Increased Participation in Activities of Daily Living Is Associated With Lower Cholesterol Levels in People With Spinal Cord Injury

• Published in: Archives of physical medicine and rehabilitation Vol. 90; no. 10; pp. 1755 - 1759
• Main Authors: Hetz, Samuel P., BSc, Latimer, Amy E., PhD, Buchholz, Andrea C., PhD, RD, Martin Ginis, Kathleen A., PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.10.2009; Elsevier
• Subjects: Activities of Daily Living; Adult; Biological and medical sciences; Cardiology. Vascular system; Cholesterol - blood; Coronary heart disease; Cross-Sectional Studies; Diseases of the osteoarticular system; Exercise; Female; Heart; Hospitals, University; Humans; Male; Medical sciences; Middle Aged; Miscellaneous; Physical Medicine and Rehabilitation; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Rehabilitation; Spinal cord injuries; Spinal Cord Injuries - blood; Spinal Cord Injuries - rehabilitation; Trauma Severity Indices; Triglycerides - blood; generalized linear models; spinal cord injury; Activities of daily living; Physical Activity Recall Assessment for People With Spinal Cord Injury; low-density lipoprotein cholesterol; PARA-SCI; GLM; LPL; Coronary heart disease; NEAT; nonexercise activity thermogenesis; Study of Health and Activity in People With Spinal Cord Injury; HDL; SHAPE-SCI; ADLs; leisure time physical activity; LDL; lipoprotein lipase; high-density lipoprotein cholesterol; SCI; Spinal cord injuries; LTPA; Rehabilitation; CHD; Nervous system diseases; Daily living; Cardiovascular disease; Cholesterol; Reeducation; Orthopedics; Spinal cord trauma; Central nervous system disease; Spinal cord disease
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2009.04.021

Abstract Hetz SP, Latimer AE, Martin Ginis KA, Buchholz AC, and the SHAPE-SCI Research Group. Increased participation in activities of daily living is associated with lower cholesterol levels in people with spinal cord injury. Objective To evaluate the relationships between activities of daily living (ADLs) participation and coronary heart disease (CHD) risk factors in people with spinal cord injury. Design Cross-sectional. Setting Community, university, hospital. Participants Participants (N=75) from the Study of Health and Activity in People With Spinal Cord Injury study (61 men, 14 women). Interventions Not applicable. Main Outcome Measures Physical Activity Recall Assessment for People With Spinal Cord Injury and CHD risk factor assessment including waist circumference, total cholesterol, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol, and triglycerides. Results Using generalized linear models, and controlling for leisure time physical activity and covariates, increased Mobility ADLs (transferring and wheeling) were associated with lower plasma total cholesterol and LDL. No other significant relationships emerged. Conclusions Mobility ADLs were associated with lower total cholesterol and LDL. However, neither Total ADLs nor Domestic ADLs were associated with CHD risk. Further investigation is needed to determine causality between Mobility ADLs and CHD risk.