Exploring lifestyle components and associated factors in newly injured individuals with spinal cord injury.
Journal
Spinal cord
ISSN: 1476-5624
Titre abrégé: Spinal Cord
Pays: England
ID NLM: 9609749
Informations de publication
Date de publication:
08 Oct 2024
08 Oct 2024
Historique:
received:
26
01
2024
accepted:
24
09
2024
revised:
11
09
2024
medline:
9
10
2024
pubmed:
9
10
2024
entrez:
8
10
2024
Statut:
aheadofprint
Résumé
Cross-sectional analysis from the Inception Cohort of the Swiss Spinal Cord Injury Study (SwiSCI). To describe five lifestyle components in newly injured individuals with spinal cord injury (SCI), explore co-occurrence of these components, and identify associated personal and clinical factors. Initial rehabilitation stay following traumatic and non-traumatic SCI. Lifestyle components including overweight/obesity, low diet score, physical inactivity, smoking, and alcohol consumption were used independently and to calculate a composite lifestyle score. Analyses were conducted using descriptive statistics, co-occurrence analysis, and multivariate logistic regression. We included 251 individuals, of whom 77.7% were male, 73.7% suffered from traumatic SCI, and 59.8% had paraplegia. The median age was 51 years (IQR 36-64). Approximately twelve weeks after the injury, more than two-thirds of the study population met the criteria for overweight/obesity, and consumed insufficient amounts of fruits and vegetables, and excessive amounts of meat. Alcohol was consumed by 85.3% of individuals, and 26.8% were current smokers. Almost all study participants met the physical activity guidelines (90 min of moderate to strenuous activity physical activity per week). One-quarter of study participants experienced the co-occurrence of overweight/obesity, low diet score and alcohol consumption. Female sex, younger age and higher education were associated with healthier lifestyle components. Despite methodological limitations, this study underscores the complexities of healthy lifestyle adherence among individuals newly injured with SCI. It highlights the necessity of improving and implementing screening strategies throughout the continuum of SCI care as early as possible following the trauma.
Identifiants
pubmed: 39379497
doi: 10.1038/s41393-024-01039-9
pii: 10.1038/s41393-024-01039-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Kressler J, Cowan RE, Bigford GE, Nash MS. Reducing cardiometabolic disease in spinal cord injury. Phys Med Rehabil Clin N Am. 2014;25:573–604, viii.
pubmed: 25064789
doi: 10.1016/j.pmr.2014.04.006
Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. Metabolic syndrome: pathophysiology, management, and modulation by natural compounds. Ther Adv Cardiovasc Dis. 2017;11:215–25.
pubmed: 28639538
pmcid: 5933580
doi: 10.1177/1753944717711379
Rankin KC, O’Brien LC, Segal L, Khan MR, Gorgey AS. Liver adiposity and metabolic profile in individuals with chronic spinal cord injury. Biomed Res Int. 2017;2017:1364818.
pubmed: 28948164
pmcid: 5602482
doi: 10.1155/2017/1364818
Cragg JJ, Noonan VK, Krassioukov A, Borisoff J. Cardiovascular disease and spinal cord injury: results from a national population health survey. Neurology. 2013;81:723–8.
pubmed: 23884034
pmcid: 3776463
doi: 10.1212/WNL.0b013e3182a1aa68
van Bussel EF, Hoevenaar-Blom MP, Poortvliet RKE, Gussekloo J, van Dalen JW, van Gool WA, et al. Predictive value of traditional risk factors for cardiovascular disease in older people: A systematic review. Prev Med. 2020;132:105986.
pubmed: 31958478
doi: 10.1016/j.ypmed.2020.105986
Raguindin PF, Frankl G, Itodo OA, Bertolo A, Zeh RM, Capossela S, et al. The neurological level of spinal cord injury and cardiovascular risk factors: a systematic review and meta-analysis. Spinal cord. 2021;59:1135–45.
Raguindin PF, Bertolo A, Zeh RM, Fränkl G, Itodo OA, Capossela S, et al. Body composition according to spinal cord injury level: a systematic review and meta-analysis. J Clin Med. 2021;10:3911.
