Daily steps are a predictor of, but perhaps not a risk factor for Parkinson's disease: findings from the UK Biobank.

Acquah A., Creagh A., Hamy V., Shreves A., Zisou C., Harper C., van Duijvenboden S., Antoniades C., Bennett D., Clifton D., Doherty A.

Previous studies link lower physical activity with incident Parkinson's disease (PD) but rely on self-reported data and fail to address reverse causation. This study used accelerometer-derived daily step count, an objective measure of physical activity, to examine its association with incident PD in the UK Biobank, within successive periods of follow-up. PD cases were identified through hospital inpatient and death data, and associated with machine learning-derived step counts using Cox regression models, adjusted for age, sex, demographic and lifestyle factors. For 94,696 valid participants and a median follow-up of 7.9 years, 407 incident PD cases occurred. Every 1000 steps higher were associated with 8% lower risk of PD (hazard ratio 0.92, 95% confidence interval 0.89-0.94). However, this association was no longer statistically significant when excluding follow-up periods closer to the time of accelerometer wear, suggesting that low activity may be an early marker, but not a risk factor for PD.

DOI

10.1038/s41531-025-01214-6

Type

Journal article

Publication Date

2025-11-24T00:00:00+00:00

Volume

11

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