Impact of Adapted Sports Activities on the Progression of Carotid Atherosclerosis in Subjects With Spinal Cord Injury
| Autor: | Roberto Schreiber, Wilson Nadruz, Eliza Regina Ferreira Braga Machado de Azevedo, Anselmo de Athayde Costa e Silva, Alberto Cliquet, Guilherme de Rossi, José R. Matos-Souza, Andrei C. Sposito, José Irineu Gorla, Karla R. Pithon |
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| Rok vydání: | 2016 |
| Předmět: |
Carotid Artery Diseases
Male medicine.medical_specialty medicine.medical_treatment Population Hemodynamics Physical Therapy Sports Therapy and Rehabilitation 030204 cardiovascular system & hematology Carotid Intima-Media Thickness 03 medical and health sciences 0302 clinical medicine Heart Rate Risk Factors Internal medicine Heart rate medicine Humans Prospective Studies Prospective cohort study education Exercise Spinal cord injury Spinal Cord Injuries Academic Medical Centers education.field_of_study Rehabilitation business.industry Carotid ultrasonography medicine.disease Intima-media thickness Physical therapy Cardiology business 030217 neurology & neurosurgery Sports |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 97:1034-1037 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2015.11.002 |
| Popis: | 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 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. |
| Databáze: | OpenAIRE |
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