Nash Mark S, Gater David R
Departments of Neurological Surgery and Physical Medicine & Rehabilitation; The Miami Project to Cure Paralysis; The NIDILRR Model SCI System, University of Miami Leonard M. Miller School; 1095 Northwest 14th Terrace, R-48, Miami, FL 33136, USA.
Departments of Neurological Surgery and Physical Medicine & Rehabilitation; The Miami Project to Cure Paralysis; The NIDILRR Model SCI System, University of Miami Leonard M. Miller School; 1120 Northwest 14th Street, CRC 958, Miami, FL 33136, USA.
Phys Med Rehabil Clin N Am. 2020 Aug;31(3):415-436. doi: 10.1016/j.pmr.2020.04.005.
The risks and health hazards of the cardiometabolic syndrome (CMS) are commonly reported in persons with spinal cord injuries (SCIs) and disorders. Overweight/obesity, insulin resistance, hypertension, and dyslipidemia are highly prevalent after SCI. Both the CMS diagnosis and physical deconditioning worsen the prognosis for all-cause cardiovascular disease. Evidence suggests a role for physical activity to address these risks, although intense exercise may be required. A lifestyle plan incorporating both exercise and nutrition represents a preferred approach for health management. Improved surveillance for CMS risks and exercise and nutritional management are essential for the preservation of optimal health and independence.
心血管代谢综合征（CMS）的风险和健康危害在脊髓损伤（SCI）患者及相关疾病患者中普遍存在。超重/肥胖、胰岛素抵抗、高血压和血脂异常在脊髓损伤后极为常见。CMS诊断和身体机能减退都会使全因心血管疾病的预后恶化。有证据表明体育活动有助于应对这些风险，不过可能需要高强度运动。将运动和营养相结合的生活方式计划是健康管理的首选方法。加强对CMS风险的监测以及运动和营养管理对于保持最佳健康状态和独立性至关重要。
