{"id":2851,"date":"2018-10-17T19:07:29","date_gmt":"2018-10-17T17:07:29","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/do-not-use-anticholinergic-drugs-to-treat-the-motor-symptoms-of-drug-induced-parkinsonisms\/"},"modified":"2023-06-07T17:09:58","modified_gmt":"2023-06-07T15:09:58","slug":"do-not-underestimate-the-importance-of-multidisciplinary-and-non-pharmacological-approaches","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/do-not-underestimate-the-importance-of-multidisciplinary-and-non-pharmacological-approaches\/","title":{"rendered":"Do not underestimate the importance of multidisciplinary and non-pharmacological approaches."},"content":{"rendered":"<p>Although the first line of intervention in Parkinson&#8217;s disease is pharmacological, recent evidence has shown that multidisciplinary therapy using non-drug approaches can improve the symptoms of the disease or even slow its progression. These include regular aerobic physical activity, performed three times a week at 70-80% of maximum cardiac output. Although there are no studies on disease progression, a great deal of evidence has accumulated showing that a healthy, Mediterranean-type diet with little consumption of processed\/refined animal derivatives and rich in antioxidants reduces the risk of the disease: a healthy, balanced diet should therefore also be adopted in patients with the disease. Finally, patients should adopt a &#8216;participative&#8217; approach to disease management by encouraging mental exercise and resilience, with information and support from professionals.<\/p>\n","protected":false},"featured_media":6422,"template":"","meta":{"_edit_lock":["1686150603:4"],"_edit_last":["4"],"_thumbnail_id":["6422"],"_wpml_word_count":["{\"total\":206,\"to_translate\":{\"it\":206}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["111"],"_yoast_wpseo_primary_tipologia":["131"],"wpcf-pacchetto":["LIMPE-DISMOV #1"],"wpcf-bibliografia":["1. van der Kolk NM, de Vries NM, Kessels RPC, et al. Effectiveness of home-based and remotely supervised aerobic exercise in Parkinson\u2019sdisease: a double-blind, randomised controlled trial. Lancet Neurol. 2019;4422:1\u201311\r\n2. Bloem BR, Okun MS, Klein C. Parkinson's disease. 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