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Researchers sought to uncover a potential relationship between physical activity and prodromal features of Parkinson disease (PD) — features that precede the clinical diagnosis — using the Nurses' Health Study and the Health Professionals Follow-Up Study. Participants were followed from 1986 through 2012, with assessments at baseline and longitudinally at many consecutive 24-month periods thereafter.
The odds of manifesting three or more prodromal features associated with later emergence of PD were approximately 35% lower in the cohort of patients classified at the study baseline in the highest quintile of physical activity compared with the lowest quintile. These prodromal features were constipation, probable REM sleep behavior disorder, ex…