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Advice to people with Parkinson's in my clinic: Get a cardiopulmonary exercise test

Year: 2025

Type: editorial

Abstract: Aerobic (cardiopulmonary) exercise training improves fitness and limits the progression of motor signs in Parkinson's disease. Individualized development of exercise prescriptions relies upon accurately measured peak heart rate (HR). Cardiopulmonary exercise testing (CPET) is the only methodology to objectively confirm an individual's peak HR. This test is important in individuals who may have autonomic dysfunction, which may manifest as chronotropic incompetence. Without CPET's confirmation of maximal effort, there is no way of knowing whether exercise prescription in those with chronotropic incompetence is accurate. CPET also provides information regarding cardiorespiratory fitness, which can motivate patients to exercise to prolong health.

Source: Journal of Parkinson s Disease

DOI: 10.1177/1877718x251330814

Authors: Garett J Griffith, Kathleen E McKee, Guillaume Lamotte, Nijee S Luthra, Daniel M Corcos

Institutions: Northwestern University, Intermountain Healthcare, University of Utah, George E. Wahlen Department of VA Medical Center, University of California, San Francisco

Language: English

Topic: Cardiovascular and exercise physiology

Subfield: Complementary and alternative medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funders: National Institutes of Health, National Institute of Neurological Disorders and Stroke, National Center for Advancing Translational Sciences