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Morgan C, Tonkin EL, Masullo A, Jovan F, Sikdar A, Khaire P, Mirmehdi M, McConville R, Tourte GJL, Whone A, Craddock I. A multimodal dataset of real world mobility activities in Parkinson's disease. Sci Data 2023; 10:918. [PMID: 38123584 PMCID: PMC10733419 DOI: 10.1038/s41597-023-02663-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 10/19/2023] [Indexed: 12/23/2023] Open
Abstract
Parkinson's disease (PD) is a neurodegenerative disorder characterised by motor symptoms such as gait dysfunction and postural instability. Technological tools to continuously monitor outcomes could capture the hour-by-hour symptom fluctuations of PD. Development of such tools is hampered by the lack of labelled datasets from home settings. To this end, we propose REMAP (REal-world Mobility Activities in Parkinson's disease), a human rater-labelled dataset collected in a home-like setting. It includes people with and without PD doing sit-to-stand transitions and turns in gait. These discrete activities are captured from periods of free-living (unobserved, unstructured) and during clinical assessments. The PD participants withheld their dopaminergic medications for a time (causing increased symptoms), so their activities are labelled as being "on" or "off" medications. Accelerometry from wrist-worn wearables and skeleton pose video data is included. We present an open dataset, where the data is coarsened to reduce re-identifiability, and a controlled dataset available on application which contains more refined data. A use-case for the data to estimate sit-to-stand speed and duration is illustrated.
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Affiliation(s)
- Catherine Morgan
- Movement Disorders Group, Bristol Brain Centre, North Bristol NHS Trust, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK
- Translational Health Sciences, University of Bristol, 5 Tyndall Ave, Bristol, BS8 1UD, UK
| | - Emma L Tonkin
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK.
| | - Alessandro Masullo
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
| | - Ferdian Jovan
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
- School of Natural and Computing Sciences, University of Aberdeen, Aberdeen, UK
| | - Arindam Sikdar
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
- Edge Hill University, Ormskirk, UK
| | - Pushpajit Khaire
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
- Datta Meghe Institute of Higher Education and Research, Wardha, India
| | - Majid Mirmehdi
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
| | - Ryan McConville
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
| | - Gregory J L Tourte
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
- Advanced Research Computing, University of Oxford, Oxford, UK
| | - Alan Whone
- Movement Disorders Group, Bristol Brain Centre, North Bristol NHS Trust, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK
- Translational Health Sciences, University of Bristol, 5 Tyndall Ave, Bristol, BS8 1UD, UK
| | - Ian Craddock
- Faculty of Engineering, University of Bristol, Digital Health Offices, 1 Cathedral Square, Bristol, BS1 5DD, UK
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Marrocco W, Galli A, Scotti S, Calabrese N, Misericordia P, Dalle Vedove A, Marrocco G, D’Ingianna AP, Pizzini A, Fini M, Tomino C, Bonassi S. A Multicomponent Primary-Care Intervention for Preventing Falls in Older Adults Living in the Community: The PREMIO Study. J Clin Med 2023; 12:7134. [PMID: 38002746 PMCID: PMC10672084 DOI: 10.3390/jcm12227134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 11/06/2023] [Accepted: 11/07/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND Falls are a common cause of morbidity and functional impairment in the elderly and represent a significant health problem. General practitioners (GPs) are the first point of contact for health issues and may provide preventive services. The randomized clinical trial PREMIO was conducted by GPs to evaluate the effects of a multicomponent intervention for the prevention of falls in older adults aged ≥ 65 years at high risk of falling. METHODS 117 GPs enrolled 1757 patients (1116 F, 641 M) and randomized them into 2 groups (intervention and control). The intervention group received medical and behavioral counseling, home risk-factor assessment, a physical-activity program and nutritional counseling. The control group received only the nutritional counseling. Both groups were followed for one year. The primary outcome was the rate of falls at home over 12 months. RESULTS 1225 patients completed the study. Subjects receiving the intervention had, on average, fewer falls at home (percentage change -31.2%, p < 0.02) and fewer total falls (-26.0%, p < 0.02), although the reduction in the number of fallers was small (-3.9%, p = 0.05). Among the secondary endpoints, rates of general hospital or emergency-department admission and GP visits showed slight improvements (not statistically significant), while the risk of fractures was unexpectedly increased in the intervention group compared to the controls (odds ratio 2.39, p = 0.023). CONCLUSIONS Future studies and public-health interventions to prevent domestic falls among community-dwelling older people at high risk of falling could benefit from a multicomponent approach including medication review, physical exercise and home risk assessment and should include assessment of risk factors for fractures.
