Monitoring outcome measures for cardiometabolic disease during rehabilitation and follow-up in people with spinal cord injury
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Controlled pragmatic intervention with follow-up.
Objectives
To describe cardiometabolic risk outcomes after a pragmatic intervention implemented into standard spinal cord injury (SCI) rehabilitation.
Setting
Inpatient SCI rehabilitation in East-Denmark.
Participants
Inpatients, >18 years, having sustained a SCI within the last 12 months at admission to rehabilitation, regardless of etiology, neurological level or completeness of the lesion or mobility status.
Methods
Patient education on health promotion was guided by evidence and included feedback on peak oxygen uptake (VO2peak) (primary outcome measure), body mass index (BMI), Dual energy X-ray absorptiometry and metabolic profile (secondary outcome measures). Paired t-tests, non-parametric tests and Analysis of Variance (ANOVA) were used for analyzes. VO2peak and BMI were compared to historical data.
Results
VO2peak increased significantly from admission to discharge but did not exceed historical data despite a minimal clinical important difference. BMI decreased significantly during rehabilitation (p < 0.001) followed by a significant increase after discharge (p = 0.006). There was a trend that people with American Spinal Injury Association Impairment Scale (AIS) D SCI increased lean mass to nearly normal values. Criteria for pre-diabetes or diabetes were present in 28.5% and dyslipidemia in 45% of the participants 44.2 days after time of injury.
Conclusions
Despite improvements during rehabilitation, outcome measures were worse than recommended, and most outcome measures worsened at follow up, even in people with an AIS D SCI. Meaningful support regarding exercise and diet when tackling altered life circumstances is needed after discharge.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Spinal Cord |
| Vol/bind | 62 |
| Udgave nummer | 3 |
| Sider (fra-til) | 125-132 |
| Antal sider | 8 |
| ISSN | 1362-4393 |
| DOI | |
| Status | Udgivet - 2024 |
Bibliografisk note
Funding Information:
This work was supported by a research program, “Centre for Integrated Rehabilitation of Cancer Patients (CIRE) - Neuro/Psychology”, conducted collaboratively by the University Hospitals Centre for Health Care Research, University Hospital Copenhagen, Rigshospitalet, University College Copenhagen, Department of Nursing and Nutrition, and the NeuroScience Centre, Rigshospitalet.
Publisher Copyright:
© The Author(s), under exclusive licence to International Spinal Cord Society 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
ID: 382987167