Nash M, Gater D. Cardiometabolic disease and dysfunction following spinal cord injury. Phys Med Rehab Clinics North America. 2020;31:415–36.
doi: 10.1016/j.pmr.2020.04.005
Bigford G, Nash MS. Nutritional health considerations for persons with spinal cord injury. Top Spinal Cord Inj Rehabil. 2017;23:188–206.
pubmed: 29339895
pmcid: 5562027
doi: 10.1310/sci2303-188
Itodo OA, Flueck JL, Raguindin PF, Stojic S, Brach M, Perret C, et al. Physical activity and cardiometabolic risk factors in individuals with spinal cord injury: a systematic review and meta-analysis. Eur J Epidemiol. 2022;37:335–65.
pubmed: 35391647
pmcid: 9187578
doi: 10.1007/s10654-022-00859-4
Stojic S, Eriks-Hoogland I, Gamba M, Valido E, Minder B, Chatelan A, et al. Mapping of dietary interventions beneficial in the prevention of secondary health conditions in spinal cord injured population: a systematic review. J Nutr Health Aging. 2023;27:524–41.
pubmed: 37498100
doi: 10.1007/s12603-023-1937-6
Ginis KA, Latimer AE, Arbour-Nicitopoulos KP, Buchholz AC, Bray SR, Craven BC, et al. Leisure time physical activity in a population-based sample of people with spinal cord injury part I: demographic and injury-related correlates. Arch Phys Med Rehabil. 2010;91:722–8.
pubmed: 20434609
doi: 10.1016/j.apmr.2009.12.027
Saunders LL, Krause JS, Saladin M, Carpenter MJ. Prevalence of cigarette smoking and attempts to quit in a population-based cohort with spinal cord injury. Spinal Cord. 2015;53:641–5.
pubmed: 25917952
doi: 10.1038/sc.2015.71
Chuang CH, Chen PC, Bai CH, Wu YL, Tsai MC, Li CY. Association between spinal cord injury and alcohol dependence: a population-based retrospective cohort study. J Pers Med. 2022;12:473.
Perret C, Stoffel-Kurt N. Comparison of nutritional intake between individuals with acute and chronic spinal cord injury. J Spinal Cord Med. 2011;34:569–75.
pubmed: 22330112
pmcid: 3237283
doi: 10.1179/2045772311Y.0000000026
Postma K, Bussmann JBJ, van Diemen T, Post MWM, Dekkers J, van Nes IJW, et al. Physical activity and sedentary behavior from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury: a longitudinal cohort study. Arch Phys Med Rehabil. 2020;101:2061–70.
pubmed: 32750374
doi: 10.1016/j.apmr.2020.06.027
Haisma JA, van der Woude LH, Stam HJ, Bergen MP, Sluis TA, Post MW, et al. Complications following spinal cord injury: occurrence and risk factors in a longitudinal study during and after inpatient rehabilitation. J Rehabil Med. 2007;39:393–8.
pubmed: 17549331
doi: 10.2340/16501977-0067
Wouda MF, Lundgaard E, Becker F, Strøm V. Changes in cardiorespiratory fitness and activity levels over the first year after discharge in ambulatory persons with recent incomplete spinal cord injury. Spinal Cord. 2021;59:354–60.
pubmed: 32647328
doi: 10.1038/s41393-020-0514-7
Davis JF, Cao Y, Krause JS. Changes in alcohol use after the onset of spinal cord injury. J Spinal Cord Med. 2018;41:230–7.
pubmed: 28446059
doi: 10.1080/10790268.2017.1319996
Raguindin PF, Mueller G, Stoyanov J, Eriks-Hoogland I, Jordan X, Stojic S, et al. Burden of cardiovascular risk in individuals with spinal cord injury and its association with rehabilitation outcomes: results from the swiss spinal cord injury cohort. Am J Phys Med Rehabil. 2023;102:1043–54.
