Cardiometabolic Disease and Dysfunction Following Spinal Cord Injury: Origins and Guideline-Based Countermeasures

Mark S. Nash, David R. Gater

Research output: Contribution to journalReview article

Abstract

The risks and health hazards of the cardiometabolic syndrome (CMS) are commonly reported in persons with spinal cord injuries (SCIs) and disorders. Overweight/obesity, insulin resistance, hypertension, and dyslipidemia are highly prevalent after SCI. Both the CMS diagnosis and physical deconditioning worsen the prognosis for all-cause cardiovascular disease. Evidence suggests a role for physical activity to address these risks, although intense exercise may be required. A lifestyle plan incorporating both exercise and nutrition represents a preferred approach for health management. Improved surveillance for CMS risks and exercise and nutritional management are essential for the preservation of optimal health and independence.

Original languageEnglish (US)
Pages (from-to)415-436
Number of pages22
JournalPhysical Medicine and Rehabilitation Clinics of North America
Volume31
Issue number3
DOIs
StatePublished - Aug 2020

Keywords

  • Cardiometabolic disease
  • Cardiovascular disease
  • Exercise
  • Nutrition
  • Pharmacotherapy
  • Spinal cord injuries

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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