title: Do people with spinal cord injury meet the WHO recommendations on physical activity?
abstract: OBJECTIVE
  To describe physical activity (PA) levels in persons with spinal cord injury (SCI) and to investigate associated factors.
  
  
  METHODS
  PA behavior of people with SCI in Switzerland was assessed in a community survey with four items from the Physical Activity Scale for individuals with physical disabilities (PA of light, moderate, and strenuous intensity and muscle-strengthening exercises). In addition to descriptive analyses, the odds of performing PA according to the WHO recommendations (at least 2.5 h/week of at least moderate intensity) were analyzed by multivariable logistic regression.
  
  
  RESULTS
  Participants (n = 485; aged 52.9 ± 14.8; 73.6 % male) carried out PA a total of 6.0 h/week (median). 18.6 % were physically inactive, 50.3 % carried out muscle-strengthening exercises, and 48.9 % fulfilled the WHO recommendations. Regression analyses showed that women, people aged 71+, and people with complete tetraplegia had significantly lower odds of fulfilling the WHO recommendations than participants in the respective reference category (men, ages 17-30, incomplete paraplegia).
  
  
  CONCLUSIONS
  PA levels of people with SCI in Switzerland are rather high. However, some subgroups need special consideration when planning interventions to increase PA levels.
authors: Chair for Public Health and Health-Service Research, Research Unit for Biopsychosocial Health, Department of Medical Informatics, Biometry and Epidemiology-IBE, Ludwig-Maximilians-University, Marchioninistrasse 17, 81377, Munich, Germany. rauchalex@hotmail.com.
authors: Alexandra
authors: A
authors: Rauch
authors: Swiss Paraplegic Research, Nottwil, Switzerland.|Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
authors: Timo
authors: T
authors: Hinrichs
authors: Chair for Public Health and Health-Service Research, Research Unit for Biopsychosocial Health, Department of Medical Informatics, Biometry and Epidemiology-IBE, Ludwig-Maximilians-University, Marchioninistrasse 17, 81377, Munich, Germany.
authors: Cornelia
authors: C
authors: Oberhauser
authors: Swiss Paraplegic Research, Nottwil, Switzerland.|Faculty of Social and Human Sciences, University of Southampton, Southampton, UK.
authors: Alarcos
authors: A
authors: Cieza
mesh_terms: D000293:Adolescent; D000328:Adult; D015444:Exercise; D005260:Female; D017408:Guidelines as Topic; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000503:physiopathology; D010349:Patient Compliance; D013119:Spinal Cord Injuries / Q000503:physiopathology; D011795:Surveys and Questionnaires; D013557:Switzerland; D014944:World Health Organization; D055815:Young Adult
keywords: Disability; Health behavior; Physical activity; Spinal cord injury; Sport; WHO recommendations