Department of Health Sciences, Lund University, Lund, Sweden.
Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden.
Spinal Cord. 2019 May;57(5):427-433. doi: 10.1038/s41393-018-0233-5. Epub 2019 Jan 8.
This is a cross-sectional study.
To describe the association between cardiovascular risk factors (body mass index (BMI), waist circumference (WC), blood pressure, blood glucose and lipids) and leisure time physical activity (LTPA) in older adults with long-term spinal cord injury (SCI).
Community settings, southern Sweden.
Data from the baseline data collection of the Swedish Aging with Spinal Cord Injury Study (SASCIS) (n = 123, 71% men, injury levels C1-L5, American Spinal Injury Association Impairment Scale A-D, mean age 63 years, mean time since injury 24 years). Data were collected through home interviews, assessments and blood samples. The Physical Activity Recall Assessment for People with SCI was used to assess LTPA. Associations were investigated using multivariable linear regression analyses adjusted for age, gender, level and severity of injury, cause of injury, time since injury and tobacco use.
More minutes per day of moderate-to-heavy LTPA were significantly associated with a lower BMI (Beta = -0.31; p = 0.001) and a lower WC (Beta = -0.24; p = 0.009). More minutes per day of total LTPA (mild intensity or greater) were associated with a higher systolic blood pressure (Beta = 0.27; p = 0.041) among participants with tetraplegia. No other significant associations between the cardiovascular risk factors and total LTPA were found.
Participation in daily LTPA is associated with better cardiovascular health with regard to BMI and WC in older adults with long-term SCI. Further studies are needed to establish the specific amount of activity needed to obtain positive health effects in this group and the directional causality of the associations.
Not applicable.
这是一项横断面研究。
描述心血管危险因素（体重指数（BMI）、腰围（WC）、血压、血糖和血脂）与长期脊髓损伤（SCI）老年人休闲时间体力活动（LTPA）之间的关系。
瑞典南部的社区环境。
数据来自瑞典脊髓损伤老龄化研究（SASCIS）的基线数据收集（n=123，71%为男性，损伤水平 C1-L5，美国脊髓损伤协会损伤量表 A-D，平均年龄 63 岁，平均损伤后时间 24 年）。通过家庭访谈、评估和血液样本收集数据。使用脊髓损伤患者体力活动回顾评估来评估 LTPA。使用多变量线性回归分析调整年龄、性别、损伤水平和严重程度、损伤原因、损伤后时间和吸烟情况后，调查了关联。
每天进行更多分钟的中高强度 LTPA 与 BMI 降低（Beta=-0.31；p=0.001）和 WC 降低（Beta=-0.24；p=0.009）显著相关。每天进行更多分钟的总 LTPA（轻度或更高强度）与四肢瘫痪参与者的收缩压升高（Beta=0.27；p=0.041）相关。在总 LTPA 与其他心血管危险因素之间未发现其他显著关联。
在长期 SCI 老年人中，每天进行 LTPA 与 BMI 和 WC 更好的心血管健康相关。需要进一步的研究来确定该组获得积极健康效果所需的活动量以及关联的方向性因果关系。
不适用。
