Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity.

Autor: de Groot S; Amsterdam Rehabilitation Research Center | Reade, Amsterdam, The Netherlands. s.de.groot@vu.nl.; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands. s.de.groot@vu.nl., Adriaansen JJE; Reade, Center for Rehabilitation & Rheumatology, Amsterdam, The Netherlands., Stolwijk-Swüste JM; Centre of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Centre, University Medical Centre Utrecht, Utrecht, The Netherlands.; Department of Spinal Cord Injury and Orthopedics, De Hoogstraat Rehabilitation, Utrecht, The Netherlands., Osterthun R; Rijndam Rehabilitation, Rotterdam, The Netherlands.; Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands., van den Berg-Emons RJG; Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands., Post MWM; De Hoogstraat Rehabilitation, Utrecht, The Netherlands.; Centre for Rehabilitation, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.; Centre of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Centre, University Medical Centre Utrecht, Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2024 Jul; Vol. 62 (7), pp. 378-386. Date of Electronic Publication: 2024 Apr 22.
DOI: 10.1038/s41393-024-00995-6
Abstrakt: Study Design: Secondary analysis of cross-sectional data from the ALLRISC cohort study.
Objectives: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI).
Setting: Community, The Netherlands.
Methods: Wheelchair users with SCI (N = 282) in TSI strata (10-19, 20-29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m 2 ) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA.
Results: Almost half of the participants (45-47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines.
Conclusions: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.
(© 2024. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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