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Titre : | Mortality Beyond the First Year After Spinal Cord Injury: Does Body Mass Index Matter? (2022) |
Auteurs : | Huacong Wen ; Michael J. DeVivo ; Allen W. Heinemann ; James S. Krause ; Susan Robinson-Whelen ; Yuying Chen |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 4, 2022) |
Article en page(s) : | p. 711-721 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.08.026 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cause de décès ; Indice de masse corporelle ; Mortalité ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To examine the association between body mass index (BMI [calculated as weight in kilograms divided by height in meters squared]) and mortality after the first year post spinal cord injury (SCI) overall and across demographic and injury characteristics. Design Cohort study. Setting Sixteen Spinal Cord Injury Model Systems (SCIMS) centers. Participants SCIMS Database participants age 20 years or older and having a BMI assessment during the 2007-2011 wave of data collection. Interventions Not applicable. Main Outcome Measures All-cause mortality rate. Life table method and log-rank test were used to estimate and compare mortality rates across BMI groups and other factors. Cox proportional hazard regression model was conducted to estimate hazard ratio (HR) and 95% confidence interval (CI). Results A total of 2346 participants (N=2346) with SCI were classified into 1 of the 8 BMI groups: Conclusions To improve life expectancy after SCI, health care professionals could focus on weight management among patients with relatively low and extremely high BMI, defined by demographic and injury-related characteristics. Future studies should explore factors that contribute to such a higher mortality after SCI, including pre-existing conditions, poor diet and/or nutrition, and cardiorespiratory fitness. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321015616#! |