Cardiovascular disease risk and the need for prevention after paraplegia determined by conventional multifactorial risk models: The Stockholm spinal cord injury study

Kerstin Wahman, Mark S. Nash, John E. Lewis, Åke Seiger, Richard Levi

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Objective: To assess the need for intervention on cardiovascular disease risks in persons with paraplegia according to: (i) two multifactorial risk models; and (ii) these models in combination with the additional risk of overweight/obesity. Design: Cross-sectional. Subjects: A total of 134 out of 153 persons, comprising more than 80% of a regional prevalence population with traumatic paraplegia (American Spinal Injury Association Impairment Scale A-C) of minimum one year duration. Methods: Participants were screened for cardiovascular disease risk using two multifactorial risk models: the Systematic Coronary Risk Evaluation and the Framingham Risk Equation. Risk factors included were: age, gender, systolic blood pressure, antihypertensive medication, smoking, total cholesterol, high-density lipoprotein cholesterol, and total cholesterol/total cholesterol ratio. In addition, overweight/obesity was assessed by body mass index. Results: Twenty-seven percent to 36% of the cohort was eligible for cardiovascular disease risk intervention, depending on the risk model used. When overweight/obesity (spinal cord injury adjusted cut-score body mass index >22) was also considered, over 80% of the participants qualified for intervention. Conclusion: Almost one-third of persons with paraplegia were eligible for cardiovascular disease risk intervention according to authoritative assessment tools. The number in need of intervention was dramatically increased when overweight/obesity as a cardiovascular disease risk was considered.

Original languageEnglish (US)
Pages (from-to)237-242
Number of pages6
JournalJournal of Rehabilitation Medicine
Volume43
Issue number3
DOIs
StatePublished - Feb 1 2011

Keywords

  • Ageing
  • Cardiovascular disease
  • Obesity
  • Overweight
  • Paraplegia
  • Risk scores
  • Spinal cord injury

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Fingerprint Dive into the research topics of 'Cardiovascular disease risk and the need for prevention after paraplegia determined by conventional multifactorial risk models: The Stockholm spinal cord injury study'. Together they form a unique fingerprint.

  • Cite this