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Strength training helps by: Maintaining muscle mass (which naturally declines with weight loss & also naturally with age, especially post menopause) Protecting bone density through loadbearing movement Improving metabolism , making it easier to maintain weight after stopping the medication Supporting balance and reducing injury risk Cardio helps by: Supporting heart health Improving mood and energy Helping maintain weight loss longterm But strength training is the nonnegotiable piece for bone and muscle health

Illustration of a typical day in Parkinsons disease, showing how medication controls symptoms, followed by a wearing-off period before the next dose

Leibniz Research Centre for Working Environment and Human Factors at the TU Dortmund (IfADo), Ardeystrasse 67, 44139 Dortmund, Germany

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