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Cardiovascular disease risk and the need for prevention after paraplegia determined by conventional multifactorial risk models: the Stockholm spinal cord injury study.
Department of Neurobiology, Care Sciences and Society (NVS), Division of Neurorehabilitation, Karolinska Institutet, SE-141 83 Huddinge, Sweden..
Department of Neurobiology, Care Sciences and Society (NVS), Division of Neurorehabilitation, Karolinska Institutet, SE-141 83 Huddinge, Sweden.
Department of Neurobiology, Care Sciences and Society (NVS), Division of Neurorehabilitation, Karolinska Institutet, SE-141 83 Huddinge, Sweden.
Department of Neurobiology, Care Sciences and Society (NVS), Division of Neurorehabilitation, Karolinska Institutet, SE-141 83 Huddinge, Sweden.
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2011 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 43, no 3, 237-242 p.Article in journal (Refereed) PublishedText
Abstract [en]

Objective: To assess the need for intervention on cardio-vascular disease risks in persons with paraplegia according to: (i) two multifactorial risk models; and (ii) these models in combination with the additional risk of overweight/obesity.andlt;br /andgt;Design: Cross-sectional.andlt;br /andgt;Subjects: A total of 134 out of 153 persons, comprising more than 80% of a regional prevalence population with traumatic paraplegia (American Spinal Injury Association Impairment Scale A-C) of minimum one year duration.andlt;br /andgt;Methods: Participants were screened for cardiovascular disease risk using two multifactorial risk models: the Systematic Coronary Risk Evaluation and the Framingham Risk Equation. Risk factors included were: age, gender, systolic blood pressure, antihypertensive medication, smoking, total cholesterol, high-density lipoprotein cholesterol, and total cholesterol/total cholesterol ratio. In addition, overweight/obesity was assessed by body mass index.andlt;br /andgt;Results: Twenty-seven percent to 36% of the cohort was eligible for cardiovascular disease risk intervention, depending on the risk model used. When overweight/obesity (spinal cord injury adjusted cut-score body mass index ≥ 22) was also considered, over 80% of the participants qualified for intervention.andlt;br /andgt;Conclusion: Almost one-third of persons with paraplegia were eligible for cardiovascular disease risk intervention according to authoritative assessment tools. The number in need of intervention was dramatically increased when overweight/obesity as a cardiovascular disease risk was considered.

Place, publisher, year, edition, pages
Foundation of Rehabilitation Information , 2011. Vol. 43, no 3, 237-242 p.
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Geriatrics
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URN: urn:nbn:se:liu:diva-126317DOI: 10.2340/16501977-0658PubMedID: 21305240OAI: oai:DiVA.org:liu-126317DiVA: diva2:913655
Available from: 2016-03-22 Created: 2016-03-22 Last updated: 2016-04-08

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Levi, Richard
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