Habitual exercisers versus sedentary subjects with Parkinson's Disease: Multimodal PET and fMRI study

ABSTRACT Background The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum. Objective To examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD. Methods Eight habitual exerc...

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Published inMovement disorders Vol. 33; no. 12; pp. 1945 - 1950
Main Authors Sacheli, Matthew A., Murray, Danielle K., Vafai, Nasim, Cherkasova, Mariya V., Dinelle, Katie, Shahinfard, Elham, Neilson, Nicole, McKenzie, Jessamyn, Schulzer, Michael, Appel‐Cresswell, Silke, McKeown, Martin J., Sossi, Vesna, Jon Stoessl, A.
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.12.2018
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Abstract ABSTRACT Background The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum. Objective To examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD. Methods Eight habitual exercisers and 9 sedentary subjects completed [11C]raclopride PET scans before and after stationary cycling to determine exercise‐induced release of endogenous DA in the dorsal striatum. Additionally, functional MRI assessed ventral striatum activation during reward anticipation. All participants completed motor (UPDRS III; finger tapping; and timed‐up‐and‐go) and nonmotor (Beck Depression Inventory; Starkstein Apathy Scale) assessments. Results [11C]Raclopride analysis before and after stationary cycling demonstrated greater DA release in the caudate nuclei of habitual exercisers compared to sedentary subjects (P < 0.05). Habitual exercisers revealed greater activation of ventral striatum during the functional MRI reward task (P < 0.05) and lower apathy (P < 0.05) and bradykinesia (P < 0.05) scores versus sedentary subjects. Conclusions Habitual exercise is associated with preservation of motor and nonmotor function, possibly mediated by increased DA release. This study formulates a foundation for prospective, randomized controlled studies. © 2018 International Parkinson and Movement Disorder Society
AbstractList BackgroundThe benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum.ObjectiveTo examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD.MethodsEight habitual exercisers and 9 sedentary subjects completed [11C]raclopride PET scans before and after stationary cycling to determine exercise‐induced release of endogenous DA in the dorsal striatum. Additionally, functional MRI assessed ventral striatum activation during reward anticipation. All participants completed motor (UPDRS III; finger tapping; and timed‐up‐and‐go) and nonmotor (Beck Depression Inventory; Starkstein Apathy Scale) assessments.Results[11C]Raclopride analysis before and after stationary cycling demonstrated greater DA release in the caudate nuclei of habitual exercisers compared to sedentary subjects (P < 0.05). Habitual exercisers revealed greater activation of ventral striatum during the functional MRI reward task (P < 0.05) and lower apathy (P < 0.05) and bradykinesia (P < 0.05) scores versus sedentary subjects.ConclusionsHabitual exercise is associated with preservation of motor and nonmotor function, possibly mediated by increased DA release. This study formulates a foundation for prospective, randomized controlled studies. © 2018 International Parkinson and Movement Disorder Society
ABSTRACT Background The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum. Objective To examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD. Methods Eight habitual exercisers and 9 sedentary subjects completed [11C]raclopride PET scans before and after stationary cycling to determine exercise‐induced release of endogenous DA in the dorsal striatum. Additionally, functional MRI assessed ventral striatum activation during reward anticipation. All participants completed motor (UPDRS III; finger tapping; and timed‐up‐and‐go) and nonmotor (Beck Depression Inventory; Starkstein Apathy Scale) assessments. Results [11C]Raclopride analysis before and after stationary cycling demonstrated greater DA release in the caudate nuclei of habitual exercisers compared to sedentary subjects (P < 0.05). Habitual exercisers revealed greater activation of ventral striatum during the functional MRI reward task (P < 0.05) and lower apathy (P < 0.05) and bradykinesia (P < 0.05) scores versus sedentary subjects. Conclusions Habitual exercise is associated with preservation of motor and nonmotor function, possibly mediated by increased DA release. This study formulates a foundation for prospective, randomized controlled studies. © 2018 International Parkinson and Movement Disorder Society
The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum.BACKGROUNDThe benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum.To examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD.OBJECTIVETo examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD.Eight habitual exercisers and 9 sedentary subjects completed [11 C]raclopride PET scans before and after stationary cycling to determine exercise-induced release of endogenous DA in the dorsal striatum. Additionally, functional MRI assessed ventral striatum activation during reward anticipation. All participants completed motor (UPDRS III; finger tapping; and timed-up-and-go) and nonmotor (Beck Depression Inventory; Starkstein Apathy Scale) assessments.METHODSEight habitual exercisers and 9 sedentary subjects completed [11 C]raclopride PET scans before and after stationary cycling to determine exercise-induced release of endogenous DA in the dorsal striatum. Additionally, functional MRI assessed ventral striatum activation during reward anticipation. All participants completed motor (UPDRS III; finger tapping; and timed-up-and-go) and nonmotor (Beck Depression Inventory; Starkstein Apathy Scale) assessments.[11 C]Raclopride analysis before and after stationary cycling demonstrated greater DA release in the caudate nuclei of habitual exercisers compared to sedentary subjects (P < 0.05). Habitual exercisers revealed greater activation of ventral striatum during the functional MRI reward task (P < 0.05) and lower apathy (P < 0.05) and bradykinesia (P < 0.05) scores versus sedentary subjects.RESULTS[11 C]Raclopride analysis before and after stationary cycling demonstrated greater DA release in the caudate nuclei of habitual exercisers compared to sedentary subjects (P < 0.05). Habitual exercisers revealed greater activation of ventral striatum during the functional MRI reward task (P < 0.05) and lower apathy (P < 0.05) and bradykinesia (P < 0.05) scores versus sedentary subjects.Habitual exercise is associated with preservation of motor and nonmotor function, possibly mediated by increased DA release. This study formulates a foundation for prospective, randomized controlled studies. © 2018 International Parkinson and Movement Disorder Society.CONCLUSIONSHabitual exercise is associated with preservation of motor and nonmotor function, possibly mediated by increased DA release. This study formulates a foundation for prospective, randomized controlled studies. © 2018 International Parkinson and Movement Disorder Society.
