Characteristics of Abdominal Obesity in Persons With Spinal Cord Injury

Kim, Kwang Dong; Nam, Hyung Seok; Shin, Hyung Ik

doi:10.5535/arm.2013.37.3.336

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…FMP is potentially a more appropriate way of clinical diagnosis of obesity in SCI patients. Similarly, Kim et al [ 29 ] reported significantly higher number of obesity cases in complete motor paralysis than incomplete motor injury and concluded that the higher obesity rate in complete injury is the result of considerable limitation of activity in these patients.…”

Section: Discussionmentioning

confidence: 97%

Comparison of Fat Mass Percentage and Body Mass Index in Koreans With Spinal Cord Injury According to the Severity and Duration of Motor Paralysis

et al. 2015

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ObjectiveTo analyze the relationship of the change in fat mass percentage (FMP) and body mass index (BMI) with the change in obesity rate according to gender, extent of spinal cord injury (SCI) and the duration.MethodsThe retrospective study was conducted with medical records of 915 patients. FMP was calculated with BMI and bioelectrical impedance analysis (BIA). Statistical analysis of the relationship between FMP and gender, extent of SCI and the duration after SCI was done.ResultsFMP increased in relation to the duration. The mean FMP was higher in the motor complete tetraplegia group, as compared to the motor incomplete group. The rate of obesity was 69.8% with cutoff FMP values of over 22% and 35% for male and female patients, respectively. Rate of obesity was correlated with the duration after SCI and degree of paralysis. The rate of obesity was 17.1% with a cutoff value of BMI 25 kg/m2 and 51.3% with a cutoff value of 22 kg/m2. For evaluation of the diagnostic value of BMI to predict obesity according to FMP standards, a cutoff value of 25 kg/m2 showed a sensitivity level of 22.3% and specificity level of 94.9%. When the cutoff level for BMI was set at 22 kg/m2, the sensitivity and specificity were 59.3% and 67.0%, respectively.ConclusionIn Korean SCI patients, FMP showed good correlation with the duration of SCI and the extent of SCI, while BMI did not. Especially in the motor complete tetraplegia group, the diagnostic value of BMI decreased as the duration after SCI increased. This study suggested that FMP could be used complementarily when evaluating the obesity of SCI patients.

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Section: Discussionmentioning

confidence: 97%

Comparison of Fat Mass Percentage and Body Mass Index in Koreans With Spinal Cord Injury According to the Severity and Duration of Motor Paralysis

et al. 2015

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“…11,44 As regards long-term outcomes, a study based on a questionnaire reported that the prevalence of obesity was not significantly different for various income groups (p = 0.39). 21 Paradoxically, one recent cohort study reported a higher mortality rate among patients in the $40,000-$60,000 income range than that among patients with less than $40,000. 7 In addition, a higher income has been associated with heavy alcohol use.…”

Section: Incomementioning

confidence: 99%

Outcomes in socioeconomically disadvantaged patients with spinal cord injury: a systematic review

Jorge¹,

White²,

Agarwal³

2018

Journal of Neurosurgery: Spine

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OBJECTIVEIndividuals with a spinal cord injury (SCI) in socioeconomically disadvantaged settings (e.g., rural or low income) have different outcomes than their counterparts; however, a contemporary literature review identifying and measuring these outcomes has not been published. Here, the authors’ aim was to perform a systematic review and identify these parameters in the hope of providing tangible targets for future clinical research efforts.METHODSA systematic review was performed to find English-language articles published from 2007 to 2017 in the PubMed/MEDLINE, EMBASE, and SCOPUS databases. Studies evaluating any outcomes related to patients with an SCI and in a low-resource setting were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and a flowchart was created. Of the 403 articles found, 31 underwent complete review and 26 were eligible for study inclusion. According to the current study criteria, any case studies, studies in less developed countries, studies including and not separating other types of neurological disorders, studies not assessing the effects of a low-resource setting on outcomes in patients with SCI, and studies evaluating the causes of SCI in a low-resource setting were excluded.RESULTSIn SCI patients, a lower income was a predictor of death (OR 2.1, 95% CI 1.7–2.6, p = 0.0002). Moreover, secondary outcomes such as pain intensities (OR 3.32, 95% CI 2.21–4.49, p < 0.001), emergency room visits (11% more likely, p = 0.006), and pressure ulcer formation (OR 2.1, 95% CI 1.5–3.0, p < 0.001) were significantly higher in the lower income brackets. Rurality was also a factor and was significantly associated with increased emergency room visits (OR 1.5, 95% CI 1.1–2.1, p = 0.01) and lower outpatient service utilization (incidence rate ratio [IRR] 0.57, 95% CI 0.35–0.93, p < 0.05).CONCLUSIONSThe authors showed that individuals in a low-resource setting who have suffered an SCI have significantly different outcomes than their counterparts. These specific outcomes are promising targets for future research efforts that focus on improving health conditions among this population.