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Affiliation(s)
- Walter Marrocco
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- Società Italiana di Medicina di Prevenzione e degli Stili di Vita—S.I.M.P.e.S.V. (Italian Society of Preventive Medicine and Lifestyle), 00125 Rome, Italy
| | - Antonella Galli
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- Società Italiana di Medicina di Prevenzione e degli Stili di Vita—S.I.M.P.e.S.V. (Italian Society of Preventive Medicine and Lifestyle), 00125 Rome, Italy
| | - Silvestro Scotti
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
| | - Nicola Calabrese
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- NETMEDICA ITALIA, 00125 Rome, Italy;
| | - Paolo Misericordia
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- NETMEDICA ITALIA, 00125 Rome, Italy;
| | | | - Gianmarco Marrocco
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- Società Italiana di Medicina di Prevenzione e degli Stili di Vita—S.I.M.P.e.S.V. (Italian Society of Preventive Medicine and Lifestyle), 00125 Rome, Italy
| | - Antonio Pio D’Ingianna
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- Società Italiana di Medicina di Prevenzione e degli Stili di Vita—S.I.M.P.e.S.V. (Italian Society of Preventive Medicine and Lifestyle), 00125 Rome, Italy
| | - Andrea Pizzini
- Federazione Italiana Medici di Medicina Generale—F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy; (A.G.); (S.S.); (N.C.); (P.M.); (G.M.); (A.P.D.); (A.P.)
- Società Italiana di Medicina di Prevenzione e degli Stili di Vita—S.I.M.P.e.S.V. (Italian Society of Preventive Medicine and Lifestyle), 00125 Rome, Italy
| | - Massimo Fini
- IRCCS San Raffaele, 00166 Rome, Italy; (M.F.); (C.T.); (S.B.)
| | - Carlo Tomino
- IRCCS San Raffaele, 00166 Rome, Italy; (M.F.); (C.T.); (S.B.)
| | - Stefano Bonassi
- IRCCS San Raffaele, 00166 Rome, Italy; (M.F.); (C.T.); (S.B.)
- Department of Human Sciences and Quality of Life Promotion, San Raffaele University, 00166 Rome, Italy
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Lino TB, Scarmagnan GS, Sobrinho-Junior SA, Tessari GMF, Gonçalves GH, Pereira HM, Christofoletti G. Impact of Using Smartphone While Walking or Standing: A Study Focused on Age and Cognition. Brain Sci 2023; 13:987. [PMID: 37508919 PMCID: PMC10376959 DOI: 10.3390/brainsci13070987] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 06/16/2023] [Accepted: 06/21/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND Using smartphones during a task that requires upright posture is suggested to be detrimental for the overall motor performance. The aim of this study was to determine the role of age and specific aspects of cognitive function on walking and standing tasks in the presence of smartphone use. METHODS 51 older (36 women) and 50 young (35 women), mean age: 66.5 ± 6.3 and 22.3 ± 1.7 years, respectively, were enrolled in this study. The impact of using a smartphone was assessed during a dynamic (timed up and go, TUG) and a static balance test (performed on a force platform). Multivariate analyses of variance were applied to verify main effects of age, task, estimates of cognitive function and interactions. RESULTS Compared to young, older individuals exhibited a poorer performance on the dynamic and on the static test (age effect: p = 0.001 for both variables). Dual-tasking with a smartphone had a negative impact on both groups (task effect: p = 0.001 for both variables). The negative impact, however, was greater in the older group (age × task effect: p = 0.001 for both variables). Executive function and verbal fluency partially explained results of the dynamic and static tests, respectively. CONCLUSIONS The negative impact of using a smartphone while performing tasks similar to daily activities is higher in older compared to young people. Subclinical deficits in distinct aspects of cognitive function partially explain the decreased performance when dual-tasking.
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Affiliation(s)
- Tayla B Lino
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul, UFMS, Campo Grande 79060-900, Brazil
| | - Gabriella S Scarmagnan
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul, UFMS, Campo Grande 79060-900, Brazil
| | - Sidney A Sobrinho-Junior
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul, UFMS, Campo Grande 79060-900, Brazil
| | - Giovanna M F Tessari
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul, UFMS, Campo Grande 79060-900, Brazil
| | - Glaucia H Gonçalves
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul, UFMS, Campo Grande 79060-900, Brazil
| | - Hugo M Pereira
- Department of Health and Exercise Science, University of Oklahoma, Norman, OU 73019, USA
| | - Gustavo Christofoletti
- School of Medicine, Institute of Health, Federal University of Mato Grosso do Sul, UFMS, Campo Grande 79060-900, Brazil
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