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Changes in traditional chronic disease risk factors over time and their relationship with leisure-time physical activity in people living with spinal cord injury.
- Source :
-
Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme [Appl Physiol Nutr Metab] 2012 Dec; Vol. 37 (6), pp. 1072-9. Date of Electronic Publication: 2012 Aug 27. - Publication Year :
- 2012
-
Abstract
- This study examined whether levels of chronic disease risk factors change over time, and whether leisure-time physical activity (LTPA) can explain any of the variation in those risk factors that change, in a sample of community-dwelling people living with spinal cord injury (SCI) in or near Hamilton, Ontario, Canada. LTPA was measured using the Physical Activity Recall Assessment for People with SCI at baseline (n = 76 adults with chronic (≥1 year) paraplegia or tetraplegia), at 6 months (n = 71) and at 18 months (n = 63). Body mass index, waist circumference at the lowest rib (WC(lowest rib)) and iliac crest (WC(iliac crest)), fat mass, blood pressure, and biochemical data were collected at all 3 time points. Women's BMI was higher at baseline (least square means (LSM) = 26.2 ± SE = 1.56 kg·m(-2), p = 0.0004) and 6 months (25.9 ± 1.6, p = 0.0024) than at 18 months (22.1 ± 1.72). Men's WC(lowest rib) increased from baseline (92.1 ± 1.87 cm) to 18 months (93.6 ± 1.87, p = 0.0253). Women who were active vs. inactive at baseline had a lower BMI at 6 months (23.1 ± 2.91 vs. 29.7 ± 2.52, p = 0.0957) and WC(iliac crest) at 6 months (82.8 ± 6.59 vs. 97.7 ± 5.10, p = 0.0818). Women who were active vs. inactive at 6 months had a lower WC(iliac crest) at 18 months (73.4 ± 14.3 vs. 102.5 ± 6.41, p = 0.0723). There was little change in traditional risk factors over 18 months. Future studies should extend beyond 18 months in a larger sample, and explore traditional vs. novel risk factors and onset of cardiovascular disease and diabetes in the SCI population.
- Subjects :
- Adult
Blood Glucose analysis
Body Mass Index
Canada epidemiology
Cardiovascular Diseases epidemiology
Chronic Disease
Diabetes Mellitus epidemiology
Female
Humans
Insulin blood
Male
Middle Aged
Paraplegia complications
Paraplegia physiopathology
Paraplegia therapy
Prospective Studies
Quadriplegia complications
Quadriplegia physiopathology
Quadriplegia therapy
Risk Factors
Spinal Cord Injuries physiopathology
Spinal Cord Injuries therapy
Waist Circumference
Cardiovascular Diseases prevention & control
Diabetes Mellitus prevention & control
Leisure Activities
Motor Activity physiology
Spinal Cord Injuries complications
Subjects
Details
- Language :
- English
- ISSN :
- 1715-5312
- Volume :
- 37
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme
- Publication Type :
- Academic Journal
- Accession number :
- 22924761
- Full Text :
- https://doi.org/10.1139/h2012-085