Evidence map›Paper›PMID 37948405›Full record

SynthesisPloS one2023

Feasibility and effect of high-intensity training on the progression of motor symptoms in adult individuals with Parkinson's disease: A systematic review and meta-analysis.

Ingrid Garcia De Sena, Adalberto Veronese da Costa, Isis Kelly Dos Santos, Dayane Pessoa de Araújo, Francisca Tayná da Silva Gomes, José Rodolfo Lopes de Paiva Cavalcanti, Maria Irany Knackfuss, Micássio Fernandes de Andrade, Paloma Katlheen Moura Melo, Ivana Alice Teixeira Fonseca

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Ingrid Garcia De SenaMulticenter Postgraduate Program in Physiological Sciences, Health Sciences College, State University of Rio Grande do Norte (UERN), Mossoro, Brazil.
Adalberto Veronese da CostaDepartment of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil.
Isis Kelly Dos SantosDepartment of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil.
Dayane Pessoa de AraújoLaboratory of Experimental Neurology, Multicenter Postgraduate Program in Physiological Sciences, Nursing College, UERN, Mossoro, Brazil.
Francisca Tayná da Silva GomesMulticenter Postgraduate Program in Physiological Sciences, Health Sciences College, State University of Rio Grande do Norte (UERN), Mossoro, Brazil.
José Rodolfo Lopes de Paiva CavalcantiLaboratory of Experimental Neurology, Multicenter Postgraduate Program in Physiological Sciences, Nursing College, UERN, Mossoro, Brazil.
Maria Irany KnackfussDepartment of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil.
Micássio Fernandes de AndradePostgraduate Program in Health Society, Health Sciences College, Molecular Biology Laboratory, UERN, Mossoro, Brazil.
Paloma Katlheen Moura MeloMulticenter Postgraduate Program in Physiological Sciences, Health Sciences College, State University of Rio Grande do Norte (UERN), Mossoro, Brazil.
Ivana Alice Teixeira FonsecaDepartment of Physical Education, Postgraduate Program in Health Society, UERN, Mossoro, Brazil.ORCID 0000-0002-4757-914X
Universidade do Estado do Rio Grande do Norte · BRUniversidade Federal do Rio Grande do Norte · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine the feasibility and effect of high-intensity interval training (HIIT) in individuals with Parkinson's and their effect on symptom modification and progression.

methodsWe conducted this systematic review following the Preferred Reporting Items for systematic review and meta-analysis (PRISMA). All studies were searched in seven databases: MEDLINE (PubMed), Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, SPORTDiscus, Virtual Health Library (VHL) and SCOPUS in September 2020 and updated in June 2023. The risk of bias was assessed by the Cochrane Collaboration tool and Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. We used standardized mean difference (SMD) with a 95% confidence interval (CI) and random effects models, as well as the non-parametric Cochran's Q test and I2 inconsistency test to assess heterogeneity.

resultsA total of 15 randomized clinical trials with 654 participants (mean age, 65.4 years). The majority of studies included high intensity training interventions versus moderate intensity, usual care, or control group. The meta-analysis comparing high-intensity exercise versus control group showed an improvement in the disease severity (MD = -4.80 [95%CI, -6.38; -3.21 high evidence certainty); maximum oxygen consumption (MD = 1.81 [95%CI, 0.36; 3.27] very low evidence certainty) and quality of life (MD = -0.54 [95%CI, -0.94; -0.13] moderate evidence certainty). The results showed that high-intensity exercise compared with moderate intensity exercise group showed a improve motor function and functional mobility measured by the TUG test (MD = -0.38 [95%CI, -0.91; 0.16] moderate evidence certainty) with moderate heterogeneity between studies.

conclusionHigh-intensity exercise performed in both continuous and interval modes when compared with control groups may provide motor function benefits for individuals with Parkinson's disease. HIIT may be feasible, but the intensity of the exercise may influence individuals with Parkinson's disease. However, there was a lack of evidence comparing high intensity and moderate intensity for this population, as the results showed heterogeneity.

Indexed as

Parkinson DiseaseAdultAgedExerciseFeasibility StudiesHumansQuality of Life

Identifiers

PMID37948405
PMCPMC10637666
OpenAlexW4388563426

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.