Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen, Sophie; Hill, Mattias; Lexell, Jan

doi:10.1016/j.pmrj.2018.06.008

Cited by 11 publications

(20 citation statements)

References 36 publications

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“…In agreement with previous population-based studies of persons with SCI of different ages [1,18], we found that LTPA participation varied greatly, and many of the older adults did not engage in any LTPA [17]. Also, we have recently reported on a high occurrence of cardiovascular risk factors in the same Swedish SCI-sample [19]. In that study, we found only weak associations between the occurrence of risk factors and non-modifiable sociodemographics and injury characteristics [19].…”

Section: Introductionsupporting

confidence: 91%

“…Also, we have recently reported on a high occurrence of cardiovascular risk factors in the same Swedish SCI-sample [19]. In that study, we found only weak associations between the occurrence of risk factors and non-modifiable sociodemographics and injury characteristics [19]. Further studies are therefore needed to increase our knowledge about modifiable factors associated with the specific cardiovascular risk profile of older adults with long-term SCI.…”

Section: Introductionmentioning

confidence: 74%

“…This study is based on the baseline data collection of the Swedish Aging with Spinal Cord Injury Study (SASCIS) (for details, see Jörgensen et al [21]), a population-based, longitudinal cohort study assessing individuals 50 years or older and at least 10 years after SCI. The SASCIS is the first longitudinal study in Northern Europe aiming to contribute to the knowledge base of factors associated with healthy aging in individuals with long-term SCI [16,17,19,22,23].…”

Section: Methodsmentioning

confidence: 99%

“…This lack of evidence for older adults with chronic SCI limits the ability for scientists to formulate evidence-based exercise guidelines for all segments of the SCI population. Given the growing number of older adults living long-term with SCI, ways to promote healthy and active aging after injury is of increasing clinical and scientific interest [4,15,16]. There is thus a need for increased knowledge of the benefits of LTPA in this specific population.…”

Section: Introductionmentioning

confidence: 99%

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Associations between leisure time physical activity and cardiovascular risk factors among older adults with long-term spinal cord injury

et al. 2019

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Study Design This is a cross-sectional study. Objectives To describe the association between cardiovascular risk factors (body mass index (BMI), waist circumference (WC), blood pressure, blood glucose and lipids) and leisure time physical activity (LTPA) in older adults with long-term spinal cord injury (SCI). Setting Community settings, southern Sweden. Methods Data from the baseline data collection of the Swedish Aging with Spinal Cord Injury Study (SASCIS) (n = 123, 71% men, injury levels C1-L5, American Spinal Injury Association Impairment Scale AD , mean age 63 years, mean time since injury 24 years). Data were collected through home interviews, assessments and blood samples. The Physical Activity Recall Assessment for People with SCI was used to assess LTPA. Associations were investigated using multivariable linear regression analyses adjusted for age, gender, level and severity of injury, cause of injury, time since injury and tobacco use. Results More minutes per day of moderate-to-heavy LTPA were significantly associated with a lower BMI (Beta = −0.31; p = 0.001) and a lower WC (Beta = −0.24; p = 0.009). More minutes per day of total LTPA (mild intensity or greater) were associated with a higher systolic blood pressure (Beta = 0.27; p = 0.041) among participants with tetraplegia. No other significant associations between the cardiovascular risk factors and total LTPA were found. Conclusion Participation in daily LTPA is associated with better cardiovascular health with regard to BMI and WC in older adults with long-term SCI. Further studies are needed to establish the specific amount of activity needed to obtain positive health effects in this group and the directional causality of the associations. Sponsorship Not applicable.

