Table 2. Measures and methods used to classify sedentary behavior, physical inactivity, and non-motor symptoms.
Publication | Study measures (sedentary behavior, physical (in)activity, and non-motor symptoms) | Measurement properties | Statistical methods used | Risk of bias score |
---|---|---|---|---|
Ellingson et al., 2019 [15] |
Sedentary behavior Objectively measured sedentary time using activPAL and Actigraph accelerometers Self-reported sedentary time measured using Sedentary Behavior Questionnaire (SBQ). Non-motor symptoms PDQ-39 (cognitive domain) |
Actigraph GT3X+ counts per second of each of the 3 axes were utilized. The specific cut-point used is unknown. ActivPAL’s proprietary software used in activity classification with >90% accuracy in classifying sedentary from non-sedentary behaviors [52]. The SBQ has acceptable test-retest reliability (ICC 0.51–0.93) [53]. Significant but small correlation between the PDQ-39 Cognitions score and the neurocognitive composite scores for delayed episodic memory (r = −0.13, p = 0.01) and processing speed (r = −0.12, p = .02) [29]. |
Spearman’s correlations and linear regression analysis | 5 |
van Uem et al., 2018 [28] |
Sedentary behavior Objectively measured sedentary behaviour using DynaPort MiniMod accelerometer Non-motor symptoms Geriatric Depression Scale PDQ-39 (cognitive domain) Mini-Mental State Examination (MMSE) |
A minimum of 2 days of activity monitoring is required to obtain an ICC ≥ 0.7 for most activities [54]. Significant correlation with Hamilton Depression Rating Scale (r = 0.82 P<0.01) [55, 56]. The PDQ-39 correlates significantly with MMSE (r = -0.32, P<0.01) [57]. The PDQ-39 also correlates with the neurocognitive composite scores for delayed episodic memory (r = −0.13, p = 0.01) and processing speed (r = −0.12, p = .02). |
Stepwise multivariate regression analyses | 5 |
Jones et al., 2020 [29] |
Physical (in)activity Physical Activity Scale for the Elderly (PASE) Non-motor symptoms Hopkins Verbal Learning Test-Revised, Judgment of Line Orientation, Symbols Digits Modalities Test, and Animal Fluency Test |
Test-retest reliability (intraclass correlation coefficient) of 0.69 for household-related physical activity [58]. Hopkins Verbal Learning Test- Revised has a reliability of r = 0.74, P<0.01 for total recall, and predicts cognitive decline in PD (hazard ratio (HR) 0.98, P<0.01) [59]. Judgement of Line Orientation Test has a test-retest reliability of 0.90 with standard error of measurement of 1.8 points [60]. Symbol Digit Modalities Test predicts cognitive decline in PD (HR 0.98, P = 0.04) [61]. Animal Fluency is sensitive (0.88) and specific (0.96) in early detection of dementia [62]. |
Ordinal multilevel modeling (MLM) | 5 |
Timblin et al., 2022 [30] |
Physical (in)activity Physical Activity Scale for the Elderly (PASE) [58] Non-motor symptoms Hopkins Verbal Learning Test- Revised, Judgement of Line Orientation Test, Letter-Number Sequencing task, Symbols Digits Modalities Test, and Animal Fluency. Geriatric Depression Scale [55, 56] |
Reported above. In addition to measurement properties reported above, the Letter-Number Sequencing task has good test-retest reliability (ICC = 0.64) in PD. Reported above. |
Structural equation modeling (SEM) | 5 |
Troutman et al., 2020 [33] |
Sedentary behavior Objective measurement of sedentary behavior using Sensewear pro armband Non-motor symptoms Cognition: Parkinson’s Disease-Cognitive Rating Scale (PD-CRS) |
At least 3 weekdays of monitoring required to achieve a reliability of 0.80 [63]. The PD-CRS has a test-retest reliability (ICC) >0.70, and sensitive (94%) and specific (94%) to detect PD dementia [54, 64]. |
Linear regression | 6 |
Sulzer et al., 2021 [31] Longitudinal cohort study |
Sedentary behavior Objectively measured sedentary behavior using DynaPort MiniMod accelerometer [54] Non-motor symptoms Cognition: Parkinson Neuropsychometric Dementia Assessment (PANDA). Geriatric Depression Scale [55, 56] |
Reported above. The PANDA (cognition) had a specificity of 91% and a sensitivity of 90% for PD dementia and 77% for PD dementia plus PD-mild cognitive disorder [65]. Reported above. |
Binary logistic regression | 6 |
Prusynski et al., 2022 [32] Prospective observational study |
Sedentary behavior/Non-motor symptoms Objective measurement of sedentary behavior, physical activity and sleep using Fitbit Charge HR activity monitor. |
Fitbit devices can correctly identify sleep epochs with accuracy of 0.81 to 0.91, sensitivity of 0.87 and 0.99, and specificity of 0.10 and 0.52 [66]. | Linear regression | 3 |