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Titre : | Predictors of Cardiometabolic Risk Among Adults With Cerebral Palsy (2012) |
Auteurs : | Mark Peterson ; Heidi Haapala ; Edward Hurvitz |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/5, 2012) |
Article en page(s) : | pp. 816-821 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Anthropométrie ; Indice de masse corporelle ; Obésité ; Paralysie cérébrale ; Rééducation et réadaptation |
Mots-clés: | Anthropometry ; Body mass index ; Cerebral palsy ; Hyperlipidemia ; Obesity ; Hyperlipidémies |
Résumé : |
Objective To examine the independent association between various anthropometric indicators and standard clinical markers of cardiometabolic health risk among adults with cerebral palsy (CP). Design Cross-sectional study. Setting Clinical center for CP treatment and rehabilitation. Participants Adults with CP (N=43) with a mean age + SD of 37.3+13.2 years, and Gross Motor Function Classification System (GMFCS) levels of I−V. Interventions Not applicable. Main Outcome Measures Adults with CP were assessed for body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHR), waist-to-height ratio (WtHR), and serum lipid profiles. Data were analyzed with multiple regression analysis and general linear models, and are reported as means + SDs. Results Mean BMI was 29.1+7.8kg/m2. BMI was not associated with any measures of cardiometabolic risk. Using GMFCS categories (2 groups: GMFCS levels IIII and IVV), BMI was significantly lower among GMFCS levels IVV (24.2+6.2kg/m2) versus GMFCS levels IIII (30.1+7.6kg/m2). WC and WtHR were not correlated with any cardiometabolic outcomes. Conversely, measures of WHR were independently associated with various indices of risk, including total cholesterol to high-density lipoprotein (HDL) cholesterol ratio (r=.45; P<.05 hdl cholesterol p and triglycerides suggesting that greater whr was indicative of elevated risk.> Conclusions It is likely that WHR represents a stronger predictor of risk, because this measure was robustly and independently associated with 3 primary clinical markers of cardiometabolic health in adults with CP. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900014-7/abstract |