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Section: Introductionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 74%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associations between leisure time physical activity and cardiovascular risk factors among older adults with long-term spinal cord injury

et al. 2019

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“…The results from our previous cross-sectional studies are overall positive, showing that these older adults with long-term SCI exhibit a relatively high level of physical independence, are generally satisfied with their lives, have a strong sense of coherence and a low presence of probable depression. However, our results also provide indications for a proactive approach in clinical follow-up, especially regarding pain, depressive symptoms, satisfaction with sexual life, and lifestyle-related factors [17][18][19][20][21].…”

Section: Methodsmentioning

confidence: 62%

Changes in health-related quality of life among older adults aging with long-term spinal cord injury

2020

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Study design Cross-sectional and longitudinal. Objectives To (i) describe health-related quality of life (HRQoL) and changes over 6 years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in HRQoL are associated with age, gender, and injury characteristics. Setting Community in southern Sweden. Methods From the initial 123 participants (years 2011–2012) in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 77 individuals (32% women, C1-L3, AIS A–D, median age 66 years, median time since injury 31 years, 30% complete injuries) were assessed 6 years later. HRQoL was rated with the Spinal Cord Injury Quality of Life Questionnaire (SCI QL-23). Associations were investigated using multivariable linear regression analyses. Results The median rating of global QoL (scale range 0–100) was relatively high at both assessments (67 and 83, respectively). There was a large variability in all HRQoL-domains and no significant changes over 6 years. As compared to an AIS D injury, a tetraplegia AIS A–C injury and tetraplegia and paraplegia AIS A–C injuries were associated with positive change in depressive symptoms and global QoL, respectively. Conclusions Older adults aging with long-term SCI show large variations in all HRQoL-domains and have the potential to maintain a high and stable level of HRQoL over time. Persons with AIS D injuries may need increased attention to mitigate negative changes in depressive symptoms and global QoL. Further studies are needed to identify modifiable factors associated with changes in HRQoL in older adults aging with long-term SCI.

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Changes over 6 years in secondary health conditions and activity limitations in older adults aging with long‐term spinal cord injury

Waller

Jörgensen

Lexell

2022

PM&R

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Background: The number of individuals aging with long-term spinal cord injury (SCI) is increasing. Still, there is limited knowledge about changes in secondary health conditions (SHCs) and activity limitations over time. Objectives: To determine changes in SHCs and activity limitations in older adults aging with long-term SCI over 6 years, and to investigate how changes in SHCs and activity limitations are associated with gender, age, and injury characteristics. Design: Longitudinal cohort study from the Swedish Aging with Spinal Cord Injury Study (SASCIS). Setting: Community settings, Sweden. Participants: From the initial 123 participants in the SASCIS: 78 individuals (32% women); mean age 68 years; mean time since injury 31 years; injury levels C1-L3, AIS A-D. Interventions: Not applicable Main Outcome Measure: Bowel and bladder function and problems, pain, spasticity, and the Spinal Cord Independence Measure (SCIM III). Results: Over 6 years, bowel-related problems increased (31% to 47%, p = .015) and the occurrence of constipation doubled to 24% (p = .013). There were increases in frequent urinary tract infections (10% to 26%, p = .004), use of indwelling urinary catheters (15% to 23%, p = .031), and other bladder-related problems (4% to 22%, p < .001). The occurrence of pain was high (85%), with no significant change. Spasticity increased from 41% to 62% (p < .001). Activity limitations increased (SCIM III total score mean 67 to 61, p < .001, with significant decreases in all subscales). The increase in bowel-related problems was greater in males, and the deterioration in self-care was greater in participants with longer time since injury and with traumatic injuries. Conclusions: These findings support the notion that SHCs and activity limitations increase over time in older adults aging with long-term SCI. The results can inform clinicians and call for a proactive, holistic approach in the long-term follow-up to support healthy and active aging.

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Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Abstract: III.

Cited by 11 publications

References 36 publications

Associations between leisure time physical activity and cardiovascular risk factors among older adults with long-term spinal cord injury

Associations between leisure time physical activity and cardiovascular risk factors among older adults with long-term spinal cord injury

Changes in health-related quality of life among older adults aging with long-term spinal cord injury

Changes over 6 years in secondary health conditions and activity limitations in older adults aging with long‐term spinal cord injury

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