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Independent Association of Vitamin D With Physical Function in People With Chronic Spinal Cord Injury

BARBONETTI A; SPERANDIO A; MICILLO A; D'ANDREA S; PACCA F; FELZANI G; FRANCAVILLA S; FRANCAVILLA F
ARCH PHYS MED REHABIL , 2016, vol. 97, n° 5, p. 726-732
Doc n°: 180259
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2016.01.002
Descripteurs : AE21 - ORIGINE TRAUMATIQUE
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To explore the relation between vitamin D and physical function
outcomes in people with spinal cord injury (SCI).
DESIGN: Cross-sectional study.
SETTING: Rehabilitation institute. PARTICIPANTS: Consecutive patients (N=100; 72
men and 28 women) with chronic SCI admitted to a rehabilitation program.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Functional independence in
activities of daily living (ADL)
and leisure time physical activity (LTPA) were
assessed as measures of physical function. RESULTS: Vitamin D deficiency
(<20ng/mL) was found in 78 patients: they exhibited a significantly higher body
mass index, lower functional independence in ADL, and were engaged in a
significantly poorer weekly LTPA. At the linear multiple regression analysis,
lower 25-hydroxyvitamin D levels showed significant independent associations with
poorer functional independence in ADL (beta=.59; 95% confidence interval,
.36-.82; P<.0001) and with poorer LTPA (beta=2.35; 95% confidence interval,
0.77-3.94; P=.004), after adjustment for other predictors of physical function
outcomes selected by univariate analyses. CONCLUSIONS: In people with chronic
SCI, a low vitamin D level represents an independent predictor of poor physical
function.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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