volume":"7","author":"Speelman","year":"2011","journal-title":"Nat Rev Neurol"},{"key":"2019123006581316400_B9","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1002\/mds.21922","article-title":"The effectiveness of exercise interventions for people with Parkinson's disease: a systematic review and meta-analysis","volume":"23","author":"Goodwin","year":"2008","journal-title":"Mov Disord"},{"key":"2019123006581316400_B10","doi-asserted-by":"crossref","first-page":"2214","DOI":"10.1007\/s00415-011-6097-7","article-title":"Physical inactivity in Parkinson's disease","volume":"258","author":"van Nimwegen","year":"2011","journal-title":"J Neurol"},{"key":"2019123006581316400_B11","doi-asserted-by":"crossref","first-page":"2964","DOI":"10.1007\/s00415-013-7037-5","article-title":"Ambulatory activity in incident Parkinson's: more than meets the eye?","volume":"260","author":"Lord","year":"2013","journal-title":"J Neurol"},{"key":"2019123006581316400_B12","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/NPT.0b013e318254ba7a","article-title":"Capturing ambulatory activity decline in Parkinson's disease","volume":"36","author":"Cavanaugh","year":"2012","journal-title":"J Neurol Phys Ther"},{"key":"2019123006581316400_B13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/1479-5868-10-30","article-title":"Objectively measured light-intensity lifestyle activity and sedentary time are independently associated with metabolic syndrome: a cross-sectional study of Japanese adults","volume":"10","author":"Kim","year":"2013","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2019123006581316400_B14","article-title":"Total activity counts and bouted minutes of moderate-to-vigorous physical activity: relationships with cardiometabolic biomarkers using 2003-2006 NHANES","author":"Wolff","year":"2014","journal-title":"J Phys Act Health"},{"key":"2019123006581316400_B15","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1249\/MSS.0000000000000468","article-title":"Accelerometer-based physical activity: total volume per day and standardized measures","volume":"47","author":"Bassett","year":"2015","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B16","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1136\/jnnp.56.8.874","article-title":"Diurnal effects of motor activity and fatigue in Parkinson's disease","volume":"56","author":"van Hilten","year":"1993","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2019123006581316400_B17","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/1471-2377-12-111","article-title":"A novel conceptual framework for balance training in Parkinson's disease: study protocol for a randomised controlled trial","volume":"12","author":"Conradsson","year":"2012","journal-title":"BMC Neurol"},{"key":"2019123006581316400_B18","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1365-2990.1989.tb01147.x","article-title":"The significance of the Lewy body in the diagnosis of idiopathic Parkinson's disease","volume":"15","author":"Gibb","year":"1989","journal-title":"Neuropathol Appl Neurobiol"},{"key":"2019123006581316400_B19","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1212\/WNL.17.5.427","article-title":"Parkinsonism: onset, progression and mortality","volume":"17","author":"Hoehn","year":"1967","journal-title":"Neurology"},{"key":"2019123006581316400_B20","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1136\/jnnp.55.3.181","article-title":"Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases","volume":"55","author":"Hughes","year":"1992","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2019123006581316400_B21","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"\u201cMini-mental state\u201d: a practical method for grading the cognitive state of patients for the clinician","volume":"12","author":"Folstein","year":"1975","journal-title":"J Psychiatr Res"},{"key":"2019123006581316400_B22","doi-asserted-by":"crossref","first-page":"S490","DOI":"10.1249\/01.mss.0000185571.49104.82","article-title":"The technology of accelerometry-based activity monitors: current and future","volume":"37","author":"Chen","year":"2005","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B23","unstructured":"ActiGraph. Low frequency extension explained. ActiGraph Support Web page. Available at: https:\/\/help.theactigraph.com\/entries\/21767838-Low-Frequency-Extension-Explained. Posted July 24, 2012. Accessed February 3, 2015."