pubmed: 37204918
pmcid: 10662615
Raguindin PF, Stoyanov J, Eriks-Hoogland I, Stucki G, Jordan X, Schubert M, et al. Cardiometabolic risk profiling during spinal cord injury rehabilitation: A longitudinal analysis from the Swiss Spinal Cord Injury (SwiSCI) cohort. PM R. 2023;15:715–30.
pubmed: 35648677
doi: 10.1002/pmrj.12857
Raguindin PF, Itodo OA, Eriks-Hoogland I, Muka T, Brach M, Stucki G, et al. Does cardiometabolic risk profile differ among individuals with traumatic and non-traumatic spinal cord injury (SCI): the evidence from the multicenter SCI cohort in Switzerland (SwiSCI). Spinal Cord. 2024;62:387–95.
Deutschsprachige Medizinische Gesellschaft für Paraplegiologie e.V. S2k-Leitlinie Lebenslange Nachsorge für Menschen mit Querschnittlähmung [Internet]. AWMF Leitlinien-Register; [cited 2023 Nov 19]. Report No.: 1.0. Available from: https://register.awmf.org/de/start .
Nowak AM, Molik B, Marszalek J. Anaerobic performance among children with spina bifida. J Sports Med Phys Fitness. 2020;60:132–9.
pubmed: 31343148
doi: 10.23736/S0022-4707.19.09883-9
Vajdi M, Farhangi MA. A systematic review of the association between dietary patterns and health-related quality of life. Health Qual Life Outcomes. 2020;18:337.
pubmed: 33046091
pmcid: 7552532
doi: 10.1186/s12955-020-01581-z
Leeming ER, Johnson AJ, Spector TD, Le Roy CI. Effect of diet on the gut microbiota: rethinking intervention duration. Nutrients. 2019;11:2862.
Sahni S, Mangano KM, McLean RR, Hannan MT, Kiel DP. Dietary approaches for bone health: lessons from the Framingham Osteoporosis Study. Curr Osteoporos Rep. 2015;13:245–55.
pubmed: 26045228
pmcid: 4928581
doi: 10.1007/s11914-015-0272-1
Ljungberg T, Bondza E, Lethin C. Evidence of the importance of dietary habits regarding depressive symptoms and depression. Int J Environ Res Public Health. 2020;17:1616.
Fekete C, Gurtner B, Kunz S, Gemperli A, Gmünder HP, Hund-Georgiadis M, et al. Inception cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI): Design, participant characteristics, response rates and non-response. J Rehabil Med. 2021;53:jrm00159.
pubmed: 33569608
Marino RJ, Barros T, Biering-Sorensen F, Burns SP, Donovan WH, Graves DE, et al. International standards for neurological classification of spinal cord injury. J Spinal Cord Med. 2003;26:S50–6.
pubmed: 16296564
doi: 10.1080/10790268.2003.11754575
Itzkovich M, Gelernter I, Biering-Sorensen F, Weeks C, Laramee MT, Craven BC, et al. The spinal cord independence measure (SCIM) version III: reliability and validity in a multi-center international study. Disabil Rehabil. 2007;29:1926–33.
pubmed: 17852230
doi: 10.1080/09638280601046302
de Groot S, van der Woude LH, Niezen A, Smit CA, Post MW. Evaluation of the physical activity scale for individuals with physical disabilities in people with spinal cord injury. Spinal Cord. 2010;48:542–7.
pubmed: 20010909
doi: 10.1038/sc.2009.178
Federal Statistics Office. Swiss Health Survey. Neuenburg: Federal Department of Home Affairs (FDHA); 2007.
