Impact of Adapted Sports Activities on the Progression of Carotid Atherosclerosis in Subjects With Spinal Cord Injury.

Autor:	Matos-Souza JR; Department of Internal Medicine, University of Campinas, Campinas, SP, Brazil., de Rossi G; Department of Internal Medicine, University of Campinas, Campinas, SP, Brazil., Costa E Silva AA; School of Physical Education, University of Campinas, Campinas, SP, Brazil., Azevedo ER; Department of Orthopaedics, University of Campinas, Campinas, SP, Brazil., Pithon KR; Department of Orthopaedics, University of Campinas, Campinas, SP, Brazil., Schreiber R; Department of Internal Medicine, University of Campinas, Campinas, SP, Brazil., Sposito AC; Department of Internal Medicine, University of Campinas, Campinas, SP, Brazil., Gorla JI; School of Physical Education, University of Campinas, Campinas, SP, Brazil., Cliquet A Jr; Department of Orthopaedics, University of Campinas, Campinas, SP, Brazil., Nadruz W Jr; Department of Internal Medicine, University of Campinas, Campinas, SP, Brazil. Electronic address: wilnj@fcm.unicamp.br.
Jazyk:	angličtina
Zdroj:	Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2016 Jun; Vol. 97 (6), pp. 1034-7. Date of Electronic Publication: 2015 Nov 25.
DOI:	10.1016/j.apmr.2015.11.002
Abstrakt:	Objective: To determine whether regular performance of adapted sports is associated with long-term changes in carotid atherosclerosis in subjects with spinal cord injury (SCI). Design: Prospective observational study. Setting: Academic medical center. Participants: Men with chronic (>1y) SCI and no preserved motor function below the injury level were evaluated in 2007 and 2012 (N=17). Nine subjects did not perform physical activity between the studied time points (control group), whereas 8 subjects entered competitive upper-body sports programs (rugby: n=5, basketball: n=1, jiu-jitsu: n=1, and tennis: n=1) after baseline and were regularly training at the time of the second evaluation (sports group). Interventions: Not applicable. Main Outcome Measures: Clinical, laboratory, hemodynamic, and carotid ultrasonography analysis. Results: The studied groups showed no differences in all studied variables at baseline. After 5 years of follow-up, the control group showed increases in heart rate (87.0±3.1 vs 74.7±3.8 beats per minute; P=.004), but the participants had no significant changes in carotid intima-media thickness (IMT) (.65±.05 vs .67±.03mm; P=.73) or IMT/diameter (.118±.007 vs .136±.013; P=.24). In contrast, the sports group showed long-term decreases in carotid IMT (.56±.05 vs .74±.05mm; P=.001) and IMT/diameter (.097±.006 vs .141±.009; P<.001), but the participants did not show any variation in the other studied variables at follow-up. Conclusions: Regular upper-body sports activities are associated with long-term reductions in carotid atherosclerosis in subjects with SCI and might be a potential prevention strategy aiming to reduce cardiovascular risk in this population. (Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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