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  4. A national survey of physical activity after spinal cord injury

A national survey of physical activity after spinal cord injury

Scientific Reports, 2022 · DOI: 10.1038/s41598-022-07927-5 · Published: March 11, 2022

Spinal Cord InjuryRehabilitationPublic Health

Simple Explanation

This study uses data from a large Canadian health survey to compare physical activity levels between people with and without spinal cord injuries (SCI). It also looks at how lifestyle and socioeconomic factors relate to physical activity in the SCI population. The study found that people with SCI are significantly less physically active than the general population, even after considering factors like age, sex, and income. This suggests that there are specific barriers to physical activity for people with SCI. The research indicates that promoting physical activity in people with SCI is crucial for their health. It highlights the need for targeted interventions, especially for those with lower incomes and education levels, to address the unique challenges they face in being physically active.

Study Duration
Not specified
Participants
57,000+ Canadian Community Health Survey participants, including 330 with SCI
Evidence Level
Not specified

Key Findings

  • 1
    People with SCI have significantly reduced physical activity levels compared to the general population across three measures: leisure time activity frequency, leisure time activity intensity, and transportation time activity intensity.
  • 2
    The association between physical activity and lifestyle factors differs in people with and without SCI. For instance, in the SCI population, there was no association between physical activity level and sex, body mass index, migraines, or smoking.
  • 3
    In both groups, increased physical activity levels were associated with factors such as not being diagnosed with hypertension, eating more fruits and vegetables, greater household income, greater education levels, better mental health, lower stress levels, reduced likelihood of mood disorders, and reduced anxiety.

Research Summary

This study compared physical activity levels of individuals with and without SCI using data from the Canadian Community Health Survey. It found that physical activity levels are significantly reduced in people with SCI compared to uninjured individuals. The research also examined the interaction between physical activity and various lifestyle and socioeconomic factors in both groups. It revealed that the relationship between these factors and physical activity can differ between the SCI and non-SCI populations. The study concludes that specific socio-economic groups within the SCI population may benefit most from targeted physical activity promotion activities, highlighting the need for tailored interventions.

Practical Implications

Targeted Interventions

Develop and implement physical activity programs specifically tailored to the needs and challenges of individuals with SCI, particularly those with lower socioeconomic status.

Addressing Barriers

Identify and address the specific physical, psychological, and environmental barriers that prevent people with SCI from engaging in physical activity.

Promoting Accessible Activities

Encourage adapted activities and integrate physical activity into daily routines in line with individual goals to increase uptake of interventional strategies.

Study Limitations

  • 1
    The study relies on self-reported physical activity levels, which can be subjective.
  • 2
    The cross-sectional study design prevents determining causality between variables.
  • 3
    Misclassification of SCI severity may lead to an underestimation of the reported effect size.

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