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Table 3 Changes in functional independence and key outcomes over the 8-week exercise intervention

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

 

n

Pre – Intervention Median (range)

Post-Intervention Median (range)

Wa

Sig

Median change score (95% Hodges-Lehmann CI)

Functional Independence

MDS-UPDRS total /260

6

78.5 (45–180)

72.5 (33–157)

-2.207

0.027

-8 ( -17.5, -2)

 Part I/II sub-score /104

 

24.5 (13–84)

30.5 (10–69)

-1.153

0.074

-3.5 (-10.5, 6)

 Part III sub-score / 132

 

53 (32–88)

41 (23–79)

-1.153

0.249

-7.5 (-12, 1)

 Part IV /24

 

1 (0–8)

1 (0–9)

1.00

0.317

0 (0, 0.5)

FIM total score /126

6

107 (25–121)

109.5 (19–122)

0.315

0.752

1 (-5, 5.5)

Strength & Physical Function

Leg press 1RM, N

5

1250 (1080–3000)

2000 (1800–3350)

2.023

0.043

600 (350, 850)

 Leg extension 1RM, N·m

5

210 (140–570)

330 (280–720)

2.023

0.043

137 (120, 160)

 Triceps extension 1RM, N

 

-

-

-

-

-

SPPB total score, /12

6

8 (0–12)

12 (0–12)

1.857

0.063

2 (0, 4)

 Sub-scores:

 Balance, /4

 

4 (0–4)

4 (0–4)

1

0.317

0 (0, 1)

 Gait, /4

 

3.5 (0—4)

4 (0–4)

1.414

0.157

0.5 (0, 1)

 Sit-to-stand, /4

 

1.5 (0–4)

4 (0–4)

1.841

0.068

1 (0, 3)

Habitual gait speed, ms−1

5

0.83 (0.5–1.09)

1.01 (0.61–1.39)

1.826

0.068

0.15 (0, 0.3)

Maximal gait speed, ms−1

5

1.5 (0.94–2.38)

1.83 (1.07–2.25)

1.625

0.104

0.19 (-0.13, 0.71)

Five time sit-to-stand, s

5

11.5 (8.1–19.9)

9.6 (6.7–14.9)

-2.023

0.043

-3.0 (-5.0, -1.0)

Total balance time, s

6

61.5 (0.0–83.4)

65.5 (0.0–84.3)

2.203

0.043

3.0 (0.4, 7.9)

Average grip strength, kg

 

-

-

-

-

-

Six-minute walk, m

5

505 (217–727)

458 (255–789)

0.674

0.5

44 (-63, 62)

Physical activity

Total daily activity, g/hr

6

116.7 (34.7–186.6)

118.7 (37.4–197.4)

0.105

0.917

1.99 (-12.7, 17.4)

 Proportion of day, %

 

10.3 (4.75–17.2)

11.5 (4.01–16.9)

0.524

0.6

0.3 (-0.8, 1.5)

Daily walking time, mins

 

49.5 (6.6–139.2)

51 (1.8–160.2)

1.153

0.249

6.96 (-10.3, 18.5)

 Proportion of day, %

 

3.45 (0.45–9.68)

3.53 (0.11–11.11)

1.153

0.249

0.5 (-0.7, 1.3)

Step count, n

 

4617 (455–9327)

4884 (80–11,772)

0.734

0.463

528 (-1889, 2632)

Total bouts of walking, n

 

163.5 (29.5–317)

190 (5–341)

1.153

0.249

23 (-3.25, 29.5)

Bout lengths

 5 to 10 s, n

 

89 (19–173)

92 (3–164)

-0.105

0.917

-1 (-12.5, 10)

 10 to 20 s, n

 

47.5 (7–79)

66.5 (2–98)

1.782

0.075

11 (-2, 21.5)

 20 to 30 s, n

 

13.5 (2.5–28)

16.5 (0–26)

0.105

0.916

0.25 (-2.25, 5)

 30 to 60 s, n

 

8 (1–23)

10 (0–33)

1.393

0.173

3.5 (-2, 9.5)

 60 to 120 s, n

 

2 (0–11)

2.5 (0–12)

0.68

0.496

1 (-1.5, 2)

  ≥ 120 s, n

 

0.5 (0–6)

0 (0–10)

0.272

0.785

0 (-2, 2.5)

Cognition

PD-CRS total score /134

6

62.5 (10–77)

68.5 (16–102)

2.207

0.027

8 (4, 17.5)

 Posterior-cortical /30

 

26.5 (4–29)

29 (9 -30)

1.841

0.066

2 (0, 4)

 Fronto-cortical /104

 

36 (6–48)

40 (7–73)

1.892

0.058

6.5 (0, 17)

MMSE total score /30

6

21.5 (3–26)

25 (11–29)

2.207

0.027

4.5 (1.5, 7.5)

  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