Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity

Sonja de Groot; Jacinthe J E Adriaansen; Janneke M Stolwijk-Swüste; Rutger Osterthun; Rita J G van den Berg-Emons; Marcel W M Post

doi:10.1038/s41393-024-00995-6

Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity

Sonja de Groot, Jacinthe J E Adriaansen, Janneke M Stolwijk-Swüste, Rutger Osterthun, Rita J G van den Berg-Emons, Marcel W M Post

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

4 Downloads (Pure)

Abstract

STUDY DESIGN: Secondary analysis of cross-sectional data from the ALLRISC cohort study.

OBJECTIVES: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI).

SETTING: Community, The Netherlands.

METHODS: Wheelchair users with SCI (N = 282) in TSI strata (10-19, 20-29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m 2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA.

RESULTS: Almost half of the participants (45-47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines.

CONCLUSIONS: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.

Original language	English
Pages (from-to)	378-386
Number of pages	9
Journal	Spinal cord
Volume	62
Issue number	7
Early online date	22 Apr 2024
DOIs	https://doi.org/10.1038/s41393-024-00995-6
Publication status	Published - Jul 2024

Bibliographical note

Funding

ALLRISC is sponsored by \u201CFonds NutsOHRA\u201D under the responsibility of the Netherlands Organisation for Health Research and Development ( www.ZonMw.nl ), Project number 89000006.

Funders	Funder number
ZonMw	89000006
ZonMw

Access to Document

10.1038/s41393-024-00995-6

De Groot - Obesity SCI - Spinal Cord 2024Final published version, 784 KBLicence: Article 25fa Dutch Copyright Act

Persistent URL (handle)

Persistent link

Cite this

@article{ea30bb6fe76444e5b5075d00e2b62b87,

title = "Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity",

abstract = "STUDY DESIGN: Secondary analysis of cross-sectional data from the ALLRISC cohort study.OBJECTIVES: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI).SETTING: Community, The Netherlands.METHODS: Wheelchair users with SCI (N = 282) in TSI strata (10-19, 20-29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m 2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA. RESULTS: Almost half of the participants (45-47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines.CONCLUSIONS: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.",

author = "{de Groot}, Sonja and Adriaansen, {Jacinthe J E} and Stolwijk-Sw{\"u}ste, {Janneke M} and Rutger Osterthun and {van den Berg-Emons}, {Rita J G} and Post, {Marcel W M}",

note = "{\textcopyright} 2024. The Author(s), under exclusive licence to International Spinal Cord Society.",

year = "2024",

month = jul,

doi = "10.1038/s41393-024-00995-6",

language = "English",

volume = "62",

pages = "378--386",

journal = "Spinal cord",

issn = "1362-4393",

publisher = "Springer Nature",

number = "7",

}

TY - JOUR

T1 - Obesity in wheelchair users with long-standing spinal cord injury

T2 - prevalence and associations with time since injury and physical activity

AU - de Groot, Sonja

AU - Adriaansen, Jacinthe J E

AU - Stolwijk-Swüste, Janneke M

AU - Osterthun, Rutger

AU - van den Berg-Emons, Rita J G

AU - Post, Marcel W M

PY - 2024/7

Y1 - 2024/7

N2 - STUDY DESIGN: Secondary analysis of cross-sectional data from the ALLRISC cohort study.OBJECTIVES: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI).SETTING: Community, The Netherlands.METHODS: Wheelchair users with SCI (N = 282) in TSI strata (10-19, 20-29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m 2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA. RESULTS: Almost half of the participants (45-47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines.CONCLUSIONS: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.

AB - STUDY DESIGN: Secondary analysis of cross-sectional data from the ALLRISC cohort study.OBJECTIVES: To investigate the prevalence of obesity and its association with time since injury (TSI) and physical activity (PA) in wheelchair users with long-standing (TSI > 10 years) spinal cord injury (SCI).SETTING: Community, The Netherlands.METHODS: Wheelchair users with SCI (N = 282) in TSI strata (10-19, 20-29, and ≥30 years) and divided in meeting SCI-specific exercise guidelines or not. Waist circumference (WC) and body mass index (BMI) were assessed. Participants were classified as being obese (WC > 102 cm for men, WC > 88 cm for women; BMI ≥ 25 kg/m 2) or not. Logistic regression analyses were performed to investigate the associations between obesity and TSI and PA. RESULTS: Almost half of the participants (45-47%) were classified as obese. TSI was significantly associated with obesity, the odds of being obese were 1.4 higher when having a 10 years longer TSI. Furthermore, the odds of being obese were 2.0 lower for participants who were meeting the exercise guidelines.CONCLUSIONS: The prevalence of obesity is high in people with long-standing SCI. Those with a longer TSI and individuals who do not meet the exercise guidelines are more likely to be obese and need to be targeted for weight management interventions.

U2 - 10.1038/s41393-024-00995-6

DO - 10.1038/s41393-024-00995-6

M3 - Article

C2 - 38649757

SN - 1362-4393

VL - 62

SP - 378

EP - 386

JO - Spinal cord

JF - Spinal cord

IS - 7

ER -

Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity

Abstract

Bibliographical note

Funding

Access to Document

Persistent URL (handle)

Fingerprint

Cite this