Association between socio-demographic and injury factors, and physical activity behaviour in people with spinal cord injury: a theory-informed systematic review and meta-analysis.
Martins Nweke, Megan van Vuuren, Kobus Bester, Andrea Maritz, Lané van Vuuren, Yolanda Vilakazi, Ayanda Dlamini, Andiswa Ncedani, Karien Mostert
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引用次数: 0
Abstract
Background: Identifying the determinants of physical (in)activity behaviour among people with spinal cord injury (PWSCI) will aid the prediction of speed and extent of recovery and inform strategies to optimise physical activity participation during physical rehabilitation. This review examined the association between socio-demographics, injury factors, and physical activity in PWSCI.
Methods: The Preferred Items for Reporting Systematic Reviews and Meta-analysis Protocols (PRISMA-P) provided the structure for this review. The epidemiological triangle and Bradford criteria further informed the review, as well as Rothman's causality model and Nweke's viewpoints. The review outcomes included injury factors and socio-demographic (intrinsic and extrinsic) factors associated with physical (in)activity in PWSCI. We searched four databases: PubMed, Medline, the Cumulative Index for Nursing and Allied Health Literature (CINHAL) and Academic Search Complete. The review used predefined eligibility criteria and a data screening and extraction template. The first author verified the extracted data. We employed narrative and quantitative syntheses and used a comprehensive Meta-analysis 4 to answer the review question.
Results: We retrieved 4,129 articles, of which 16 (nine cross-sectional studies, six cohorts and one non-randomised clinical trial) with 2,716 participants were eligible. The mean age of participants in the included studies was 45 years, and about 14% were female. Physical (in) activity was statistically significantly associated with income (OR = 1.58, CI 1.23-2.04), completeness of lesion (OR = 0.86 CI 0.82-0.90), and mobility aid (3.12, CI 1.57-6.19). No statistically significant association existed between physical (in) activity and age (OR = 1.09, CI 0.46-2.58), sex (OR = 0.66, CI 0.43-1.03), education (OR = 0.66, CI 0.42-1.06), time since injury (OR = 0,971, CI 0,749-1,26), vertebral level of the lesion (OR = 0.92, CI 0.71-1.11), or mechanism of injury (OR = 1.48, CI 0.74-2.97) among PWSCI.
Conclusions: Efforts to optimise physical activity participation among PWSCI should consider the completeness of injury, income and type of mobility aid during rehabilitation programs. Factors such as employment status, residence, and type of house were less underscoring, and most studies needed more robust conceptual and theoretical underpinnings.
Trial registration: The review was registered with PROSPERO (ID: CRD42024544295).
背景：确定脊髓损伤（PWSCI）患者身体活动行为的决定因素将有助于预测恢复的速度和程度，并为优化身体康复期间的身体活动参与提供策略。本综述探讨了PWSCI患者的社会人口统计学、损伤因素和体力活动之间的关系。方法：报告系统评价和meta分析方案的首选项目（PRISMA-P）为本综述提供了结构。流行病学三角和Bradford标准进一步为综述提供了信息，以及Rothman的因果关系模型和Nweke的观点。回顾结果包括与PWSCI患者身体活动相关的伤害因素和社会人口因素（内在和外在）。我们检索了四个数据库：PubMed、Medline、护理和相关健康文献累积索引（CINHAL）和Academic Search Complete。该审查使用了预定义的资格标准和数据筛选和提取模板。第一作者验证了提取的数据。我们采用叙述和定量综合，并使用综合元分析4来回答回顾问题。结果：我们检索了4129篇文章，其中16篇（9个横断面研究，6个队列和1个非随机临床试验），2716名受试者符合条件。纳入研究的参与者平均年龄为45岁，其中约14%为女性。体力活动与收入（OR = 1.58, CI 1.23-2.04）、病变完整性（OR = 0.86 CI 0.82-0.90）和活动辅助（3.12,CI 1.57-6.19）有统计学意义上的显著相关。体力活动与PWSCI患者的年龄（OR = 1.09, CI 0.46-2.58）、性别（OR = 0.66, CI 0.43-1.03）、教育程度（OR = 0.66, CI 0.42-1.06）、损伤时间（OR = 0.971, CI 0.749 -1,26）、病变椎体水平（OR = 0.92, CI 0.71-1.11）、损伤机制（OR = 1.48, CI 0.74-2.97）之间无统计学意义相关。结论：努力优化PWSCI患者的体育活动参与应考虑康复计划中损伤的完整性、收入和活动辅助设备的类型。就业状况、居住地和房屋类型等因素较少被强调，大多数研究需要更强大的概念和理论基础。试验注册：本研究在PROSPERO注册（ID: CRD42024544295）。
期刊介绍：
BMC Sports Science, Medicine and Rehabilitation is an open access, peer reviewed journal that considers articles on all aspects of sports medicine and the exercise sciences, including rehabilitation, traumatology, cardiology, physiology, and nutrition.
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