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Rethinking Parkinson Disease: Exploring Gut-Brain Interactions and the Potential Role of Exercise.

Kaylie Zapanta1, E Todd Schroeder1, Beth E Fisher1,2

  • 1Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California, USA.

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|February 28, 2022
PubMed
Summary

Parkinson disease (PD) may be influenced by gut bacteria imbalances. Exercise may improve PD symptoms by restoring gut microbiota, offering a new therapeutic approach for physical therapists.

Keywords:
Cognitive FunctionExercise PhysiologyExercise: Aerobic PerformanceExercise: Motor PerformanceParkinson DiseasePsychomotor Disorders

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Area of Science:

  • Neuroscience
  • Microbiology
  • Exercise Physiology

Background:

  • Parkinson disease (PD) is increasingly linked to the gut-brain axis and gut microbiota dysbiosis.
  • Dysbiosis is associated with both motor and cognitive symptoms in PD and other neurodegenerative conditions.
  • Exercise is known to benefit motor and cognitive functions in PD and restore gut microbiota in non-PD populations.

Purpose of the Study:

  • To explore the potential role of gut microbiota restoration in mediating exercise benefits for Parkinson disease.
  • To review the gut-brain axis, exercise's impact on gut microbiota, and its effects on PD symptoms.

Main Methods:

  • Literature review of the gut-brain axis in PD.
  • Examination of exercise-induced gut microbiota changes in non-PD populations.
  • Synthesis of evidence on exercise benefits for motor and cognitive functions in PD.

Main Results:

  • Gut microbiota dysbiosis is a significant factor in PD pathogenesis and progression.
  • Exercise has demonstrated efficacy in improving motor and cognitive functions in individuals with PD.
  • Evidence suggests exercise can positively modulate gut microbiota composition.

Conclusions:

  • Exercise benefits in PD may be partly attributed to the restoration of gut microbiota.
  • Targeting gut microbiota through exercise presents a novel therapeutic strategy for PD management.
  • Physical therapists can leverage exercise to improve gut health and PD prognosis.