Diet, Exercise, and Meditation for Parkinson's Disease
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how a mix of exercise, meditation, and diet, known as IMPACT 360, can benefit people with Parkinson's disease. Participants will either start this program immediately or begin after a 6-month period of continuing their usual routines. The researchers aim to assess how these lifestyle changes affect health indicators related to Parkinson's. Individuals diagnosed with Parkinson's who have access to a smartphone and computer may be suitable for this study. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to important early findings.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this combined intervention of exercise, mindfulness, and nutrition is safe for individuals with Parkinson's disease?
Previous studies have shown parts of the IMPACT 360 treatment to be safe. Research consistently shows that exercise is safe and offers health benefits, improving fitness and lowering the risk of many diseases without causing major problems.
Mindfulness meditation, another part of the treatment, has helped with both movement and non-movement symptoms in Parkinson's patients, with few negative effects reported. Studies suggest mindfulness can reduce anxiety and improve quality of life without major safety concerns.
Lastly, dietary changes, especially those rich in fruits, vegetables, whole grains, and fish, are generally safe and beneficial. Diets like the Mediterranean diet have been linked to better outcomes for Parkinson's patients.
Overall, research suggests that the components of the IMPACT 360 treatment are well-tolerated and safe for participants.12345Why are researchers excited about this trial?
Unlike standard treatments for Parkinson's disease, which often involve medications like Levodopa to manage symptoms, the IMPACT 360 approach combines exercise, diet, and mindfulness as a holistic intervention. Researchers are excited about this trial because it explores non-pharmacological strategies that may enhance quality of life and potentially slow disease progression. By incorporating physical activity and mindfulness practices, this method aims to address both the physical and mental aspects of Parkinson's, offering a comprehensive alternative that could reduce reliance on medication.
What evidence suggests that this trial's treatments could be effective for Parkinson's disease?
This trial will compare an intervention group with a waitlist group. Research has shown that exercise can improve movement and overall health in people with Parkinson's disease. Intense exercise may protect brain cells that produce dopamine, a chemical crucial for movement. Studies suggest that a healthy diet, such as the Mediterranean diet rich in fruits, vegetables, and fish, can lessen symptoms and slow disease progression. Mindfulness meditation can reduce stress, anxiety, and depression in individuals with Parkinson's. Participants in the intervention group will engage in exercise, diet, and mindfulness practices, which together might offer a comprehensive approach to managing the disease.12678
Who Is on the Research Team?
Silke Appel-Cresswell, MD, FRCPC
Principal Investigator
University of British Colombia
Are You a Good Fit for This Trial?
This trial is for people aged 40-85 diagnosed with Parkinson's disease or REM sleep behavior disorder, who can use a smartphone and computer, fill out questionnaires, and safely participate in exercise. People with serious medical issues, cognitive problems, or already doing lots of exercise can't join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention Group Treatment
Participants in the intervention group receive a 6-month multimodal intervention including exercise, mindfulness, and nutrition
Waitlist Group Observation
Participants in the waitlist group continue daily activities as usual for 6 months with monitoring
Waitlist Group Treatment
Participants in the waitlist group receive the 6-month multimodal intervention after the initial observation period
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- IMPACT 360
Trial Overview
The study tests the effects of a combined program of diet changes, regular exercise, and mindfulness meditation on health in people with Parkinson's. All participants will eventually receive the intervention over six months using a partial crossover design.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
The intervention group will start the intervention immediately following their baseline assessment. They will undergo another assessment after the 6 month intervention period. Interventions: Behavioural: Exercise Behavioural: Meditation Behavioural: Diet
Participants randomized into the waitlist group will undergo a baseline assessment, and will then be encouraged to continue their daily activities as usual for 6 months. Physical activity and sleep will be monitored during this time using wearable devices. Links to questionnaires will be emailed monthly. After the 6-month waitlist period, participants will undergo a second assessment prior to starting the intervention. The multimodal intervention will be 6-months in length, using the same measures of adherence, and will be followed by a final assessment.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of British Columbia
Lead Sponsor
Citations
1.
parkinsonsblog.stanford.edu
parkinsonsblog.stanford.edu/2026/04/nutrition-and-parkinsons-science-strategies-and-what-really-matters-webinar-notes/Nutrition and Parkinson's: Science, Strategies and What ...
The Mediterranean diet has the strongest evidence for improving Parkinson's symptoms. Randomized trials showed 10 weeks of Mediterranean diet ...
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The Impact of Diet on Parkinson's Disease: A Systematic Review
Adherence to healthy dietary patterns, particularly those rich in fruits, vegetables, whole grains, and fish, was consistently associated with reduced PD risk.
The Role of Diet and Dietary Patterns in Parkinson's Disease
Most of the included studies support the role of diet and dietary patterns in reducing the risk of PD or alleviating PD severity.
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In a subset of people with PD, ingesting levodopa along with dietary protein can decrease the medication's absorption in the small intestine, thereby decreasing ...
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This cohort study showed that a better diet quality and a higher level of physical activity were inversely associated with mortality risk among ...
Nutrition in Parkinson's disease: what neurologists need to ...
Protein redistribution diets can improve levodopa efficacy but require careful dietetic input to avoid weight loss and ensure adequate protein ...
Dietary factors in patients with Parkinson's disease
Specialized diets, such as the ketogenic diet, have shown improvements in motor and non-motor symptoms, although long-term safety requires ...
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