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Slow-SPEED: protocol for three randomised trials of remotely delivered exercise to prevent Parkinson's disease.

Slow-SPEED: protocol for three randomised trials of remotely delivered exercise to prevent Parkinson's disease.

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Where did the research take place?

The study site has not been established. Author addresses may differ from where the research occurred.

Nijmegen, NL · Author affiliation

Center of Expertise for Parkinson and Movement Disorders, Department of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Location evidence

London, GB · Author affiliation

Center for Preventive Neurology Wolfson Institute of Population Health, Queen Mary University of London, London, UK.
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Boston, US · Author affiliation

Department of Nutrition and Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
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Palo Alto, US · Author affiliation

23andMe Research Institute, Palo Alto, CA, USA.
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Davis, US · Author affiliation

Davis Phinney Foundation, Louisville, CO, USA.
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Bristol, GB · Author affiliation

Population Health Sciences, Bristol Medical School, Bristol, UK.
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Rotterdam, NL · Author affiliation

Department of Public Health, Medical Ethics, Philosophy and History of Medicine Programme, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
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Newcastle upon Tyne, GB · Author affiliation

Translational and Clinical Research Institute, Newcastle University National Institute for Health and Care Research (NIHR) Newcastle Biomedical Research Centre (BRC), Newcastle University, Newcastle upon Tyne, UK.
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Pittsburgh, US · Author affiliation

Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA.
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Chicago, US · Author affiliation

Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA.
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Heemstede, NL · Author affiliation

Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, The Netherlands.
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Amsterdam, NL · Author affiliation

Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Anatomy and Neurosciences, Amsterdam, The Netherlands.
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US · Author affiliation · country only

Department of Neurology and Center for Health and Technology, University of Rochester, Rochester, NY, USA.
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New York City, US · Author affiliation

Center for the Brain & Environment, Atria Research and Global Health Institute, New York, NY, USA.
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Paris, FR · Author affiliation

Institut du Cerveau - Paris Brain Institute, Movement Investigations and Therapeutics Team (MOV'IT), Center for NeuroImaging Research (CENIR), Sorbonne University, Pitié-Salpêtrière Hospital, Paris, France.
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DE · Author affiliation · country only

Institute of Neurogenetics, University of Luebeck and University Hospital Schleswig-Holstein, Luebeck, Germany.
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Basel, CH · Author affiliation

Roche Pharma Research and Early Development, Roche Innovation Center, F. Hoffmann-La Roche Ltd, Basel, Switzerland.
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Groningen, NL · Author affiliation

Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
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NL · Author affiliation · country only

Sleep Medicine Center Kempenhaeghe, Heeze, The Netherlands.
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GB · Author affiliation · country only

Norfolk Smell & Taste Clinic, James Paget University Hospital, Gorleston, Norfolk, UK.
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Norwich, GB · Author affiliation

Rhinology & Olfactology Research Group, Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK.
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Montréal, CA · Author affiliation

The Neuro, Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada.
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Bonn, DE · Author affiliation

Center of Neurology, Department of Parkinson's, Sleep and Movement Disorders, University Hospital Bonn, Bonn, Germany & German Center for Neurodegenerative Diseases, Bonn, Germany.
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Innsbruck, AT · Author affiliation

Center for Sleep Medicine, Department of Neurology, Medical University Innsbruck, Innsbruck, Austria.
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Original abstract

We describe the design of the first non-pharmacological Parkinson's disease prevention trials worldwide: the randomised 'Slow-SPEED' trials. Three trials examine the feasibility and preliminary efficacy of a gamified, remotely administered exercise intervention vs. active control over 18-36 months in complementary prodromal subgroups: iRBD(n = 110; Netherlands), hyposmia(n = 110; United Kingdom) or LRRK2/GBA1 mutation carriers(n = 600; United States). These trials will provide unique insights for large-scale Parkinson's prevention studies. Protocols are registered at ClinicalTrials.gov(NCT06193252[1-5-2024];NCT06600438[9-19-2024];NCT06993142[5-28-2025]).

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