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Behavioral factors related to fatigue among persons with spinal cord injury

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SAUNDERS LL; KRAUSE JS
ARCH PHYS MED REHABIL , 2012, vol. 93, n° 2, p. 313-318
Doc n°: 158504
Localisation : Documentation IRR , en ligne

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2011.09.001
Descripteurs : AE21 - ORIGINE TRAUMATIQUE Url : http://www.archives-pmr.org/issues

Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To examine behavioral risk factors in relation to fatigue after spinal
cord injury (SCI), specifically cardiovascular-related behaviors, prescription
medication use, and alcohol and cigarette use. DESIGN:
Cross-sectional. SETTING:
A medical university in the southeastern United States. PARTICIPANTS: Adults
(N=2245) at least 1 year post-SCI from a large specialty hospital in the
Southeast responded to a mail-in survey. INTERVENTION:
Not applicable. MAIN
OUTCOMES MEASURE:
The Modified Fatigue Impact Scale-5-item version was used to
assess disabling fatigue. RESULTS: Of participants, 8.3% had disabling fatigue,
45.3% reported fatigue rarely to never impacted their life, and 46.4% reported
having some fatigue. Persons who reported having less exercise than others with a
similar injury level were 2.49 times as likely to have disabling fatigue as
persons who reported more exercise. Those with a fair or poor diet were also more
likely to have disabling fatigue. Use of prescription medication to treat pain
was associated with disabling fatigue, as was being CAGE positive. Among
nonbehavioral variables, race and injury severity were significantly associated
with disabling fatigue. CONCLUSIONS: We identified several behavioral predictors
of disabling fatigue, including cardiovascular risk factors, prescription
medication use, and alcohol use. These factors are important because they are
able to be modified and could be potential factors for prevention or
intervention.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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