Cardiovascular disease and spinal cord injury Results from a national population health survey

被引:261
作者
Cragg, Jacquelyn J. [1 ,2 ]
Noonan, Vanessa K. [4 ]
Krassioukov, Andrei [2 ,3 ,5 ]
Borisoff, Jaimie [2 ,6 ]
机构
[1] Univ British Columbia, Fac Med, Sch Populat & Publ Hlth, Vancouver, BC, Canada
[2] Univ British Columbia, Int Collaborat Repair Discoveries ICORD, Vancouver, BC V5Z 1M9, Canada
[3] Univ British Columbia, Dept Med, Div Phys Med & Rehabil, Vancouver, BC, Canada
[4] Rick Hansen Inst, Vancouver, BC, Canada
[5] Vancouver Hlth Author, GF Strong Rehabil Ctr, Vancouver, BC, Canada
[6] British Columbia Inst Technol BCIT, Burnaby, BC, Canada
关键词
C-REACTIVE PROTEIN; DENSITY-LIPOPROTEIN CHOLESTEROL; CORONARY-HEART-DISEASE; RISK-FACTORS; GLUCOSE-TOLERANCE; INDIVIDUALS; MANAGEMENT; VETERANS; STROKE; MEN;
D O I
10.1212/WNL.0b013e3182a1aa68
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Objective: To evaluate the association between cardiovascular disease (CVD) and spinal cord injury (SCI) in a large representative sample. Methods: Data were compiled from more than 60,000 individuals from the 2010 cycle of the cross-sectional Canadian Community Health Survey (CCHS). Multivariable logistic regression analysis was conducted to examine this relationship, adjusting for confounders and using probability weighting to account for the CCHS sampling method. Results: After adjusting for age and sex, SCI was associated with a significant increased odds of heart disease (adjusted odds ratio [OR] = 2.72, 95% confidence interval [CI] 1.94-3.82) and stroke (adjusted OR = 3.72, 95% CI 2.22-6.23). Conclusions: These remarkably heightened odds highlight the exigent need for targeted interventions and prevention strategies addressing modifiable risk factors for CVD in individuals with SCI.
引用
收藏
页码:723 / 728
页数:6
相关论文
共 39 条
[1]
Risk of stroke, heart attack, and diabetes complications among veterans with spinal cord injury [J].
Banerjea, Ranjana ;
Sambamoorthi, Usha ;
Weaver, Frances ;
Maney, Miriam ;
Pogach, Leonard M. ;
Findley, Thomas .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2008, 89 (08) :1448-1453
[2]
Coronary heart disease in individuals with spinal cord injury: assessment of risk factors [J].
Bauman, W. A. ;
Spungen, A. M. .
SPINAL CORD, 2008, 46 (07) :466-476
[3]
DISORDERS OF CARBOHYDRATE AND LIPID-METABOLISM IN VETERANS WITH PARAPLEGIA OR QUADRIPLEGIA - A MODEL OF PREMATURE AGING [J].
BAUMAN, WA ;
SPUNGEN, AM .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1994, 43 (06) :749-756
[4]
DEPRESSED SERUM HIGH-DENSITY-LIPOPROTEIN CHOLESTEROL LEVELS IN VETERANS WITH SPINAL-CORD INJURY [J].
BAUMAN, WA ;
SPUNGEN, AM ;
ZHONG, YG ;
ROTHSTEIN, JL ;
PETRY, C ;
GORDON, SK .
PARAPLEGIA, 1992, 30 (10) :697-703
[5]
The effect of residual neurological deficit on oral glucose tolerance in persons with chronic spinal cord injury [J].
Bauman, WA ;
Adkins, RH ;
Spungen, AM ;
Waters, RL .
SPINAL CORD, 1999, 37 (11) :765-771
[6]
Beland Yves, 2002, Health Rep, V13, P9
[7]
Bergmann MM, 1998, AM J EPIDEMIOL, V147, P969
[8]
Bhattacharyya OK, 2009, CAN FAM PHYSICIAN, V55, P39
[9]
BRENES G, 1986, ARCH PHYS MED REHAB, V67, P445
[10]
Management of Cardiovascular Disease Risk Factors in Individuals with Chronic Spinal Cord Injury: An Evidence-Based Review [J].
Cragg, Jacquelyn J. ;
Stone, James A. ;
Krassioukov, Andrei V. .
JOURNAL OF NEUROTRAUMA, 2012, 29 (11) :1999-2012