Article

OBJECTIVE: To examine the relationship of body mass index (BMI) with multiple
health indices among persons with spinal cord injury (SCI). DESIGN: Multicenter
cross-sectional study. SETTING: A total of 16 SCI Model Systems throughout the
United States. PARTICIPANTS: A total of 1107 men and 274 women (N=1381), mean age
+/- SD, 43.1+/-14.6 years (tetraplegia, 56.9%; complete injuries, 50.2%; mean
years since injury +/- SD, 7.8+/-8.6), who received follow-up in 2006 to 2009,
were classified into 1 of the 4 BMI categories-underweight, normal, overweight,
and obese-based on self-reported height and measured weight. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Rehospitalization, pain, self-perceived
health, FIM, Craig Handicap Assessment and Reporting Technique, Patient Health
Questionnaire-9 (PHQ-9), and the Diener's Satisfaction With Life Scale (SWLS).
RESULTS: The prevalence of underweight, overweight, and obesity was 7.5%, 31.4%,
and 22.1%, respectively, which varied by age, sex, marital status, education, and
neurologic impairment. For those with tetraplegia and functional motor-complete
injuries, rehospitalization occurred more frequently among obese persons, while
days rehospitalized were the longest among underweight persons. Pain was more
severe in those classified as obese. Community mobility was lower in the
underweight, overweight, and obese groups than in those with normal weight. There
was no significant association between BMI and self-perceived health, FIM, PHQ-9,
and SWLS beyond the effect of neurologic impairment. CONCLUSIONS: Prevention and
intervention directed at those significantly overweight or underweight deserve
consideration as priorities in the continuity of care for persons with SCI.
Efforts should be targeted particularly to those at higher risk, including
persons with more severe injuries, who are less educated, and who are living
alone.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS