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  4. An evidence-based review of aging of the body systems following spinal cord injury

An evidence-based review of aging of the body systems following spinal cord injury

Spinal Cord, 2011 · DOI: 10.1038/sc.2010.178 · Published: June 1, 2011

Spinal Cord InjuryAging

Simple Explanation

This review examines if spinal cord injury (SCI) leads to premature aging of body systems. It compares research findings on various body systems in individuals with SCI to those of able-bodied individuals to assess whether aging occurs at an accelerated rate. The study looks at several physiological systems, including cardiovascular, endocrine, musculoskeletal, immune, respiratory, genitourinary, gastrointestinal, and nervous systems, to determine if premature aging occurs in some systems after SCI. The findings suggest that some systems, like cardiovascular and musculoskeletal, show signs of premature aging after SCI, while others, like the genitourinary and gastrointestinal systems, do not exhibit such signs.

Study Duration
Not specified
Participants
74 studies selected for inclusion
Evidence Level
Levels 2-5

Key Findings

  • 1
    Premature aging appears to occur in the cardiovascular and endocrine systems after SCI, potentially due to inactivity and metabolic abnormalities.
  • 2
    The musculoskeletal system shows clear signs of reduced reserve capacity, with evidence of rapid bone loss, particularly in the pelvis and lower limbs, suggesting premature aging.
  • 3
    The genitourinary and gastrointestinal systems do not provide evidence of premature aging following SCI, although some declines in renal function and increases in constipation-related symptoms were noted.

Research Summary

The review analyzed 74 studies to assess the impact of spinal cord injury (SCI) on the aging process of various body systems. Evidence suggests premature aging in cardiovascular, endocrine, and musculoskeletal systems post-SCI, while genitourinary and gastrointestinal systems do not show similar trends. More longitudinal studies are needed to confirm these findings and to better understand the combined effects of chronological age, age of SCI onset, and years post-injury on individuals with SCI.

Practical Implications

Targeted Interventions

Develop specific interventions for individuals with SCI to address premature aging in cardiovascular and musculoskeletal systems, such as exercise programs and dietary adjustments.

Monitoring and Screening

Implement regular monitoring of bone density, cardiovascular health, and endocrine function in individuals with SCI to detect and manage age-related declines early.

Further Research

Conduct longitudinal studies to clarify the long-term effects of SCI on various body systems and identify factors contributing to premature aging.

Study Limitations

  • 1
    Exclusion of non-English publications may have introduced bias.
  • 2
    Relevant articles may have been missed if aging was not the primary focus.
  • 3
    Not specified

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