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  4. A Scoping Review of Acute Sedentary Behaviour Studies of People with Spinal Cord Injury

A Scoping Review of Acute Sedentary Behaviour Studies of People with Spinal Cord Injury

International Journal of Environmental Research and Public Health, 2024 · DOI: 10.3390/ijerph21101380 · Published: October 18, 2024

Spinal Cord InjuryRehabilitationPublic Health

Simple Explanation

People with spinal cord injuries are often less physically active than others and spend more time sitting. This review looks at existing studies to understand how sitting for long periods affects this population, focusing on short-term effects. The review found that studies on sedentary behavior in people with SCI are varied, with different ways of measuring sitting and different outcomes studied, such as physiological (e.g., blood pressure), behavioral (sitting time), and psychological (well-being). Current research is limited, making it hard to draw firm conclusions about how sitting affects people with SCI. More research is needed to define sedentary behavior in this group and to determine how to best reduce and interrupt it.

Study Duration
Not specified
Participants
172 participants with spinal cord injury
Evidence Level
Scoping Review

Key Findings

  • 1
    Interrupting sitting improved postprandial glucose and positive affect, but did not significantly improve blood pressure, insulin, or triglycerides.
  • 2
    Participants engaged in 1.6 to 12.2 hours of sedentary behavior per day, with average uninterrupted wheelchair sitting bouts lasting 2.3 hours.
  • 3
    The study reported a significant decrease in SB from discharge (12.2 h/day) to six months (11.0 h/day; −1.1 h/day, p < 0.001) and 12 months post-discharge (11.1 h/day; −1.0 h/day, p < 0.001).

Research Summary

This scoping review aimed to summarize current research on sedentary behavior (SB) in people with spinal cord injury (SCI), identify research gaps, and suggest future research directions. The review identified eight articles, revealing heterogeneity in research questions, interventions, outcome measures, and measures used, indicating a need for consistent definitions and methodologies. The limited research prevents drawing definitive conclusions about the nature, extent, or impact of SB in people with SCI, emphasizing the need for further studies to define SB, test its effects, and determine effective reduction and interruption strategies.

Practical Implications

Further Research Needed

More studies are needed to fully understand the relationship between SB and health outcomes in people with SCI.

Clear Definitions Required

Consistent definitions and operationalizations of SB and its interruptions are essential for meaningful research.

Inclusive Language

Efforts are needed to adapt SB language to be more inclusive and respectful for individuals with SCI, particularly those who use wheelchairs.

Study Limitations

  • 1
    Limited number of studies for each outcome.
  • 2
    Heterogeneous SCI population across studies.
  • 3
    Lack of study quality assessment in scoping reviews.

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