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  4. Prevalence of metabolic syndrome in veterans with spinal cord injury

Prevalence of metabolic syndrome in veterans with spinal cord injury

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2017.1423266 · Published: January 1, 2019

Spinal Cord InjuryEndocrinology

Simple Explanation

This study looks at how common metabolic syndrome is in veterans with spinal cord injuries (SCI). Metabolic syndrome is a group of conditions like high blood pressure, high blood sugar, unhealthy cholesterol levels, and obesity that can increase the risk of heart disease, stroke, and diabetes. The researchers used a specific set of criteria to define metabolic syndrome, modifying them to be more appropriate for people with SCI. They found that metabolic syndrome is more common in veterans with SCI compared to the general population. This suggests there's a need to better identify and treat these conditions in veterans with SCI to improve their overall health.

Study Duration
Not specified
Participants
473 veterans with SCI
Evidence Level
Cross-sectional cohort study

Key Findings

  • 1
    Over 57% of the veterans assessed were determined to have metabolic syndrome by modified IDF criteria, including 76.7% with BMI ≥22 kg/m2.
  • 2
    55.1% of participants had or were under treatment for hypertension.
  • 3
    49.7% had or were previously diagnosed with diabetes mellitus, and 69.7% with or under treatment for high density lipoprotein (HDL) cholesterol under 40 mg/dl.

Research Summary

This study investigated the prevalence of metabolic syndrome in veterans with spinal cord injury (SCI) using modified International Diabetes Federation (IDF) criteria. The results indicated a high prevalence of metabolic syndrome (over 57%) and its components (obesity, hypertension, diabetes, dyslipidemia) in this population, exceeding rates in the general population. The findings underscore the need for increased awareness, screening, and targeted interventions to address metabolic health in veterans with SCI.

Practical Implications

Clinical Screening

Regular screening for metabolic syndrome and its components in veterans with SCI is crucial for early detection and intervention.

Treatment Strategies

Develop and implement tailored treatment strategies to manage obesity, hypertension, diabetes, and dyslipidemia in this population.

Further Research

More research is needed to refine obesity definitions specific to SCI and to explore effective intervention strategies.

Study Limitations

  • 1
    Limited number of veterans meeting eligibility criteria due to missing data.
  • 2
    Use of BMI ≥22 kg/m2 as a surrogate marker for obesity may raise concerns about overestimating its prevalence.
  • 3
    Adiposity is not the sole contributor to the metabolic syndrome.

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