Impact of Adapted Sports Activities on the Progression of Carotid Atherosclerosis in Subjects With Spinal Cord Injury.
Arch Phys Med Rehabil
; 97(6): 1034-7, 2016 06.
Article
em En
| MEDLINE
| ID: mdl-26625710
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 OUTCOMEMEASURES:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
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Esportes
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Exercício Físico
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Doenças das Artérias Carótidas
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Humans
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Male
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Brasil