The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum. To examine differences in DA release, reward signaling, and clinical features between habitual exercisers and sedentary subjects with PD. Eight habitual exercisers and 9 sedentary subjects completed [ C]raclopride PET scans before and after stationary cycling to determine exercise-induced release of endogenous DA in the dorsal striatum. Additionally, functional MRI assessed ventral striatum activation during reward anticipation. All participants completed motor (UPDRS III; finger tapping; and timed-up-and-go) and nonmotor (Beck Depression Inventory; Starkstein Apathy Scale) assessments. [ C]Raclopride analysis before and after stationary cycling demonstrated greater DA release in the caudate nuclei of habitual exercisers compared to sedentary subjects (P < 0.05). Habitual exercisers revealed greater activation of ventral striatum during the functional MRI reward task (P < 0.05) and lower apathy (P < 0.05) and bradykinesia (P < 0.05) scores versus sedentary subjects. Habitual exercise is associated with preservation of motor and nonmotor function, possibly mediated by increased DA release. This study formulates a foundation for prospective, randomized controlled studies. © 2018 International Parkinson and Movement Disorder Society.
Author McKeown, Martin J.
Sossi, Vesna
Vafai, Nasim
McKenzie, Jessamyn
Jon Stoessl, A.
Schulzer, Michael
Appel‐Cresswell, Silke
Shahinfard, Elham
Sacheli, Matthew A.
Murray, Danielle K.
Dinelle, Katie
Cherkasova, Mariya V.
Neilson, Nicole
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Issue 12
Keywords exercise
Parkinson's disease
function magnetic resonance imaging
positron emission tomography
dopamine release
Language English
License 2018 International Parkinson and Movement Disorder Society.
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Notes Matthew Sacheli was supported by Parkinson Canada. A.J.S. has received research support from University of British Columbia, Canada Research Chairs, Pacific Parkinson's Research Institute, Michael J. Fox Foundation, and Weston Brain Institute and honoraria for speaking and consulting from AbbVie, and chair the DSMB for a trial of gene therapy sponsored by Voyager Therapeutics.
Full financial disclosures and author roles may be found in the online version of this article.
This study was funded by the Pacific Parkinson's Research Institute.
Relevant conflicts of interest/financial disclosures
Funding agencies
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Snippet ABSTRACT Background The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum. Objective To examine differences in...
The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum. To examine differences in DA release, reward signaling,...
BackgroundThe benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum.ObjectiveTo examine differences in DA release,...
The benefits of exercise in PD have been linked to enhanced dopamine (DA) transmission in the striatum.BACKGROUNDThe benefits of exercise in PD have been...
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StartPage 1945
SubjectTerms Aged
Apathy
Caudate Nucleus - pathology
Caudate Nucleus - physiopathology
Caudate-putamen
Dopamine
Dopamine - metabolism
dopamine release
Emotional behavior
Exercise
Female
function magnetic resonance imaging
Functional magnetic resonance imaging
Humans
Magnetic Resonance Imaging - methods
Male
Mental depression
Middle Aged
Motor task performance
Movement disorders
Multimodal Imaging - methods
Neostriatum
Neurodegenerative diseases
Parkinson Disease - complications
Parkinson Disease - diagnostic imaging
Parkinson Disease - pathology
Parkinson Disease - physiopathology
Parkinson's disease
Positron-Emission Tomography
Preservation
Raclopride
Reinforcement
Reward
Sedentary behavior
Ventral Striatum - pathology
Ventral Striatum - physiopathology
Title Habitual exercisers versus sedentary subjects with Parkinson's Disease: Multimodal PET and fMRI study
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmds.27498
https://www.ncbi.nlm.nih.gov/pubmed/30376184
https://www.proquest.com/docview/2159705674
https://www.proquest.com/docview/2127196767
Volume 33
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