News & Analysis Clinical Trials Update Breastfeeding Rates Improved High-Intensity Exercise Safe With Financial Reward in De Novo Parkinson Disease Financial incentives modestly improved Clinicians can safely prescribe high-intensity breastfeedingratesinareasofEnglandwitha exercise to patients with Parkinson disease baselineprevalenceoflessthan40%,accord- who are not yet taking medication, found a ingtoa study published in JAMA Pediatrics. phase 2 trial published in JAMA Neurology. The trial included 10 010 new mothers The 128 participants with de novo who were randomly assigned to usual care Parkinson disease were randomized to followingtheUnitedNationsChildren’sFund engage in high-intensity exercise (4 times (UNICEF) Baby Friendly Initiative, or to an in- per week at 80%-85% of maximum heart tervention group that financially rewarded rate), moderate-intensity exercise (4 times women for breastfeeding. Intervention per week at 60%-65% of maximum heart group participants received usual care in ad- rate), or to a control group on a wait list for dition to a $50 shopping voucher each time 6 months. they stated in writing that their infants were Adherence to the prescribed exer- receiving breast milk at ages 2 days, 10 days, cise regimen was 2.8 days per week at Financial reward may modestly improve 6 to 8 weeks, 3 months, and 6 months. 80.2%
JAMA – American Medical Association
Published: Feb 27, 2018
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