Article

OBJECTIVE: To identify different trajectories of the course of body mass index
(BMI) after spinal cord injury (SCI) and to study whether other cardiovascular
risk factors (blood pressure, lipid profile) follow the same trajectories.
DESIGN: Multicenter prospective cohort study with measurements at the start of
active rehabilitation, after 3 months, at discharge, and 1 and 5 years after
discharge. SETTING: Rehabilitation centers. PARTICIPANTS: Persons with a recent
SCI (N=204). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: BMI
trajectories. RESULTS: Three BMI trajectories were identified: (1) a favorable
stable BMI during and after rehabilitation (+/- 22-23 kg/m(2)) (54%); (2) a
higher but stable BMI during inpatient rehabilitation (+/- 24 kg/m(2)) and an
increase after discharge (up to 29 kg/m(2)) (38%); and (3) an increase in BMI
during inpatient rehabilitation (from +/- 23 up to 28 kg/m(2)) and leveling off
after discharge (8%). Profile analyses showed that an unfavorable change in BMI
was not accompanied by clear unfavorable changes in blood pressure or lipid
levels. CONCLUSIONS: BMI in people with SCI follows distinct trajectories.
Monitoring body mass, food intake, and daily physical activity during and
especially after inpatient SCI rehabilitation is important to prevent obesity and
related cardiovascular risk factors.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS