Assessing physical activity and health-related quality of life in individuals with spinal cord injury: a national survey in Thailand

Eitivipart, Aitthanatt Chachris; Arora, Mohit; Oliveira, Camila Quel de; Heard, Robert; Middleton, James; Davis, Glen M.

doi:10.1080/09638288.2021.1979665

Cited by 5 publications

(4 citation statements)

References 60 publications

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“…The Australian “45 and Up” study surveyed over 100,000 individuals from the general population and identified that three-quarters of respondents met the WHO physical activity recommendations [ 46 ]. Another large cross-sectional study conducted in the SCI population in Thailand found that only 14% of individuals met the SCI-specific physical activity guidelines and only 7% met the recommended WHO physical activity guidelines for adults with a disability [ 47 ], compared to 48% without a disability [ 14 ]. This confirms that a large proportion of individuals ≥45 years with SCI in Australia have a sedentary lifestyle compared to those who are non-disabled.…”

Section: Discussionmentioning

confidence: 99%

Leisure-Time Physical Activity Participation in Middle-Aged and Older Adults With a Spinal Cord Injury in Australia

Stendell,

Stubbs,

Rogers

et al. 2024

Int J Public Health

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ObjectivesAdults with spinal cord injury (SCI) are often sedentary, increasing their risk of cardiometabolic diseases. Leisure-time Physical Activity (LTPA) is physical activity completed during recreation time for enjoyment. We aimed to quantify LTPA in people ≥45 years with SCI and to explore its relationship with participants’ characteristics.MethodsThis is a secondary analysis on a subset of the Australian International SCI Survey in participants ≥45 years, at least 12 months post-injury. We described levels of LTPA and used multivariable regressions to estimate the associations between participant characteristics and LTPA.ResultsOf 1,281 participants (mean age: 62.7 years, mean time since injury: 18.7 years; 74% males) 44% reported no participation in LTPA. The average LTPA participation was 197 (SD 352) minutes per week (median: 50). Females (β = −62.3, 95% CI [−112.9, −11.7]), and participants with non-traumatic injuries (β = −105.2, 95% CI [−165.9, −44.6]) performed less LTPA. Time since injury was not associated with moderate-to-heavy LTPA (LR: Probability > F = 0.785).ConclusionLTPA promotion in the SCI population ≥45 years focusing on females and non-traumatic injuries is warranted.

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Section: Discussionmentioning

confidence: 99%

Leisure-Time Physical Activity Participation in Middle-Aged and Older Adults With a Spinal Cord Injury in Australia

Stendell,

Stubbs,

Rogers

et al. 2024

Int J Public Health

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“…While learning to live with an SCI is highly individual, people who were physically active prior to their injuries often become physically inactive, tending to participate in passive indoor rather than active outdoor leisure activities. Forty-four to 50% of previously active people with SCI engage in very little leisure time physical activity (Eitivipart et al, 2022; Martin Ginis et al, 2010; Rocchi et al, 2017). This represents a significant loss of previously enjoyed leisure time and outdoor physical activity, as well as a potential health risk.…”

Section: Inactivity After Scimentioning

confidence: 99%

“It Doesn’t Die Within You”: Outdoor Recreation Participation Following Spinal Cord Injury

Ryan

Bolten

Abolhosn

et al. 2023

OTJR: Occupational Therapy Journal of Research

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Although some people with spinal cord injury (SCI) return to outdoor recreation, many have low activity levels and encounter significant environmental barriers. The purpose of the study was to describe how people with SCI engage in outdoor recreation activities, what meaning they attribute to these, and to inform occupational therapists in promoting outdoor recreation post-SCI. The study used qualitative, descriptive phenomenology. Thirteen participants completed semi-structured interviews, and data were analyzed using thematic analysis. Outdoor recreation contributes to personal well-being. It is a way to share life with loved ones and other disabled people. Having the right equipment and using a trial-and-error approach facilitated participation, which was sometimes supported and frequently constrained by physical, built, and information environments. Findings suggest implications for occupational therapists in the areas of direct intervention, entrepreneurship, and advocacy. These are consistent with the American Occupational Therapy Association Vision 2025 to collaborate for inclusion and accessibility in occupational performance.

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“…Most (82%) had a traumatic aetiology of injury. The mean (SD) age of participants was 57 ( 14) years, with a mean (SD) time since their injury of 17 (14) years. Sociodemographic characteristics (as shown in Supplementary Material SC) were similar between "exercisers," "non-exercisers," "guideline-adherents" and "guideline non-adherents," except that "guideline-adherents" had a 10% lower employment rate than the other groups.…”

Section: Cohort Characteristicsmentioning

confidence: 99%

“…Unfortunately, however, these SCI-specific recommendations are generally not met [ 12 , 13 ], and the trend for poor exercise engagement is pervasive. For example, research in Thailand [ 14 ], Canada [ 15 ], and Germany [ 16 ] has reported that 49%–50% of adults with SCI undertake no weekly LTPA.…”

Section: Introductionmentioning

confidence: 99%

Leisure-Time Physical Activity in People With Spinal Cord Injury—Predictors of Exercise Guideline Adherence

Watson¹,

Arora

Middleton

et al. 2022

Int J Public Health

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Objectives: This study described leisure-time physical activity (LTPA) for people in Australia with spinal cord injury (SCI) and whether certain sociodemographic and psychosocial variables might be associated with LTPA uptake and guidelines adherence.Methods: The Physical Activity Scale for Individuals with a Physical Disability was used to measure the intensity and volume of LTPA of 1,579 individuals with SCI. Summary statistics were calculated for LTPA guidelines adherence. Analyses included regression modelling.Results: Of the 1,579 participants, 58% performed LTPA and 13% adhered to recommended guidelines for weekly LTPA. There was an association with being an “exerciser” based on the time since injury (OR = 1.02 [95% 1.01–1.03]), a traumatic injury (OR = 1.53 [95% CI 1.13–2.08]) and a higher self-rating of health (OR = 1.10 [95% CI 0.95–1.27]). Where LTPA guidelines were met, adherence was most related to a traumatic injury (OR = 1.75 [95% CI 1.02–3.02]) and being unemployed (OR = 1.53 [95% CI 1.03–2.25]).Conclusion: Of those who performed LTPA with SCI, one in four met population-specific LTPA guidelines. Sociodemographic variables were moderately associated with being an “exerciser” or LTPA “guideline-adherent.”

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Assessing physical activity and health-related quality of life in individuals with spinal cord injury: a national survey in Thailand

Cited by 5 publications

References 60 publications

Leisure-Time Physical Activity Participation in Middle-Aged and Older Adults With a Spinal Cord Injury in Australia

Leisure-Time Physical Activity Participation in Middle-Aged and Older Adults With a Spinal Cord Injury in Australia

“It Doesn’t Die Within You”: Outdoor Recreation Participation Following Spinal Cord Injury

Leisure-Time Physical Activity in People With Spinal Cord Injury—Predictors of Exercise Guideline Adherence

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