},{"key":"2019123006581316400_B24","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1088\/0967-3334\/35\/11\/2287","article-title":"Comparison of two accelerometer filter settings in individuals with Parkinson's disease","volume":"35","author":"Wall\u00e9n","year":"2014","journal-title":"Physiol Meas"},{"key":"2019123006581316400_B25","first-page":"293","article-title":"Unified Parkinson's Disease Rating Scale","volume-title":"Recent Developments in Parkinson's Disease","author":"Fahn","year":"1987"},{"key":"2019123006581316400_B26","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1249\/MSS.0b013e3181ed61a3","article-title":"Validation of accelerometer wear and nonwear time classification algorithm","volume":"43","author":"Choi","year":"2011","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B27","doi-asserted-by":"crossref","first-page":"S512","DOI":"10.1249\/01.mss.0000185659.11982.3d","article-title":"Calibration of accelerometer output for adults","volume":"37","author":"Matthew","year":"2005","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B28","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1249\/mss.0b013e31815a51b3","article-title":"Physical activity in the United States measured by accelerometer","volume":"40","author":"Troiano","year":"2008","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B29","doi-asserted-by":"crossref","first-page":"S531","DOI":"10.1249\/01.mss.0000185657.86065.98","article-title":"Conducting accelerometer-based activity assessments in field-based research","volume":"37","author":"Trost","year":"2005","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B30","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1093\/aje\/kwq069","article-title":"Levels and patterns of objectively assessed physical activity: a comparison between Sweden and the United States","volume":"171","author":"Hagstr\u00f6mer","year":"2010","journal-title":"Am J Epidemiol"},{"key":"2019123006581316400_B31","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1097\/00005768-200208000-00021","article-title":"Sources of variance in daily physical activity levels as measured by an accelerometer","volume":"34","author":"Matthews","year":"2002","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B32","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1249\/MSS.0b013e3181846cd8","article-title":"Reliability of RT3 accelerometers among overweight and obese adults","volume":"41","author":"Jerome","year":"2009","journal-title":"Med Sci Sports Exerc"},{"key":"2019123006581316400_B33","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1002\/mds.23146","article-title":"The pattern of habitual sedentary behavior is different in advanced Parkinson's disease","volume":"25","author":"Chastin","year":"2010","journal-title":"Mov Disord"},{"key":"2019123006581316400_B34","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1016\/j.parkreldis.2013.05.014","article-title":"Quantifying daily physical activity and determinants in sedentary patients with Parkinson's disease","volume":"19","author":"Dontje","year":"2013","journal-title":"Parkinsonism Relat Disord"},{"key":"2019123006581316400_B35","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/1479-5868-5-56","article-title":"A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review","volume":"5","author":"Prince","year":"2008","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2019123006581316400_B36","first-page":"1208","article-title":"Adult participation in recommended levels of physical activity: United States, 2001 and 2003","volume":"54","author":"Centers for Disease Control and Prevention","year":"2005","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2019123006581316400_B37","doi-asserted-by":"crossref","first-page":"f576","DOI":"10.1136\/bmj.f576","article-title":"Promotion of physical activity and fitness in sedentary patients with Parkinson's disease: randomised controlled trial","volume":"346","author":"van Nimwegen","year":"2013","journal-title":"BMJ"},{"key":"2019123006581316400_B38","first-page":"241754","article-title":"Impaired economy of gait and decreased six-minute walk distance in Parkinson's disease","volume":"2012","author":"Katzel","year":"2012","journal-title":"Parkinsons Dis"}],"container-title":["Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ptj\/article-pdf\/95\/8\/1135\/31634925\/ptj1135.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ptj\/article-pdf\/95\/8\/1135\/31634925\/ptj1135.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T11:58:40Z","timestamp":1577707120000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ptj\/article\/95\/8\/1135\/2686470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,1]]},"references-count":38,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,8,1]]}},"URL":"https:\/\/doi.org\/10.2522\/ptj.20140374","relation":{},"ISSN":["0031-9023","1538-6724"],"issn-type":[{"value":"0031-9023","type":"print"},{"value":"1538-6724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,1]]}}}