Research Article

Effect of Exercise on Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Table 1

Characteristics of studies included in the meta-analysis.

First author (year)Population characteristicsInterventionAssessment
CountryN, intervention/controlMean age (years)% MaleMean duration of disease (years)Mean UPDRS III scoreExercise typeInterventionLength of each session (minutes)Frequency (times/week)Duration (weeks)Assessment points (weeks)QoL measure

Allen (2010) [6]Australia48, 24/2467.054.28.029.5Combined exerciseStrengthening and balance exercises40–6032525PDQ-39
Ashburn (2007) [16]UK142, 70/7272.160.6NA21.0Combined exerciseExercise menu composed of muscle strengthening, range of movement, balance training, and walking60168EQ-5D
Silva-Batista (2016) [30]Brazil39, 26/1364.274.4NA44.1Anaerobic exerciseResistance training6021212PDQ-39
Canning (2012) [17]Australia20, 10/1061.850.05.719.4Aerobic exerciseTreadmill walking30–40466PDQ-39
Cheon (2013) [18]Korea23, 7/9/764.40.05.628.0Type A: combined exercise and type B: martial artsType A: combined stretching-strengthening exercise and type B: Tai chi50–65388PDQL
Cholewa (2013) [19]Poland70, 40/3070.265.77.721.8Aerobic exerciseRehabilitation exercises6021212PDQ-39
Cruise (2011) [20]Australia34, 17/1760.052.95.7NAAerobic exerciseProgressive anabolic and aerobic exercise6021212PDQ-39
Vergara-Diaz (2018) [7]USA32, 16/1663.950.02.923.5Martial artsTai chi6032512PDQ-39
Ellis (2005) [21]USA68, 35/3363.575.0NA30.2Combined exerciseRehabilitation program including stretching exercises, strengthening exercises, functional training, gait training, balance training, and so on90266SIP-68
Hackney (2009) [22]USA75, 38/17/2066.481.87.627.1Type A: dance and type B: martial artsType A: dance (Waltz and Foxtrot + Tango) and type B: Tai chi6021313PDQ-39
Hubble(2017) [23]Australia22, 11/1165.468.26.819.4Combined exerciseFalls prevention exercise9011212PDQ-39
McKee (2013) [24]USA33, 24/970.060.67.127.9DanceTango9021212PDQ-39
Morris (2015) [25]Australia210, 70/69/7167.966.76.511.6Type A: anaerobic exercise and type B: aerobic exerciseType A : progressive resistance strength training and type B : movement strategy training120288PDQ-39
Morris (2017) [26]Australia133, 67/6671.060.2NA35.5Combined exerciseHome program comprising progressive resistance strength training, movement strategy training, and falls education60266PDQ-39
Ni (2016) [27]USA27, 15/1272.863.06.5NAMartial artsPower yoga program6021212PDQ-39
Ni (2016) [28]USA26, 14/1273.054.26.330.7Anaerobic exerciseHigh-speed resistance training combined balance and agility drillsNA21212
Nocera (2013) [29]USA23, 17/665.952.47.7NAMartial artsTai chi6031616PDQ-39
Tollar (2018) [31]Netherlands64, 35/2967.452.7NANAAerobic exerciseA high-intensity and high-frequency sensorimotor and visuomotor agility training program60533PDQ-39
Ventura (2016) [32]USA15, 8/771.113.3NANADanceDance75NA1919PDQ-39
Winward (2012) [33]UK39, 20/1964.159.3NANACombined exerciseAerobic sessions and strength sessions3071212PDQ-39

EQ-5D, EuroQol; NA, not available; PDQ-39, 39-item Parkinson’s disease questionnaire; PDQL, Parkinson’s disease quality of life questionnaire; QoL, quality of life; and SIP-68, sickness impact profile.