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Cardiovascular disease risk and the need for prevention after paraplegia determined by conventional multifactorial risk models: the Stockholm spinal cord injury study
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Neurorehabil, Stockholm ; Rehab Stn Stockholm, Spinalis R&D Unit, Stockholm.
Univ Miami, Miller Sch Med, Dept Neurol Surg, ; Univ Miami, Miller Sch Med, Dept Rehabil Med, ; Univ Miami, Miller Sch Med, Miami Project Cure Paralysis.
Univ Miami, Miller Sch Med, Dept Psychiat & Behav Sci, ; Univ Miami, Miller Sch Med, Ctr Complementary & Integrat Med..
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Neurorehabil, Stockholm ; Rehab Stn Stockholm, Spinalis R&D Unit, Stockholm ; Stockholms Sjukhem Fdn, Stockholm.
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2011 (English)In: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine, ISSN 1651-2081, Vol. 43, no 3, 237-242 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To assess the need for intervention on cardio-vascular disease risks in persons with paraplegia according to: (i) two multifactorial risk models; and (ii) these models in combination with the additional risk of overweight/obesity.

DESIGN: Cross-sectional.

SUBJECTS: A total of 134 out of 153 persons, comprising more than 80% of a regional prevalence population with traumatic paraplegia (American Spinal Injury Association Impairment Scale A-C) of minimum one year duration.

METHODS: Participants were screened for cardiovascular disease risk using two multifactorial risk models: the Systematic Coronary Risk Evaluation and the Framingham Risk Equation. Risk factors included were: age, gender, systolic blood pressure, antihypertensive medication, smoking, total cholesterol, high-density lipoprotein cholesterol, and total cholesterol/total cholesterol ratio. In addition, overweight/obesity was assessed by body mass index.

RESULTS: Twenty-seven percent to 36% of the cohort was eligible for cardiovascular disease risk intervention, depending on the risk model used. When overweight/obesity (spinal cord injury adjusted cut-score body mass index ≥ 22) was also considered, over 80% of the participants qualified for intervention.

CONCLUSION: Almost one-third of persons with paraplegia were eligible for cardiovascular disease risk intervention according to authoritative assessment tools. The number in need of intervention was dramatically increased when overweight/obesity as a cardiovascular disease risk was considered.

Place, publisher, year, edition, pages
2011. Vol. 43, no 3, 237-242 p.
Keyword [en]
cardiovascular disease, risk scores, ageing, paraplegia, overweight; obesity, spinal cord injury
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Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:umu:diva-83816DOI: 10.2340/16501977-0658ISI: 000287388400009PubMedID: 21305240OAI: oai:DiVA.org:umu-83816DiVA: diva2:684600
Available from: 2014-01-08 Created: 2013-12-09 Last updated: 2014-03-12Bibliographically approved

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Levi, Richard

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