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Record W4415171208 · doi:10.1002/mdc3.70381

A Holistic Wellness Prescription for Parkinson's Disease: Evidence‐Based Perspectives and Unmet Needs

2025· review· en· W4415171208 on OpenAlexaff
Indu Subramanian, Lucia Ricciardi, Anette Schrag, Silke Appel‐Cresswell, Sushma Kola, Josefa Domingos, Barbara Pickut, Nabila Dahodwala, A Bocoum, Cristian Falup‐Pecurariu, Gila Bronner, Gregory M. Pontone, Laurie K. Mischley, Nélida Garretto, Nicola Modugno, Rachel Dolhun, Tissa Wijeratne, Victoria Tull, Bradley McDaniels, К. Ray Chaudhuri

Bibliographic record

VenueMovement Disorders Clinical Practice · 2025
Typereview
Languageen
FieldMedicine
TopicParkinson's Disease Mechanisms and Treatments
Canadian institutionsUniversity of British Columbia
FundersParkinsonfondenNational Institutes of HealthUniversity College London Hospitals NHS Foundation TrustEuropean CommissionNational Institute for Health and Care ExcellenceACADIA PharmaceuticalsUniversity of OxfordMerz PharmaceuticalsNational Institute for Health and Care ResearchWellcome TrustInternational Parkinson and Movement Disorder SocietyBiogenEli Lilly and CompanyUniversity College LondonMichael J. Fox Foundation for Parkinson's Research
KeywordsMultidisciplinary approachMedical prescriptionTask (project management)Task forceHealth care

Abstract

fetched live from OpenAlex

BACKGROUND: In modern medicine the concept of wellness is often accompanied by various misconceptions arising from several factors, including a lack of clear definitions, the commercialization of wellness, and prevailing biases and stereotypes. METHOD: Although wellness has been successfully integrated into the management of conditions like cardiovascular disease, diabetes, and cancer, it has yet to be widely applied in the field of neurology. The World Federation of Neurology, American Academy of Neurology, European Academy of Neurology, and the World Health Organization (WHO) have adopted a formal definition of brain health that emphasizes the proactive role of lifestyle choices in modifying outcomes for neurological diseases, which closely aligns with the wellness approach. This shift has been further reinforced by WHO's adoption of the Intersectoral Global Action Plan on epilepsy and other neurological disorders (2022-2031), which seeks to improve access to treatment and care while promoting brain health across the lifespan. The global push for brain health highlights the need for a structured approach to wellness in neurological conditions such as Parkinson's disease (PD). RESULTS/CONCLUSION: This critical review, conducted by a multidisciplinary task force commissioned by the International Parkinson and Movement Disorder Society, aims to provide the current evidence base on wellness in PD, identify existing gaps in knowledge, and propose a framework to integrate wellness into the holistic care of individuals with PD.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.016
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.955
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.016
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.139
GPT teacher head0.461
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2025
Admission routes1
Has abstractyes

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