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Table 2 Changes in functional independence and key outcomes over the 8-week wait-list period

From: Promoting independence in Lewy body dementia through exercise: the PRIDE study

 

n

Baseline

Median (range)

Pre—Intervention Median (range)

Wa

Sig

Median change score (95% Hodges-Lehmann CI)

Functional Independence

MDS-UPDRS total /260

9

86 (57–169)

106 (45–180)

1.995

0.051

13 (-1, 34.5)

 Exercise completersa

6

62 (57–169)

78.5 (45–180)

1.363

0.173

6.5 (-10, 19.5)

 Part I/II sub-score /104

9

36 (16–75)

38 (13–84)

1.897

0.058

6 (-0.5, 14)

 Part III sub-score /132

9

46 (33–82)

55 (32–95)

1.186

0.236

5.5 (-6.5, 17.5)

 Part IV /24

9

0 (0–12)

2 (0–8)

0.841

0.4

0.5 (-1.5, 3)

FIM total score /126

9

102 (30–122)

100 (25–121)

-0.889

0.374

-3 (-11, 9)

Strength & Physical Function

Leg press 1RM, N

6

1375 (355–3100)

1200 (830–3000)

-1.682

0.093

-150 (-373, 40)

Leg extension 1RM, N·m

6

240 (35–550)

180 (120–570)

-1.572

0.116

-65 (-150, 35)

Triceps extension 1RM, N

6

450 (150–850)

470 (100–800)

-0.946

0.344

-45 (-200, 40)

SPPB total score, /12

9

7 (1–12)

7 (0–12)

-2.414

0.016

-1.5 (-2.5, -0.5)

 Sub-scores:

 Balance, /4

 

4 (0–4)

2 (0–4)

-1.414

0.157

0 (-1, 0)

 Gait, /4

 

3 (1 -4)

2 (0–4)

-1.134

0.257

-0.5 (-1, 0.5)

 Sit-to-stand, /4

 

2 (0–4)

1 (0–4)

-1.633

0.102

-1 (-2, 0)

Habitual gait speed, ms−1

7

0.69 (.11–1.01)

0.75 (0.42–1.09)

-0.169

0.866

-0.1 (-0.19, 0.13)

Maximal gait speed, ms−1

7

1.41 (0.75–2.03)

1.21 (0.94–2.38)

-0.338

0.735

-0.03 (-0.37, 0.29)

Five time sit-to-stand, s

7

13.8 (8.1–33.7)

11.5 (8.09–28.3)

-0.169

0.866

-0.2 (-3.8, 3.3)

Total balance time, s

9

60.84 (0.0–75.91)

47.72 (0.0–83.43)

-1.183

0.237

-1.9 (-22.5, 8.7)

Average grip strength, kg

8

25.5 (12.5–40.0)

23.75 (7–41.50)

-0.17

0.865

0 (-3.75, 2.75)

Six-minute walk, m

8

358 (57–718)

353 (0–727)

-0.7

0.484

-14 (-115, 44)

Physical activity

Total daily activity, g/hr

9

120.1 (45.4–262.7)

91.0 (34.7–186.6)

-2.429

0.015

-20.9 (-48.4, -7.2)

 Proportion of day, %

 

10.81 (7.81–20.29)

9.56 (1.67–17.2)

-2.31

0.021

-2.56 (-4.90, -0.56)

Daily walking time, mins

 

46.8 (7.2–172.2)

34.8 (4.8–139.2)

-2.666

0.008

-16.4 (-29.9. -4.0)

 Proportion of day, %

 

3.25 (0.49–11.94)

2.43 (0.33–9.68)

-2.666

0.008

-1.1 (-2.08, -0.28)

Step count, n

 

4158 (567–12,511)

2710 (400–9327)

-2.31

0.021

-998 (-2200, -113)

Total bouts of walking, n

 

139 (35–377)

113 (21–317)

-2.433

0.015

-26 (-57, -4)

Bout lengths

 5 to 10 s, n

 

66 (21–180)

53 (13–173)

-2.106

0.044

-9 (-18.25, 0.00)

 10 to 20 s, n

 

47 (12–106)

40 (6–79)

-2.138

0.033

-9 (-17.5, -0.50)

 20 to 30 s, n

 

17 (2–27)

10 (2–28)

-1.606

0.108

-2.5 (-5.5, 0.5)

 30 to 60 s, n

 

13 (0–39)

8 (0–23)

-2.136

0.033

-4.5 (-9.5, 0)

 60 to 120 s, n

 

3 (0–14)

1 (0–11)

-1.807

0.071

-1.5 (-2.5, 0)

  ≥ 120 s, n

 

1 (0–11)

0 (0–6)

-1.89

0.059

-0.5 (-2.5, 0)

Cognition

PD-CRS total score /134

9

44 (7–83)

42 (10 -77)

-0.422

0.673

-1 (-6, 3)

 Posterior-cortical /30

 

26 (1–28)

26 (4–29)

0.647

0.518

0.5 (-0.5, 2)

 Fronto-cortical /104

 

18 (1 -55)

17 (6–48)

-0.831

0.406

-1.5 (-5, 2)

MMSE total score /30

9

22 (5–29)

17 (3–26)

-1.916

0.055

-3 (-4, 0)

  1. Significance values where α < 0.05 are bolded. MDS-UPDRS Movement Disorder Society Unified Parkinson’s Disease Rating Scale [21]. Total score includes parts I-IV, Part III is the assessor rated motor score. a Exercise completers includes only the scores of participants who completed the subsequent exercise intervention as per protocol for analysis of the primary outcome. All values a presented as median (range). Higher scores in the MDS-UPDRS; and lower scores on the FIM, MMSE, and PD-CRS indicate worse performance on that measure respectively. 1RM One repetition maximum lift, FIM Functional independence measure [25], MMSE Mini-mental state exam [26], PD-CRS Parkinson’s disease Cognitive rating scale [27], SPPB Short Physical Performance Battery [34], kg kilogram, kgm−1 kg/metre, s second, cm centimeter, N Newton, N·m Newton metre.a W Wilcoxon Signed Rank standardized test statistic