Sumrell RM, Nightingale TE, McCauley LS, Gorgey AS. Anthropometric cutoffs and associations with visceral adiposity and metabolic biomarkers after spinal cord injury. PLoS One. 2018;13:e0203049.
pubmed: 30169541
pmcid: 6118379
doi: 10.1371/journal.pone.0203049
Ginis KA, Hicks AL, Latimer AE, Warburton DE, Bourne C, Ditor DS, et al. The development of evidence-informed physical activity guidelines for adults with spinal cord injury. Spinal Cord. 2011;49:1088–96.
pubmed: 21647164
doi: 10.1038/sc.2011.63
Evans N, Wingo B, Sasso E, Hicks A, Gorgey AS, Harness E. Exercise recommendations and considerations for persons with spinal cord injury. Arch Phys Med Rehabil. 2015;96:1749–50.
pubmed: 26198424
doi: 10.1016/j.apmr.2015.02.005
van der Scheer JW, Martin Ginis KA, Ditor DS, Goosey-Tolfrey VL, Hicks AL, West CR, et al. Effects of exercise on fitness and health of adults with spinal cord injury: a systematic review. Neurology. 2017;89:736–45.
pubmed: 28733344
doi: 10.1212/WNL.0000000000004224
Martin Ginis KA, van der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P, et al. Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal Cord. 2018;56:308–21.
pubmed: 29070812
doi: 10.1038/s41393-017-0017-3
Meader N, King K, Moe-Byrne T, Wright K, Graham H, Petticrew M, et al. A systematic review on the clustering and co-occurrence of multiple risk behaviours. BMC Public Health. 2016;16:657.
pubmed: 27473458
pmcid: 4966774
doi: 10.1186/s12889-016-3373-6
Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ. 1995;311:158–61.
pubmed: 7613427
pmcid: 2550221
doi: 10.1136/bmj.311.6998.158
Leech RM, McNaughton SA, Timperio A. The clustering of diet, physical activity and sedentary behavior in children and adolescents: a review. Int J Behav Nutr Phys Act. 2014;11:4.
pubmed: 24450617
doi: 10.1186/1479-5868-11-4
Popkin BM, Ng SW. The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra-processed foods is not inevitable. Obes Rev. 2022;23:e13366.
pubmed: 34632692
doi: 10.1111/obr.13366
Gorgey AS, Dolbow DR, Dolbow JD, Khalil RK, Castillo C, Gater DR. Effects of spinal cord injury on body composition and metabolic profile - part I. J Spinal Cord Med. 2014;37:693–702.
pubmed: 25001559
pmcid: 4231957
doi: 10.1179/2045772314Y.0000000245
Itodo OA, Raguindin PF, Wöllner J, Eriks-Hoogland I, Jordan X, Hund-Georgiadis M, et al. Early changes in androgen levels in individuals with spinal cord injury: a longitudinal SwiSCI study. J Clin Med. 2022;11:6559.
Boehl G, Raguindin PF, Valido E, Bertolo A, Itodo OA, Minder B, et al. Endocrinological and inflammatory markers in individuals with spinal cord injury: a systematic review and meta-analysis. Rev Endocr Metab Disord. 2022;23:1035–50.
pubmed: 35978214
pmcid: 9515048
doi: 10.1007/s11154-022-09742-9
Felleiter P, Krebs J, Haeberli Y, Schmid W, Tesini S, Perret C. Post-traumatic changes in energy expenditure and body composition in patients with acute spinal cord injury. J Rehabil Med. 2017;49:579–84.
pubmed: 28657645
doi: 10.2340/16501977-2244
Desneves KJ, Kiss N, Daly RM, Abbott G, Ward LC. Longitudinal changes in body composition and diet after acute spinal cord injury. Nutrition. 2024;120:112345.
pubmed: 38301395
doi: 10.1016/j.nut.2023.112345
Ma Y, de Groot S, Romviel S, Achterberg W, van Orsouw L, Janssen TWJ. Changes in body composition during and after inpatient rehabilitation in people with recent spinal cord injury. Spinal Cord Series and Cases. 2021;7:88.
pubmed: 34584070
pmcid: 8479094
doi: 10.1038/s41394-021-00446-x
Singh R, Rohilla RK, Saini G, Kaur K. Longitudinal study of body composition in spinal cord injury patients. Indian J Orthop. 2014;48:168–77.
pubmed: 24741139
pmcid: 3977373
doi: 10.4103/0019-5413.128760
Rowan C, Kazemi A. An observational study of feeding practice in ventilated patients with spinal cord injury. Clin Nutr ESPEN. 2020;37:107–13.
