Physical activity and cardiometabolic risk factors in individuals with spinal cord injury: a systematic review and meta-analysis.
Cardiac function
Cardiovascular diseases
Exercise
Physical activity
Spinal cord injury
Journal
European journal of epidemiology
ISSN: 1573-7284
Titre abrégé: Eur J Epidemiol
Pays: Netherlands
ID NLM: 8508062
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
16
01
2021
accepted:
07
03
2022
pubmed:
9
4
2022
medline:
15
6
2022
entrez:
8
4
2022
Statut:
ppublish
Résumé
Physical inactivity in individuals with spinal cord injury (SCI) has been suggested to be an important determinant of increased cardiometabolic disease (CMD) risk. However, it remains unclear whether physically active SCI individuals as compared to inactive or less active individuals have truly better cardiometabolic risk profile. We aimed to systematically review and quantify the association between engagement in regular physical activity and/or exercise interventions and CMD risk factors in individuals with SCI. Four medical databases were searched and studies were included if they were clinical trials or observational studies conducted in adult individuals with SCI and provided information of interest. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was applied to rate the certainty of evidence. Of 5816 unique citations, 11 randomized clinical trials, 3 non-randomized trial and 32 cross-sectional studies comprising more than 5500 SCI individuals were included in the systematic review. In meta-analysis of RCTs and based on evidence of moderate certainty, physical activity in comparison to control intervention was associated with: (i) better glucose homeostasis profile [WMD of glucose, insulin and Assessment of Insulin Resistance (HOMA-IR) were - 3.26 mg/dl (95% CI - 5.12 to - 1.39), - 3.19 μU/ml (95% CI - 3.96 to - 2.43)] and - 0.47 (95% CI - 0.60 to - 0.35), respectively], and (ii) improved cardiorespiratory fitness [WMD of relative and absolute oxygen uptake relative (VO
Identifiants
pubmed: 35391647
doi: 10.1007/s10654-022-00859-4
pii: 10.1007/s10654-022-00859-4
pmc: PMC9187578
doi:
Substances chimiques
Glucose
IY9XDZ35W2
Insulins
0
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
335-365Informations de copyright
© 2022. The Author(s).
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