Staying active may help people with Parkinson's disease hold on to both movement and thinking skills, a new study suggests.

Researchers at the University of Cincinnati followed 294 people with mild to moderate Parkinson's. Their average age was 66. The study was published Oct. 7 in Neurology, the journal of the American Academy of Neurology. Dr. Dong-Woo Ryu led the work, and Dr. Alberto Espay was the senior author.

Patients described their weekly activity at work, at home and in their free time. Moderate activity included brisk walking, light swimming, doubles tennis and chores like vacuuming. Vigorous activity included jogging, fast cycling and shoveling. The team tracked thinking skills for up to five years and movement for up to seven.

Patients were split into three groups: up to four hours of activity a week, four to eight hours, and more than eight. Each extra hour a week was linked to slightly slower declines in memory, thinking and movement, Fox News reported. That held after accounting for age, sex, education, weight and how severe the disease was.

People active four to eight hours a week declined more slowly in thinking skills than those under four hours. The most active group also had slower worsening of movement. How long people exercised mattered more than how hard, Medscape reported.

The differences were small in any one year. "These differences may become more meaningful over time," Ryu said.

The study has limits. It was observational, so it cannot prove exercise slows the disease. People reported their own activity, and nearly all were white and from one center. Espay told Medscape it is also possible that people whose disease moves more slowly are better able to stay active.

Outside experts still see value. Daniel Corcos of Northwestern University told Medscape the thinking result matters most to many patients. He warned against reading the study as a reason to skip hard workouts.

No drug has been proven to change the course of Parkinson's. Corcos's advice to patients: "be active and exercise, and find great care."

What we know: More weekly activity was linked to slower declines in thinking and movement over several years.
What we don't: Whether exercise itself causes the slower decline, which only a clinical trial can show.