title: Trajectories in the course of body mass index after spinal cord injury.
abstract: OBJECTIVE
  To identify different trajectories of the course of body mass index (BMI) after spinal cord injury (SCI) and to study whether other cardiovascular risk factors (blood pressure, lipid profile) follow the same trajectories.
  
  
  METHODS
  Multicenter prospective cohort study with measurements at the start of active rehabilitation, after 3 months, at discharge, and 1 and 5 years after discharge.
  
  
  METHODS
  Rehabilitation centers.
  
  
  METHODS
  Persons with a recent SCI (N=204).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  BMI trajectories.
  
  
  RESULTS
  Three BMI trajectories were identified: (1) a favorable stable BMI during and after rehabilitation (± 22-23 kg/m(2)) (54%); (2) a higher but stable BMI during inpatient rehabilitation (± 24 kg/m(2)) and an increase after discharge (up to 29 kg/m(2)) (38%); and (3) an increase in BMI during inpatient rehabilitation (from ± 23 up to 28 kg/m(2)) and leveling off after discharge (8%). Profile analyses showed that an unfavorable change in BMI was not accompanied by clear unfavorable changes in blood pressure or lipid levels.
  
  
  CONCLUSIONS
  BMI in people with SCI follows distinct trajectories. Monitoring body mass, food intake, and daily physical activity during and especially after inpatient SCI rehabilitation is important to prevent obesity and related cardiovascular risk factors.
authors.affiliation: Amsterdam Rehabilitation Research Center|Reade, Amsterdam, The Netherlands; University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands. Electronic address: s.d.groot@reade.nl.
authors.forename: Sonja
authors.initials: S
authors.lastname: de Groot
authors.affiliation: Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat, Utrecht, The Netherlands.
authors.forename: Marcel W
authors.initials: MW
authors.lastname: Post
authors.affiliation: Department of Health Sciences and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, The Netherlands; Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: Trynke
authors.initials: T
authors.lastname: Hoekstra
authors.affiliation: Rehabilitation Center Heliomare, Wijk aan Zee, The Netherlands.
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Valent
authors.affiliation: Rehabilitation Center Heliomare, Wijk aan Zee, The Netherlands.
authors.forename: Willemijn X
authors.initials: WX
authors.lastname: Faber
authors.affiliation: University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.
authors.forename: Lucas H
authors.initials: LH
authors.lastname: van der Woude
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000367:Age Factors; D001795:Blood Pressure Determination; D015992:Body Mass Index; D015331:Cohort Studies; D003266:Continuity of Patient Care; D004734:Energy Metabolism / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007297:Inpatients / Q000706:statistics & numerical data; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000534:rehabilitation; D010351:Patient Discharge; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D011782:Quadriplegia / Q000534:rehabilitation; D012047:Rehabilitation Centers; D018570:Risk Assessment; D012737:Sex Factors; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000534:rehabilitation*; D013997:Time Factors; D016896:Treatment Outcome; D015430:Weight Gain / Q000502:physiology*; D055815:Young Adult
keywords: Body mass index; Life style; Rehabilitation; Spinal cord injuries