Accelerometry-Based Activity Spectrum in Persons With Chronic Physical Conditions

Berg-Emons, Rita J G van den; Bussmann, Johannes B. J.; Stam, Henk J.

doi:10.1016/j.apmr.2010.08.018

Cited by 136 publications

(99 citation statements)

References 36 publications

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“…This difference reflects the use of the minimal effective dose of exercise provided by SCI-specific evidence, instead of the optimal dosage of PA derived from the able-bodied evidence underpinning PA guidelines for the general population (e.g., [6]). The lower frequency and duration also reflects that people with SCI are less active and more physically deconditioned than most able-bodied adults [15,16]. As such, people with SCI can experience improvements in fitness and indices of cardiometabolic health from relatively small doses of exercise, similar to what has been found in apparently healthy but inactive individuals, people living with chronic disease, and people living with other disabilities [17].…”

Section: Discussionmentioning

confidence: 50%

“…Likewise, no consideration was given to the feasibility of the guideline in the SCI population. Because people with SCI face tremendous physical, psychosocial and environmental barriers to PA [13,14], they are less active and more physically deconditioned than both the general population and individuals with many other types of disabilities [15,16]. These issues, coupled with 'overwhelming evidence' that people living with disability can achieve health benefits from activity levels well below the 150 min/week threshold [17], highlight the need to re-consider the appropriateness of promoting the 150 min/week guideline in the SCI population [18].…”

Section: Introductionmentioning

confidence: 99%

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Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline

et al. 2017

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Objectives To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI). Setting International. Methods Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d). Results For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation). Conclusions Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.

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Section: Discussionmentioning

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline

et al. 2017

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“…Also, our activity monitor data were limited to 48 h. However, it is suggested that, for measurements with the activity monitor, this is an adequate duration to reliably record activities. 3 Finally, lipid profile can be affected by diet, but we do not have data on the diet of the participants. Besides, there are other risk factors than lipid profile, which might contribute to the risk of cardiovascular disease.…”

Section: Discussionmentioning

confidence: 99%

“…One year after discharge, activity levels had recovered somewhat but were still much lower than those of able-bodied persons and were even lower than those of persons with other chronic diseases. 3 Besides these low everyday activity levels, it is known that the physical fitness of persons with a SCI is generally low and that they have an enlarged risk of cardiovascular disease. 4 In the able-bodied population, it is well-known that physical activity has a positive effect on health.…”

Section: Introductionmentioning

confidence: 99%

A more active lifestyle in persons with a recent spinal cord injury benefits physical fitness and health

et al. 2011

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Study design: A prospective cohort study. Objectives: To study the longitudinal relationship between objectively measured everyday physical activity level, and physical fitness and lipid profile in persons with a recent spinal cord injury (SCI). Setting: A rehabilitation centre in the Netherlands and the participant's home environment. Methods: Data of 30 persons with a recent SCI were collected at the start of active rehabilitation, 3 months later, at discharge from inpatient rehabilitation, and 1 year after discharge. Physical activity level (duration of dynamic activities as % of 24 h) was measured with an accelerometry-based activity monitor. Regarding physical fitness, peak oxygen uptake (VO 2 peak) and peak power output (POpeak) were determined with a maximal wheelchair exercise test, and upper extremity muscle strength was measured with a handheld dynamometer. Fasting blood samples were taken to determine the lipid profile. Results: An increase in physical activity level was significantly related to an increase in VO 2 peak and POpeak, and an increase in physical activity level favourably affected the lipid profile. A nonsignificant relation was found with muscle strength. Conclusion: Everyday physical activity seems to have an important role in the fitness and health of persons with a recent SCI. An increase in physical activity level was associated with an increase in physical fitness and with a lower risk of cardiovascular disease.

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“…18 SCI predisposes to carbohydrate and lipid abnormalities, largely as a consequence of extreme inactivity. [19][20][21] People with tetraplegia are at greater risk of disorders of carbohydrate metabolism and those with paraplegia tend to have elevated blood pressure and total cholesterol.…”

Section: Activity and Fitnessmentioning

confidence: 99%

Spinal cord injury and physical activity: preservation of the body

Galea

2011

Spinal Cord

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Setting: Spinal cord injury (SCI) causes devastating loss of function and can result in serious secondary complications. Although significant advances are being made to develop cellular and molecular therapies to promote regeneration, it is important to optimize physical interventions. Objectives: The objective of this review was to examine the evidence for the effects of physical rehabilitation strategies on health and fitness, and maintenance of target systems below the level of injury (for example, muscle, bone, circulation).Results: Exercise appears to be a potent means of achieving these goals, using a variety of strategies. Conclusion: Physical rehabilitation after SCI needs to move beyond the goal of maximizing independence to focus on maintenance of optimum health and fitness as well as maintenance of target system function below the level of injury. Issues requiring further investigation include identification of the optimum dosage of interventions to achieve specific goals, for example, prevention of muscle atrophy and osteoporosis, and development and validation of simple clinical measures to monitor the changes in body composition. Adoption of a classification system for physical interventions and standardized outcome measures would facilitate large-scale observational studies to identify the critical variables contributing to better outcomes.

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Accelerometry-Based Activity Spectrum in Persons With Chronic Physical Conditions

Cited by 136 publications

References 36 publications

Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline

Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline

A more active lifestyle in persons with a recent spinal cord injury benefits physical fitness and health

Spinal cord injury and physical activity: preservation of the body

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