TY - JOUR
T1 - Evidence-based scientific exercise guidelines for adults with spinal cord injury
T2 - An update and a new guideline
AU - Martin Ginis, Kathleen A.
AU - Van Der Scheer, Jan W.
AU - Latimer-Cheung, Amy E.
AU - Barrow, Andy
AU - Bourne, Chris
AU - Carruthers, Peter
AU - Bernardi, Marco
AU - Ditor, David S.
AU - Gaudet, Sonja
AU - De Groot, Sonja
AU - Hayes, Keith C.
AU - Hicks, Audrey L.
AU - Leicht, Christof A.
AU - Lexell, Jan
AU - MacAluso, Steven
AU - Manns, Patricia J.
AU - McBride, Christopher B.
AU - Noonan, Vanessa K.
AU - Pomerleau, Pierre
AU - Rimmer, James H.
AU - Shaw, Robert B.
AU - Smith, Brett
AU - Smith, Karen M.
AU - Steeves, John D.
AU - Tussler, Dot
AU - West, Christopher R.
AU - Wolfe, Dalton L.
AU - Goosey-Tolfrey, Victoria L.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Objectives: To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI). Setting: International. Methods: Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d). Results: For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation). Conclusions: Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.
AB - Objectives: To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI). Setting: International. Methods: Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d). Results: For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation). Conclusions: Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.
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U2 - 10.1038/s41393-017-0017-3
DO - 10.1038/s41393-017-0017-3
M3 - Article
C2 - 29070812
AN - SCOPUS:85032207376
SN - 1362-4393
VL - 56
SP - 308
EP - 321
JO - Spinal cord
JF - Spinal cord
IS - 4
ER -