Article

PURPOSE: To summarise the spinal cord injury (SCI) specific profile of three
cardiovascular disease risk factors (CVD): fasting dyslipidaemia, postprandial
lipidaemia and vascular inflammation and to summarise exercise prescriptions that
may attenuate each.
METHOD: NA. RESULTS: NA.
CONCLUSIONS: At least three CVD risk
factors have unique profiles in the SCI population. Fasting dyslipidaemia is
characterised in the SCI population by depressed HDL cholesterol and normal or
low total cholesterol. In the post-prandial state, persons with SCI exhibit an
exaggerated triglyceride rise and delayed clearance compared to non-disabled
persons. Finally, vascular inflammation, as indexed by C-reactive protein, is
markedly elevated in SCI. Exercise may improve each, although the specific
prescriptions differs. Fasting dyslipidaemia responds to 8 weeks of moderate
intensity aerobic exercise performed 5 days weekly for 30 min daily.
Post-prandial lipaemia treatment requires daily moderate or vigorous aerobic
exercise, as the effect dissipates day by day. The daily exercise duration is
proportional to fitness level, with total caloric expenditure emphasised rather
than time. Finally, attenuating vascular inflammation in non-disabled persons
requires moderate or vigorous exercise performed for >/=12 months, 5 days weekly
for >/=45 min; with aerobic exercise plus resistance training more effective than
aerobic exercise alone.

Langue : ANGLAIS