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“…con IMC > 22 kg/m2. A todo ello hay que añadir las dificultades para realizar una determinación precisa de talla y peso en estos pacientes (Kim et al, 2013). Este hecho contribuye a explicar, al menos en parte, que los pacientes con LMC demuestren un escaso interés por su peso corporal de manera que solo un 48,8% de los participantes en el estudio anteriormente referido (Kim et al) reconociera haberse pesado al menos una vez en el último año.…”

Section: Discusionunclassified

Ecuación Predictora de Masa Grasa Corporal en Deportistas con Lesión Medular Crónica: Estudio Piloto

et al. 2014

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RESUMEN:La determinación del porcentaje de masa grasa en pacientes con lesión medular crónica (LMC) resulta de interés por la alta morbimortalidad cardiovascular que presenta este grupo. En el caso de deportistas, además, permitiría optimizar su rendimiento deportivo. Por consiguiente, el presente estudio se planteó como primer objetivo comparar diferentes métodos de estudio del porcentaje de masa grasa de deportistas con LMC. Y como objetivo secundario, identificar alguna ecuación que permita predecir los niveles de masa grasa de manera más económica, sencilla, rápida y no invasiva. Se diseño un estudio observacional y transversal en el que participaron voluntariamente 8 deportistas varones con LMC a nivel o por debajo de T5 que compiten a nivel nacional. El porcentaje de masa grasa corporal de los participantes se determinó mediante tres metodologías: densitometría (DEXA), antropometría convencional (Ecuación de Siri) e impedancia bioeléctrica (BIA). Este protocolo fue aprobado por un Comité de Ética Institucional. El porcentaje de masa grasa presentado por jugadores de baloncesto en silla de ruedas tras someterse al método de referencia (DEXA) fue del 28,76±9,16%. El análisis de concordancia de Bland-Altman entre métodos sugiere que tanto la antropometría convencional como la BIA subestiman el porcentaje de masa grasa de deportistas con LMC. la ecuación de predicción obtenida fue: Masa Grasa (%)= 1,9197 (pliegue tríceps (mm)) + 6,5063. Tanto las técnicas antropométricas convencionales como la propia BIA subestiman la masa grasa en deportistas con LMC. Asimismo se ha identificado una ecuación de regresión para la predicción del porcentaje de masa grasa de bajo coste y aplicable en cualquier entorno.PALABRAS CLAVE: Lesión medular crónica; Deportista; Hombre; Masa grasa. INTRODUCCIÓNEn los últimos años, la esperanza de vida de los pacientes con lesión medular crónica (LMC) se ha incrementado significativamente debido a la mejora en manejo clínico durante la fase aguda (Middleton et al., 2012). Este hecho podría explicar, al menos en parte, el aumento de la morbi-mortalidad cardiovascular en este grupo poblacional que además aparece a edades más tempranas cuando se compara con población general sin lesión medular (Garshick et al., 2005).De manera más detallada, la inactivad física, la pér-dida de masa muscular, la disminución del gasto energético basal, la trastornos metabólicos (dislipemias; resistencia a la insulina;), entre otros factores, podrían justificar un aumento de los niveles de masa grasa en este grupo (Bauman et al., 2004;Flank et al. 2012). El exceso de masa grasa no solo podría comprometer la salud de las personas con LMC, al haberse relacionado con la resistencia a la insulina, hipertensión, estatus proinflamatorio, etc. (LaVela et al., 2012). También podría condicionar el rendimiento deportivo de aquellos deportistas en silla de ruedas que participan en actividades deportivas agonísticas (Inukai et al., 2006;Jacobs & Nash, 2004).Por todo lo anteriormente expuesto, recientes estudios han señalado ...

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Characteristics of Abdominal Obesity in Persons With Spinal Cord Injury

Cited by 5 publications

References 26 publications

Comparison of Fat Mass Percentage and Body Mass Index in Koreans With Spinal Cord Injury According to the Severity and Duration of Motor Paralysis

Comparison of Fat Mass Percentage and Body Mass Index in Koreans With Spinal Cord Injury According to the Severity and Duration of Motor Paralysis

Outcomes in socioeconomically disadvantaged patients with spinal cord injury: a systematic review

Ecuación Predictora de Masa Grasa Corporal en Deportistas con Lesión Medular Crónica: Estudio Piloto

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