pubmed: 32359731
doi: 10.1016/j.clnesp.2020.03.010
Flury I, Mueller G, Perret C. The risk of malnutrition in patients with spinal cord injury during inpatient rehabilitation-A longitudinal cohort study. Front Nutr. 2023;10:1085638.
pubmed: 36755991
pmcid: 9899810
doi: 10.3389/fnut.2023.1085638
Smith-Ryan AE, Hirsch KR, Saylor HE, Gould LM, Blue MNM. Nutritional considerations and strategies to facilitate injury recovery and rehabilitation. J Athl Train. 2020;55:918–30.
pubmed: 32991705
pmcid: 7534941
doi: 10.4085/1062-6050-550-19
Farkas GJ, Pitot MA, Berg AS, Gater DR. Nutritional status in chronic spinal cord injury: a systematic review and meta-analysis. Spinal Cord. 2019;57:3–17.
pubmed: 30420688
doi: 10.1038/s41393-018-0218-4
Groah SL, Nash MS, Ljungberg IH, Libin A, Hamm LF, Ward E, et al. Nutrient intake and body habitus after spinal cord injury: an analysis by sex and level of injury. J Spinal Cord Med. 2009;32:25–33.
pubmed: 19264046
pmcid: 2647496
doi: 10.1080/10790268.2009.11760749
Saunders LL, Krause JS. Psychological factors affecting alcohol use after spinal cord injury. Spinal Cord. 2011;49:637–42.
pubmed: 21102575
doi: 10.1038/sc.2010.160
Tate DG, Forchheimer MB, Krause JS, Meade MA, Bombardier CH. Patterns of alcohol and substance use and abuse in persons with spinal cord injury: risk factors and correlates. Arch Phys Med Rehabil. 2004;85:1837–47.
pubmed: 15520979
doi: 10.1016/j.apmr.2004.02.022
Young ME, Rintala DH, Rossi CD, Hart KA, Fuhrer MJ. Alcohol and marijuana use in a community-based sample of persons with spinal cord injury. Arch Phys Med Rehabil. 1995;76:525–32.
pubmed: 7763151
doi: 10.1016/S0003-9993(95)80506-0
Tétrault M, Courtois F. Use of psychoactive substances in persons with spinal cord injury: a literature review. Ann Phys Rehabil Med. 2014;57:684–95.
pubmed: 25455026
doi: 10.1016/j.rehab.2014.10.002
Saunders LL, Krause JS, Carpenter MJ, Saladin M. Risk behaviors related to cigarette smoking among persons with spinal cord injury. Nicotine Tob Res. 2014;16:224–30.
pubmed: 24169812
doi: 10.1093/ntr/ntt153
Saunders L, Newman S, Aust R, Krause JS. Qualitative study of barriers and facilitators to cigarette smoking after spinal cord injury. Rehabil Psychol. 2018;63:400–7.
pubmed: 30024201
doi: 10.1037/rep0000172
Williams TL, Smith B, Papathomas A. The barriers, benefits and facilitators of leisure time physical activity among people with spinal cord injury: a meta-synthesis of qualitative findings. Health Psychol Rev. 2014;8:404–25.
pubmed: 25211208
doi: 10.1080/17437199.2014.898406
Tasiemski T, Bergström E, Savic G, Gardner BP. Sports, recreation and employment following spinal cord injury–a pilot study. Spinal Cord. 2000;38:173–84.
pubmed: 10795938
doi: 10.1038/sj.sc.3100981
World Health Organization. Geneva: World Health Organization; 2020. Physical inactivity: a global public health problem.
Flank P, Fahlstrom M, Bostrom C, Lewis JE, Levi R, Wahman K. Self-reported physical activity and risk markers for cardiovascular disease after spinal cord injury. J Rehabil Med. 2014;46:886–90.
pubmed: 25211062
doi: 10.2340/16501977-1857
Kelly MP, Barker M. Why is changing health-related behaviour so difficult? Public Health. 2016;136:109–16.
pubmed: 27184821
doi: 10.1016/j.puhe.2016.03.030