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Título

PHYSICAL ACTIVITY INTERRUPTION DURING COVID-19 PANDEMIC AGGRAVATES THE WORSENING IN QUALITY OF LIFE OF PEOPLE WITH PARKINSON'S DISEASE

Resumo

Background: Reduced physical activity can collaborate to accentuate the motor and non-motor changes experienced in daily life by people with PD. Objective: To investigate the impact of interruption in physical activities due to physical distancing during the COVID-19 pandemic on the motor and non-motor aspects of daily life experiences of people living with Parkinson's disease in Brazil. Methods: 400 individuals with confirmed PD diagnosis mean age of 67.2 years (SD=9.5), in stage 1 – 3 of disease evolution according to Hoehn and Yahr classification, living in 14 different cities representative of 5 different geo-economic regions, participated in the present study. After presenting the informed consent form, and expressing agreement to participate in the study, participants were asked to answer, through telephone interviews, a previously established questionnaire that investigates: (1) general information; (2) socio-economic status; (3) information associated with PD; (4) quality of life; (5) health conditions related to COVID-19; (6) emotional health condition; (7) fear of falling; (8) level of physical activity; (9) cognitive health conditions and (10) motor and non-motor aspects of daily life experience. The participants were divided into two groups, according to their self-reported physical activity profile: no-interruption in PA group (NIPA) with 236 participants, and interruption in PA group (IPA), with 164 participants. The comparison in motor and non-motor self-reported worsening between two groups was analyzed by ANOVA one-way.Results: The groups were comparable in clinical aspects. The ANOVA showed a significant statistical difference between the groups for the quality of life and motor aspects of daily life experience (p<.05), but not for motor aspects of daily life experience. The Tukey post-hoc confirmed that NIPA reported less severe worsening in the quality of life and motor aspects of daily life experience than IPA. Conclusion: The interruption in PA due to physical distancing during the COVID19 pandemic promoted more severe worsening and motor aspects and quality of life in people living with PD in Brazil. Future studies should investigate feasible and effective strategies to guarantee PA maintenance at home, probably by telehealth.

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Neurorreabilitação