Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 5, 2013
   Pages 635 — 642

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

Hadis Sabour, MD, PhD;1 Abbas Norouzi Javidan, PhD;1 Neda Ranjbarnovin, MD;2 Mohammad Reza Vafa, PhD, MSPH;3 Zahra Khazaeipour, MD;1 Firoozeh Ghaderi, BSc;1 Fatemeh Khanzadeh Mehrabani, BSc;1 ??Farzad Shidfar, PhD, MSc3*

1Brain and Spinal Injury Research (BASIR) Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran; 2Tehran University of Medical Sciences, Tehran, Iran; 3School of Public Health, Iran University of Medical Sciences, Tehran, Iran

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.

Key words: body mass index, cardiometabolic risk factors, cholesterol, coronary heart disease, fasting blood sugar, hypertension, lipid profile, paraplegia, spinal cord injury, tetraplegia.


View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 5
This article and any supplemental material should be cited as follows:
Sabour H, Javidan AN, Ranjbarnovin N, Vafa MR, Khazaeipour Z, Ghaderi F, Mehrabani FK, Shidfar F. Cardiometabolic risk factors in Iranians with spinal cord injury: Analysis by injury-related variables. J Rehabil Res Dev. 2013;50(5):635–42.
http://dx.doi.org/10.1682/JRRD.2012.01.0020
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Last Reviewed or Updated  Friday, August 16, 2013 10:56 AM

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