Associations between meeting exercise guidelines, physical fitness, and health in people with spinal cord injury

Dirk Hoevenaars; Jasmijn F M Holla; Karin Postma; Lucas H V van der Woude; Thomas W J Janssen; Sonja de Groot

doi:10.1080/09638288.2022.2048910

Associations between meeting exercise guidelines, physical fitness, and health in people with spinal cord injury

Dirk Hoevenaars, Jasmijn F M Holla, Karin Postma, Lucas H V van der Woude, Thomas W J Janssen, Sonja de Groot

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

PURPOSE: (1) To estimate the proportion of Dutch wheelchair users with spinal cord injury (SCI) who meet different SCI exercise guidelines; (2) to evaluate which demographic and lesion characteristics are associated with meeting these guidelines; (3) whether meeting these guidelines is associated with physical fitness and health.

MATERIALS AND METHODS: Based on the PASIPD questionnaire items, participants were allocated to meeting two SCI aerobic exercise guidelines, which differ in exercise load. Differences in personal, lesion, fitness, and health characteristics between groups were tested with a one-way ANOVA. Multiple regression analyses were performed to evaluate if meeting guidelines was associated with better fitness and health. Statistical significance was accepted at p < 0.05.

RESULTS: Of the 358 included participants, 63.1% met at least one aerobic exercise guideline. Being female, older age, having tetraplegia, and lower educational level were associated with a lower likelihood to meet the aerobic exercise guidelines. Meeting aerobic exercise guidelines showed a positive association with all respiratory and exercise capacity parameters. Limited associations were found between meeting exercise guidelines and health.

CONCLUSIONS: Meeting exercise guidelines was associated with better respiratory functions and exercise capacity with additional fitness and some body composition benefits in higher exercise activity levels.IMPLICATIONS FOR REHABILITATIONMeeting SCI exercise guidelines are associated with better respiratory functions and exercise capacity with additional fitness and body composition benefits when higher exercising at higher activity levels, emphasizing the value and importance of regular exercise in individuals with SCI.

Original language	English
Pages (from-to)	1030-1037
Number of pages	8
Journal	Disability and Rehabilitation
Volume	45
Issue number	6
Early online date	20 Mar 2022
DOIs	https://doi.org/10.1080/09638288.2022.2048910
Publication status	Published - 13 Mar 2023

Bibliographical note

Publisher Copyright:
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Funding

The Umbrella project was funded by the ZON-Mw Rehabilitation Program, grant numbers 1435.0003 and 1435.0025. The ALLRISC project was funded by the responsibility of the Netherlands Organization for Health Research and Development by “Fonds NutsOHRA”, project number 89000006. The realization of this paper was funded by NWO, SIA, and FAPESP under the big data sports call 2016. We thank all involved researchers, physicians, and research assistants involved in data collection within the Umbrella and ALLRISC project.

Funders	Funder number
ZON-Mw Rehabilitation Program	1435.0003, 1435.0025
Fundação de Amparo à Pesquisa do Estado de São Paulo
ZonMw	89000006
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Stichting Innovatie Alliantie

Keywords

exercise guidelines
health
physical activity
physical fitness
Spinal cord injury

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10.1080/09638288.2022.2048910

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abstract = "PURPOSE: (1) To estimate the proportion of Dutch wheelchair users with spinal cord injury (SCI) who meet different SCI exercise guidelines; (2) to evaluate which demographic and lesion characteristics are associated with meeting these guidelines; (3) whether meeting these guidelines is associated with physical fitness and health.MATERIALS AND METHODS: Based on the PASIPD questionnaire items, participants were allocated to meeting two SCI aerobic exercise guidelines, which differ in exercise load. Differences in personal, lesion, fitness, and health characteristics between groups were tested with a one-way ANOVA. Multiple regression analyses were performed to evaluate if meeting guidelines was associated with better fitness and health. Statistical significance was accepted at p < 0.05.RESULTS: Of the 358 included participants, 63.1% met at least one aerobic exercise guideline. Being female, older age, having tetraplegia, and lower educational level were associated with a lower likelihood to meet the aerobic exercise guidelines. Meeting aerobic exercise guidelines showed a positive association with all respiratory and exercise capacity parameters. Limited associations were found between meeting exercise guidelines and health.CONCLUSIONS: Meeting exercise guidelines was associated with better respiratory functions and exercise capacity with additional fitness and some body composition benefits in higher exercise activity levels.IMPLICATIONS FOR REHABILITATIONMeeting SCI exercise guidelines are associated with better respiratory functions and exercise capacity with additional fitness and body composition benefits when higher exercising at higher activity levels, emphasizing the value and importance of regular exercise in individuals with SCI.",

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Associations between meeting exercise guidelines, physical fitness, and health in people with spinal cord injury

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