title: Lifetime prevalence of chronic health conditions among persons with spinal cord injury.
abstract: OBJECTIVE
  To assess lifetime prevalence of 7 chronic health conditions (CHCs) among a cohort of adults with chronic traumatic spinal cord injury (SCI).
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Rehabilitation hospital.
  
  
  METHODS
  Adults with SCI who were ≥18 years of age, were ≥1 year postinjury, and had residual neurologic effects impeding full recovery (n=1678).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  CHCs were measured using questions from the Behavioral Risk Factor Surveillance System for diabetes (not including gestational), heart attack (also called a myocardial infarction), angina or coronary artery disease, stroke, hypertension (not including during pregnancy), high blood cholesterol, or cancer.
  
  
  RESULTS
  Of participants, 49.5% reported having at least 1 CHC, with 23.2% reporting ≥2 CHCs. The most frequently reported CHC was high cholesterol (29.3%) followed by hypertension (28.7%) and diabetes (11.8%). Although the prevalence of CHCs significantly increased with increasing age, only hypertension and cancer were significantly associated with years postinjury. Four CHCs (diabetes, coronary artery disease, hypertension, high cholesterol) were significantly related to mobility status as measured by injury level and ambulatory status. However, after controlling for age, years postinjury, sex, and race, mobility status became nonsignificant in relation to coronary artery disease, but it remained significantly associated with diabetes, hypertension, and high cholesterol.
  
  
  CONCLUSIONS
  Clinicians should be aware of the risk of CHCs in persons with SCI and should screen for these conditions and regular maintenance activities related to SCI.
authors.affiliation: College of Health Professions, Medical University of South Carolina, Charleston, SC. Electronic address: saundel@musc.edu.
authors.forename: Lee L
authors.initials: LL
authors.lastname: Saunders
authors.affiliation: College of Medicine, Medical University of South Carolina, Charleston, SC.
authors.forename: Alexander
authors.initials: A
authors.lastname: Clarke
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI.
authors.forename: Denise G
authors.initials: DG
authors.lastname: Tate
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI.
authors.forename: Martin
authors.initials: M
authors.lastname: Forchheimer
authors.affiliation: College of Health Professions, Medical University of South Carolina, Charleston, SC.
authors.forename: James S
authors.initials: JS
authors.lastname: Krause
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009369:Neoplasms / Q000453:epidemiology; D015995:Prevalence; D012047:Rehabilitation Centers; D012737:Sex Factors; D013119:Spinal Cord Injuries / Q000453:epidemiology*; D055815:Young Adult
keywords: Aging; Chronic disease; Rehabilitation; Spinal cord injuries