title: A more active lifestyle in persons with a recent spinal cord injury benefits physical fitness and health.
abstract: METHODS
  A prospective cohort study.
  
  
  OBJECTIVE
  To study the longitudinal relationship between objectively measured everyday physical activity level, and physical fitness and lipid profile in persons with a recent spinal cord injury (SCI).
  
  
  METHODS
  A rehabilitation centre in the Netherlands and the participant's home environment.
  
  
  METHODS
  Data of 30 persons with a recent SCI were collected at the start of active rehabilitation, 3 months later, at discharge from inpatient rehabilitation, and 1 year after discharge. Physical activity level (duration of dynamic activities as % of 24 h) was measured with an accelerometry-based activity monitor. Regarding physical fitness, peak oxygen uptake (VO(2)peak) and peak power output (POpeak) were determined with a maximal wheelchair exercise test, and upper extremity muscle strength was measured with a handheld dynamometer. Fasting blood samples were taken to determine the lipid profile.
  
  
  RESULTS
  An increase in physical activity level was significantly related to an increase in VO(2)peak and POpeak, and an increase in physical activity level favourably affected the lipid profile. A nonsignificant relation was found with muscle strength.
  
  
  CONCLUSIONS
  Everyday physical activity seems to have an important role in the fitness and health of persons with a recent SCI. An increase in physical activity level was associated with an increase in physical fitness and with a lower risk of cardiovascular disease.
authors.affiliation: Department of Rehabilitation Medicine and Physical Therapy, Erasmus Medical Center, Rotterdam, The Netherlands. c.nooijen@erasmusmc.nl
authors.forename: C F J
authors.initials: CF
authors.lastname: Nooijen
authors.forename: S
authors.initials: S
authors.lastname: de Groot
authors.forename: K
authors.initials: K
authors.lastname: Postma
authors.forename: M P
authors.initials: MP
authors.lastname: Bergen
authors.forename: H J
authors.initials: HJ
authors.lastname: Stam
authors.forename: J B J
authors.initials: JB
authors.lastname: Bussmann
authors.forename: R J
authors.initials: RJ
authors.lastname: van den Berg-Emons
mesh_terms: D000203:Activities of Daily Living / Q000145:classification*; D000328:Adult; D015331:Cohort Studies; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness / Q000502:physiology*; D011446:Prospective Studies; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D013119:Spinal Cord Injuries / Q000453:epidemiology / Q000534:rehabilitation*