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Ellis et al. (2011) It has been shown that engagement in regular physical activity in patients with Parkinson’s Disease (PD) reinforces cognitive abilities such as cardiovascular fitness, walking, balance, strength, flexibility and overall a better quality of life. The objective of this article is to analyze factors that are associated with exercise behavior in PD patients. A total of 260 participants with stages 1 through 4, aged 40 years or older were recruited from several universities to participate in this study. Participants were divided into two categories; “exercisers” and “non-exercisers”. To be classified as a “Exerciser” participants had to partake in 3 days of physical activity a week for 20 minutes, 6 months prior to the study. “Non-exercisers” consisted of either irregular exercise or none. Sixty three percent of participants were designated exercisers. The factors that were found to be associated with exercise behavior in patients included body structure and functions, activity and participation and both environmental and personal factors. Self- efficacy, a personal factor appeared to be the most crucial determinant in whether patients exercised regularly. Exercise status was measured using an activity monitor and a physical activity scale. Between the two groups there was no difference in distance walked, number of falls or comorbidities, however, exercisers were shown to be less depressed, more educated, possess a higher self-efficacy and have fewer restrictions in participation. Unlike other disabilities or the older population in general, Parkinson’s disease continues to deteriorate the body’s functions over the course of the disease which limits clinician’s knowledge of intervention strategies that can be used to help. Based on our knowledge of this progressive disease and the results from this study it is concluded that clinicians should consider behavioral factors when forming intervention treatments so that they are sustainable and promote self-efficacy exercise. Self-efficiency & regular exercise in Parkinson’s disease 

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