Abstract
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 (±22–23kg/m2) (54%); (2) a higher but stable BMI during inpatient rehabilitation (±24kg/m2) and an increase after discharge (up to 29kg/m2) (38%); and (3) an increase in BMI during inpatient rehabilitation (from ±23 up to
28kg/m2) 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.
Keywords
List of abbreviations:
AIC (Akaike information criterion), ANOVA (analysis of variance), BMI (body mass index), HDL (high-density lipoprotein), LCGMM (latent class growth (mixture) model), LDL (low-density lipoprotein), SCI (spinal cord injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 19, 2014
Footnotes
Supported by the Dutch Health Research and Development Council, The Netherlands Organization for Health Research and Development Rehabilitation Program (grant nos. 1435.0003 and 1435.0025).
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
