Sonja de Groot, Jacinthe J. E. Adriaansen, Janneke M. Stolwijk-Swüste, Rutger Osterthun, Rita J. G. van den Berg-Emons, Marcel W. M. Post
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引用次数: 0
摘要
对ALLRISC队列研究的横断面数据进行二次分析。调查长期(TSI > 10 年)脊髓损伤(SCI)的轮椅使用者的肥胖发生率及其与受伤后时间(TSI)和体力活动(PA)的关系。荷兰,社区。将患有 SCI 的轮椅使用者(N = 282)分为 TSI 层(10-19 年、20-29 年和≥30 年),并区分是否符合 SCI 特定运动指南。对腰围(WC)和体重指数(BMI)进行了评估。参与者被分为是否肥胖(男性腰围为 102 厘米,女性腰围为 88 厘米;体重指数≥ 25 kg/m2)。为研究肥胖与 TSI 和 PA 之间的关系,我们进行了逻辑回归分析。近一半的参与者(45%-47%)被归类为肥胖。TSI与肥胖有明显的关联,TSI长10年,肥胖的几率就高1.4。此外,符合运动指南的参与者肥胖的几率要低 2.0。在长期患有 SCI 的人群中,肥胖的发生率很高。TSI时间较长的人和不符合运动指南的人更容易肥胖,因此需要针对他们采取体重管理干预措施。
Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity
Secondary analysis of cross-sectional data from the ALLRISC cohort study. 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). Community, The Netherlands. 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/m2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA. 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. 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.
期刊介绍:
Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews.
Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.