Abstract
Slawta JN, Wilcox AR, McCubbin JA, Nalle DJ, Fox SD, Anderson G. Health behaviors,
body composition, and coronary heart disease risk in women with multiple sclerosis.
Arch Phys Med Rehabil 2003;84:1823–30.
Objectives
To explore coronary heart disease risk in a sample of women with multiple sclerosis
(MS) by identifying the presence of established risk factors for coronary heart disease
and to determine the relationship between disease severity and level of participation
in health-related behaviors.
Design
Survey study.
Setting
Five general community settings in Oregon.
Participants
Women with physician-diagnosed MS (N=123) recruited from MS chapters, physician referrals,
and newspaper announcements.
Interventions
Not applicable.
Main outcome measures
Modified Yale Physical Activity Survey, Block Food Frequency Questionnaire, blood
analysis, skinfolds, and waist and hip circumferences.
Results
The majority of women met current physical activity guidelines. The frequencies of
unfavorable levels of metabolic variables and obesity were similar to those reported
in the general population. Significant associations were observed between mobility
and physical activity, total and abdominal fat, and several dietary habits.
Conclusion
Coronary heart disease risk in this sample was comparable to that of the general population
of women without MS. Physical inactivity, body composition, and perhaps nutritional
habits decline with decreasing mobility, emphasizing the need for families and health
care providers to work together to find solutions that increase health-promoting behaviors
in women with more advanced MS.
Keywords
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Article info
Footnotes
☆Supported by Rogue Valley Medical Center, Southern Oregon University, and Oregon State University.
Identification
Copyright
© 2003 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
