Impact of Adapted Sports Activities on the Progression of Carotid Atherosclerosis in Subjects With Spinal Cord Injury.

Abstract:

OBJECTIVE:To determine whether regular performance of adapted sports is associated with long-term changes in carotid atherosclerosis in subjects with spinal cord injury (SCI). DESIGN:Prospective observational study. SETTING:Academic medical center. PARTICIPANTS:Men with chronic (>1y) SCI and no preserved motor function below the injury level were evaluated in 2007 and 2012 (N=17). Nine subjects did not perform physical activity between the studied time points (control group), whereas 8 subjects entered competitive upper-body sports programs (rugby: n=5, basketball: n=1, jiu-jitsu: n=1, and tennis: n=1) after baseline and were regularly training at the time of the second evaluation (sports group). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Clinical, laboratory, hemodynamic, and carotid ultrasonography analysis. RESULTS:The studied groups showed no differences in all studied variables at baseline. After 5 years of follow-up, the control group showed increases in heart rate (87.0±3.1 vs 74.7±3.8 beats per minute; P=.004), but the participants had no significant changes in carotid intima-media thickness (IMT) (.65±.05 vs .67±.03mm; P=.73) or IMT/diameter (.118±.007 vs .136±.013; P=.24). In contrast, the sports group showed long-term decreases in carotid IMT (.56±.05 vs .74±.05mm; P=.001) and IMT/diameter (.097±.006 vs .141±.009; P<.001), but the participants did not show any variation in the other studied variables at follow-up. CONCLUSIONS:Regular upper-body sports activities are associated with long-term reductions in carotid atherosclerosis in subjects with SCI and might be a potential prevention strategy aiming to reduce cardiovascular risk in this population.

journal_name

Arch Phys Med Rehabil

authors

Matos-Souza JR,de Rossi G,Costa E Silva AA,Azevedo ER,Pithon KR,Schreiber R,Sposito AC,Gorla JI,Cliquet A Jr,Nadruz W Jr

doi

10.1016/j.apmr.2015.11.002

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1034-7

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(15)01429-X

journal_volume

97

pub_type

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