TY - JOUR
T1 - Obesity in wheelchair users with long-standing spinal cord injury
T2 - prevalence and associations with time since injury and physical activity
AU - de Groot, Sonja
AU - Adriaansen, Jacinthe J.E.
AU - Stolwijk-Swüste, Janneke M.
AU - Osterthun, Rutger
AU - van den Berg-Emons, Rita J.G.
AU - Post, Marcel W.M.
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to International Spinal Cord Society 2024.
PY - 2024/7
Y1 - 2024/7
N2 - Study design: Secondary analysis of cross-sectional data from the ALLRISC cohort study. Objectives: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI). Setting: Community, The Netherlands. Methods: Wheelchair users with SCI (N = 282) in TSI strata (10–19, 20–29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA. Results: Almost half of the participants (45–47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines. Conclusions: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.
AB - Study design: Secondary analysis of cross-sectional data from the ALLRISC cohort study. Objectives: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI). Setting: Community, The Netherlands. Methods: Wheelchair users with SCI (N = 282) in TSI strata (10–19, 20–29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA. Results: Almost half of the participants (45–47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines. Conclusions: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.
UR - http://www.scopus.com/inward/record.url?scp=85191088792&partnerID=8YFLogxK
U2 - 10.1038/s41393-024-00995-6
DO - 10.1038/s41393-024-00995-6
M3 - Article
C2 - 38649757
AN - SCOPUS:85191088792
SN - 1362-4393
VL - 62
SP - 378
EP - 386
JO - Spinal Cord
JF - Spinal Cord
IS - 7
ER -