Prevalence of Obesity and High Blood Pressure in Veterans with Spinal Cord Injuries and Disorders

Weaver, Frances M.; Collins, Eileen G.; Kurichi, Jibby E.; Miskevics, Scott; Smith, Bridget; Rajan, Suparna; Gater, David R.

doi:10.1097/phm.0b013e31802b8937

Cited by 140 publications

(96 citation statements)

References 16 publications

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“…10 However, increasing exercise and maintaining an appropriate lean body-mass percentage are significant challenges for patients with SCI/D. 11 In addition, injury to the spinal cord itself has a direct impact on the regulation of blood pressure. Physicians generally contend with conditions of low blood pressure including orthostatic hypotension, adaptive myocardial atrophy, bradyarrhythmia, reduced peripheral vascular resistance and venous pooling.…”

Section: Introductionmentioning

confidence: 99%

Hypertension and antihypertensive treatment in veterans with spinal cord injury and disorders

et al. 2012

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Objectives: Hypertension (HTN) is an important risk factor for cardiovascular disease, a major cause of morbidity and mortality among people with spinal cord injury and disorders (SCI/D). Our study examined prevalence, associated factors, and pharmacological treatment of HTN in Veterans with SCI/D compared with a matched control group. CVD is a major cause of morbidity and mortality in patients with spinal cord injury and disorders (SCI/D). 4-6 Septicemia, respiratory disorders and renal failure were once the primary cause of death in SCI/D patients. 7 Treatments for these complications have continued to improve and SCI/D patients are now living an average of 20-40 years post-injury. 8 As the life expectancy of individuals with SCI/D increases, the risk of developing CVD is a more significant concern. A recent study revealed that CVD was the cause of death for 40% of SCI/D Veterans. 4 It is also suggested that patients with SCI/D

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Section: Introductionmentioning

confidence: 99%

Hypertension and antihypertensive treatment in veterans with spinal cord injury and disorders

et al. 2012

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“…Based on our research, there is no study available to compare BP in complete and incomplete patients. However, a possible reason for that is elevation due to autonomic dysreflexia at the time BP was recorded [11]. On the other hand, there remains a relationship between increased BMI levels and higher BP [11].…”

Section: Sabour Et Al Cardiometabolic Risk Factors In People With Scimentioning

confidence: 99%

“…Persons with SCI have significantly less fat-free mass and greater fat mass than nondisabled persons [6]. Despite altered body composition, body mass index (BMI) has been a poor and inconsistent predictor of CHD in persons with SCI [11].…”

Section: Introductionmentioning

confidence: 99%

Cardiometabolic risk factors in Iranians with spinal cord injury: Analysis by injury-related variables

Sabour

Javidan²,

Ranjbarnovin³

et al. 2013

JRRD

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Abstract-Persons with spinal cord injury (SCI) have a high prevalence of abnormalities in carbohydrate and lipid metabolism. These abnormalities cause adverse coronary heart disease (CHD) in patients with SCI. In this study, we performed a detailed analysis of the level-specific cardiometabolic risk factors in individuals with SCI and analyzed the association of injury level on these risk factors. This was a cross-sectional study of 162 patients with SCI, assessing the prevalence of diabetes mellitus, dyslipidemia, hypertension, obesity, and smoking. Fasting blood sugar (>100) was diagnosed in 27 patients (16.7%). Of the total patients, 36 (22.2%) had a total cholesterol (TC) level of >200. A triglyceride level of >150 was present in 56 patients (34.6%). Hypertension was present in 2.5% of the entire patient group. Body mass index (BMI), TC, and low-density lipoprotein cholesterol (LDL-C) were significantly higher in the paraplegia group than the tetraplegia group (24.44 +/-4.23 vs 22.65 +/-4.27, p = 0. 01; 185.71 +/-40.69 vs 163.28 +/-37.92, p < 0.001; and 102.51 +/-28.20 vs 89.15 +/-22.35, p = 0.01, respectively). Patients with paraplegia may have increased hypertension, higher BMI, and increasing levels of serum LDL-C and TC than those with tetraplegia. Conventional risk factors for CHD should be identified and treated in individuals with SCI.

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“…In fact, more than half of patients with SCI are obese or overweight, leading to an increased risk for both SDB and cardiac diseases. 2 Our group has been studying SDB among SCI patients, and, we have found that SDB, defined by the apnea-hypopnea index ⩾ 5 events per hour, was present in 77% of chronic SCI patients, with rates higher among those with cervical compared with thoracic injuries (93% vs 55%, respectively, Po0.05). 3 One in four cervical SCI had Cheyne-Stokes respiration pattern during their overnight laboratory sleep study, and one in five had hypertension or cardiac disease.…”

mentioning

confidence: 94%

A retrospective review of sleep-disordered breathing, hypertenstion and cardiovascular diseases in spinal cord injury patients

2015

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Prevalence of Obesity and High Blood Pressure in Veterans with Spinal Cord Injuries and Disorders

Abstract: Obesity and high BP rates were lower for veterans with SCI&D than the general population. However, because BMI underestimates body adiposity in SCI&D, obesity is likely a much more prevalent problem in this population and warrants attention.

Cited by 140 publications

References 16 publications

Hypertension and antihypertensive treatment in veterans with spinal cord injury and disorders

Hypertension and antihypertensive treatment in veterans with spinal cord injury and disorders

Cardiometabolic risk factors in Iranians with spinal cord injury: Analysis by injury-related variables

A retrospective review of sleep-disordered breathing, hypertenstion and cardiovascular diseases in spinal cord injury patients

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