Monitoring outcome measures for cardiometabolic disease during rehabilitation and follow-up in people with spinal cord injury

Study design Controlled pragmatic intervention with follow-up. Objectives To describe cardiometabolic risk outcomes after a pragmatic intervention implemented into standard spinal cord injury (SCI) rehabilitation. Setting Inpatient SCI rehabilitation in East-Denmark. Participants Inpatients, >18...

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Bibliographic Details
Published in:Spinal cord 2024-03, Vol.62 (3), p.125-132
Main Authors: Holm, Nicolaj J., Møller, Tom, Schou, Lone H., Biering-Sørensen, Fin
Format: Article
Language:English
Subjects:
692/617/375/1824
692/700/1719
Anatomy
Biomedical and Life Sciences
Biomedicine
Body mass index
Body size
Cardiovascular Diseases - complications
Cardiovascular Diseases - etiology
Diabetes
Diabetes mellitus
Dual energy X-ray absorptiometry
Dyslipidemia
Follow-Up Studies
Health promotion
Health risks
Hospitalization
Human Physiology
Humans
Neurochemistry
Neuropsychology
Neurosciences
Outcome Assessment, Health Care
Oxygen consumption
Oxygen uptake
Rehabilitation
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - rehabilitation
Teaching methods
Variance analysis
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Summary:Study design Controlled pragmatic intervention with follow-up. Objectives To describe cardiometabolic risk outcomes after a pragmatic intervention implemented into standard spinal cord injury (SCI) rehabilitation. Setting Inpatient SCI rehabilitation in East-Denmark. Participants Inpatients, >18 years, having sustained a SCI within the last 12 months at admission to rehabilitation, regardless of etiology, neurological level or completeness of the lesion or mobility status. Methods Patient education on health promotion was guided by evidence and included feedback on peak oxygen uptake (VO 2 peak) (primary outcome measure), body mass index (BMI), Dual energy X-ray absorptiometry and metabolic profile (secondary outcome measures). Paired t -tests, non-parametric tests and Analysis of Variance (ANOVA) were used for analyzes. VO 2 peak and BMI were compared to historical data. Results VO 2 peak increased significantly from admission to discharge but did not exceed historical data despite a minimal clinical important difference. BMI decreased significantly during rehabilitation ( p  
ISSN:1362-4393
1476-5624
DOI:10.1038/s41393-023-00956-5