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

^*Corresponding author for this work

Rehabilitation Medicine

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

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/m²) 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
DOIs	https://doi.org/10.1038/s41393-024-00995-6
Publication status	Published - Jul 2024

Bibliographical note

Publisher Copyright:
© The Author(s), under exclusive licence to International Spinal Cord Society 2024.

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1038/s41393-024-00995-6

Cite this

@article{ac70d2c1bba3474ebab4ed270c73e94b,

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/m2) 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 = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive licence to International Spinal Cord Society 2024.",

year = "2024",

month = jul,

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

language = "English",

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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/m2) 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/m2) 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.

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

Abstract

Bibliographical note

UN SDGs

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