Greater daily leisure time physical activity is associated with lower chronic disease risk in adults with spinal cord injury

被引：119

作者：

Buchholz, Andrea C. ^{[1
]}

Ginis, Kathleen A. Martin ^{[2
]}

Bray, Steven R. ^{[2
]}

Craven, B. Catharine ^{[3
,4
]}

Hicks, Audrey L. ^{[2
]}

Hayes, Keith C. ^{[5
]}

Latimer, Amy E. ^{[6
]}

McColl, Mary Ann ^{[7
]}

Potter, Patrick J. ^{[5
]}

Wolfe, Dalton L. ^{[5
]}

机构：

[1] Univ Guelph, Dept Family Relat & Appl Human Nutr, Guelph, ON N1G 2W1, Canada

[2] McMaster Univ, Dept Kinesiol, Hamilton, ON L8S 4K1, Canada

[3] Univ Toronto, Dept Med, Toronto, ON M4G 3V9, Canada

[4] Toronto Rehabil Inst, Toronto, ON M4G 3V9, Canada

[5] Univ Western Ontario, Dept Phys Med & Rehabil, London, ON N6C 1J1, Canada

[6] Queens Univ, Sch Kinesiol & Hlth Studies, Kingston, ON K7L 3N6, Canada

[7] Queens Univ, Ctr Hlth Serv & Policy Res, Kingston, ON K7L 3N6, Canada

来源：

APPLIED PHYSIOLOGY NUTRITION AND METABOLISM | 2009年 / 34卷 / 04期

基金：

加拿大健康研究院;

关键词：

spinal cord injury; chronic disease; metabolism; risk; physical activity; SHAPE-SCI; BODY-COMPOSITION; CARDIOVASCULAR-DISEASE; INSULIN-RESISTANCE; PEOPLE; HEALTH; INFLAMMATION; ADOLESCENTS; PREVALENCE; RECREATION; PREVENTION;

D O I：

10.1139/H09-050

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

The objective of this study was to examine the relationship between leisure time physical activity (LTPA) and common risk factors for cardiovascular disease (CVD) and type 2 diabetes in community-dwelling adults with chronic spinal cord injury (SCI). LTPA was measured using the Physical Activity Recall Assessment for People with SCI in 76 men and women with chronic (>= 1 year) paraplegia or tetraplegia, living in or near Hamilton, Ontario. Body mass index (BMI), waist circumference, body composition (fat mass (FM) and fat-free mass (FFM)), blood pressure, and biochemical data were collected. Thirty-seven percent (n = 28 participants) were inactive, reporting no LTPA whatsoever, and were compared with an equal-sized group consisting of the most active study participants (>= 25 min of LTPA per day). After adjusting for significant covariates, BMI (18.7%), %FM (19.4%), and C-reactive protein (143%) were all lower, and %FFM was higher (7.2%), in active participants (all p <= 0.05). Ten percent of active participants vs. 33% of inactive participants were insulin resistant (p = 0.03). Waist circumference (17.6%) and systolic blood pressure (15.3%) were lower in active vs. inactive participants with paraplegia (both p <= 0.05), but not tetraplegia. In conclusion, greater daily LTPA is associated with lower levels of selected CVD and type 2 diabetes risk factors in individuals living with SCI. Whether this relationship translates into a lower incidence of these chronic diseases has yet to be determined.

引用

页码：640 / 647

页数：8

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