Metabolic syndrome in people with a long-standing spinal cord injury: associations with physical activity and capacity.
This study investigated (i) the prevalence of the metabolic syndrome (MetS) in people with a long-standing spinal cord injury (SCI); (ii) whether personal or lesion characteristics are determinants of the MetS; and (iii) the association with physical activity or peak aerobic capacity on the MetS. In a cross-sectional study, persons with SCI (N = 223; time since injury of ≥10 years) were tested. The individual components of the MetS were assessed together with the physical activity measured by the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD), while peak aerobic capacity was tested during a graded wheelchair exercise test on a treadmill. Thirty-nine percent of the participants had MetS. In a multivariate logistic regression analyses and after performing a backward regression analysis, only age and education were significant determinants of the MetS. A 10-year increase in age leads to a 1.5 times more chance to have the MetS. Furthermore, people with a low education will multiply the relative risk of MetS compared with people with high education by almost 2. With and without correcting for confounders, no significant relationship was found between PASIPD or peak aerobic capacity and the MetS. It can be concluded that the prevalence of the MetS is high (39%) in people with a long-standing SCI but is comparable to the general Dutch population. Older people and those with a lower education level are most at risk for the MetS. Physical activity and peak aerobic fitness were not related to the MetS in this group with a long-standing SCI.
a Amsterdam Rehabilitation Research Center/Reade, PO box 58271, 1040 HG Amsterdam, the Netherlands.|b University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, A. Deusinglaan 1, gebouw 3215. Groningen 9713 AV Groningen, the Netherlands.
Sonja
S
de Groot
c Brain Center Rudolf Magnus and Center of Excellence in Rehabilitation Medicine, De Hoogstraat Rehabilitation and University Medical Center Utrecht, Rembrandtkade 10 3583 TM Utrecht, the Netherlands.
Jacinthe J
JJ
Adriaansen
d Center for Rehabilitation, Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1. Fonteinstraat 4 9713 GZ Groningen, the Netherlands.
Marga
M
Tepper
e Rehabilitation Center Roessingh, Enschede, the Netherlands.
Govert J
GJ
Snoek
b University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, A. Deusinglaan 1, gebouw 3215. Groningen 9713 AV Groningen, the Netherlands.|d Center for Rehabilitation, Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1. Fonteinstraat 4 9713 GZ Groningen, the Netherlands.
Lucas H V
LH
van der Woude
c Brain Center Rudolf Magnus and Center of Excellence in Rehabilitation Medicine, De Hoogstraat Rehabilitation and University Medical Center Utrecht, Rembrandtkade 10 3583 TM Utrecht, the Netherlands.|d Center for Rehabilitation, Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1. Fonteinstraat 4 9713 GZ Groningen, the Netherlands.
Marcel W M
MW
Post
D000328:Adult; D000368:Aged; D000375:Aging; D015986:Confounding Factors, Epidemiologic; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities; D004522:Educational Status; D017079:Exercise Tolerance; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000453:epidemiology; D008875:Middle Aged; D009068:Movement; D009426:Netherlands / Q000453:epidemiology; D010101:Oxygen Consumption; D015995:Prevalence; D012047:Rehabilitation Centers; D012306:Risk; D013119:Spinal Cord Injuries / Q000150:complications* / Q000503:physiopathology; D014910:Wheelchairs
abdominal obesity; blood pressure; fasting glucose; glucose à jeun; high-density lipoprotein; lipoprotéines de haute densité; lésion médullaire; metabolic syndrome; obésité abdominale; pression sanguine; spinal cord injury; syndrome métabolique; triglycerides; triglycérides