Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, SC 29425, USA.
Arch Phys Med Rehabil. 2012 Feb;93(2):313-8. doi: 10.1016/j.apmr.2011.09.001.
To examine behavioral risk factors in relation to fatigue after spinal cord injury (SCI), specifically cardiovascular-related behaviors, prescription medication use, and alcohol and cigarette use.
Cross-sectional.
A medical university in the southeastern United States.
Adults (N=2245) at least 1 year post-SCI from a large specialty hospital in the Southeast responded to a mail-in survey.
Not applicable.
The Modified Fatigue Impact Scale-5-item version was used to assess disabling fatigue.
Of participants, 8.3% had disabling fatigue, 45.3% reported fatigue rarely to never impacted their life, and 46.4% reported having some fatigue. Persons who reported having less exercise than others with a similar injury level were 2.49 times as likely to have disabling fatigue as persons who reported more exercise. Those with a fair or poor diet were also more likely to have disabling fatigue. Use of prescription medication to treat pain was associated with disabling fatigue, as was being CAGE positive. Among nonbehavioral variables, race and injury severity were significantly associated with disabling fatigue.
We identified several behavioral predictors of disabling fatigue, including cardiovascular risk factors, prescription medication use, and alcohol use. These factors are important because they are able to be modified and could be potential factors for prevention or intervention.
研究与脊髓损伤（SCI）后疲劳相关的行为风险因素，特别是心血管相关行为、处方药使用以及酒精和香烟使用。
横断面研究。
美国东南部的一所医科大学。
至少 1 年 SCI 后来自东南部一家大型专科医院的成年人（N=2245）通过邮寄问卷进行了调查。
不适用。
使用改良疲劳影响量表-5 项版本评估致残性疲劳。
参与者中，8.3%有致残性疲劳，45.3%报告疲劳很少或从不影响他们的生活，46.4%报告有一些疲劳。与报告锻炼量与类似损伤水平的其他人相比，报告锻炼量较少的人发生致残性疲劳的可能性是报告锻炼量较多的人的 2.49 倍。饮食不良的人也更有可能出现致残性疲劳。使用处方药治疗疼痛与致残性疲劳有关，CAGE 阳性也与致残性疲劳有关。在非行为变量中，种族和损伤严重程度与致残性疲劳显著相关。
我们确定了几个致残性疲劳的行为预测因素，包括心血管风险因素、处方药使用和酒精使用。这些因素很重要，因为它们可以被改变，并且可能是预防或干预的潜在因素。
