Body mass index changes over 3 years and effect of obesity on community mobility for persons with chronic spinal cord injury

The Journal of Spinal Cord Medicine
Patricia HatchettPhilip S Requejo

Abstract

To identify the prevalence of obesity in persons with chronic spinal cord injury (SCI), determine change in body mass index (BMI) over time, and identify impact of obesity on community mobility. Prospective three year longitudinal study. Outpatient clinic of rehabilitation center. Convenience sample of 222 persons with paraplegia between 2-20 years post SCI. BMI at baseline and three years; community mobility (daily wheelchair propulsion distance and velocity, average number of daily transfers and depression raises). Participants were 34.1 (27.3, 40.3) years of age and median duration of SCI was 8.7 (3.2, 15.1) years. The SCI adjusted BMI classification identified 44% of participants as obese. BMI increased over time with 13% moving into a higher weight category. Median change in BMI was 0.46 (-0.92, 1.50) kg/m (2) (z = -2.684, P = 0.007), and increased at a rate of 0.15 kg/m(2)/yr. Average BMI was negatively correlated with daily wheelchair propulsion distance (r = -0.179, P = 0.009), however there was no significant relationship with velocity, number of daily transfers or depression raises. The majority of participants with chronic SCI were overweight (23%) or obese (44%) and BMI increased by 0.46 kg/m(2) over three years. Th...Continue Reading

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Citations

Feb 22, 2017·Consciousness and Cognition·Michele ScandolaValentina Moro
Apr 5, 2017·Spinal Cord·T HolmlundK Wahman
Nov 16, 2019·The Journal of Spinal Cord Medicine·Huacong WenYuying Chen
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Jan 9, 2019·The Journal of Spinal Cord Medicine·Amy M YahiroAmy C Ellis
Apr 6, 2021·Topics in Spinal Cord Injury Rehabilitation·Jose R Vives AlvaradoDavid R Gater
Sep 18, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Sherri L LaVelaChristine Pellegrini
Nov 21, 2021·Archives of Physical Medicine and Rehabilitation·Huacong WenYuying Chen

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