Rehabilitation mobility, exercise and sports part 2
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Rehabilitation mobility, exercise and sports part 2
Chapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 0 2010 The authors and IOS Press. All rights reserved.doi: 10.3233/978-1-60750-080-3-227Activities of daily living and CHD risk factors among individuals with chronic spinal cord injurys.p. UETZ"’, A.E. LATIMER*. K.A. MARTIN GlNISb, A.c. BUCHHOLZ", SIIAPE-SCI RESEARCH GROUP“ School o f Kinesiology a Rehabilitation mobility, exercise and sports part 2 nd Health Studies, Queen's University, Kingston, Ontario, CanadaDepartment of Kinesiology, McMaster University, Hamilton. Ontario, Canada' DepartmentRehabilitation mobility, exercise and sports part 2
of Family Relations and Applied Human Nutrition, University of Guelph.Guelph, Ontario, CanadaAbstract. The purpose of the study was to evaluate the reChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 ipants completed the Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCi) and CUD risk factor assessment including waist circumference, total cholesterol, LDL-cholesterol (I DI.), IIDI.-cholesterol (I1DI,), and triglycerides. Using generalized linear models, controlling Rehabilitation mobility, exercise and sports part 2 for leisure lime physical activity and covariates, increased Mobility ADL (transferring and wheeling) were associated with lower plasma total cholesteRehabilitation mobility, exercise and sports part 2
rol and LDL. No other significant relationships emerged, further investigation is needed to determine causality between Mobility ADI. and CUD risk.KeyChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 though there is accumulating evidence to support the negative relationships between leisure lime physical activity (LTPA) and coronary heart disease (CUD) risk, the relationships between activities of daily living (ADL; normal day-to-day fundamental tasks which are essential to every day life, such Rehabilitation mobility, exercise and sports part 2 as mobility and domestic related activities) and Cl ID risk remain unknown. Therefore, the primary purpose of this study was to examine the relationshRehabilitation mobility, exercise and sports part 2
ips between ADL participation and CUD risk factors including waist circumference, total cholesterol, LDL-cholesterol (LDL), HDL-cholcsterol (HDL), andChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 niversity, Kingston, ON. Canada, K7L 3N6. Samuel.hctz@quccnsu.ca228s.p. Hetz et al. /Activities of Daily Living anti CHD Risk Factors2.Materials and MethodsThis study involved an analysis of seventy-five individuals who participated in the Study of Health and Activity in People with Spinal Cord Inju Rehabilitation mobility, exercise and sports part 2 ry (SHAPE-SCI) [I]. A full list of measurements as w ell as inclusion and exclusion criteria of the SIIAPE-SCI are reported elsewhere [1 J. Sixty-oneRehabilitation mobility, exercise and sports part 2
men and 14 women were included in the study (51 % had paraplegia; = 42.39± 11.78, M ycare injury = 14.94± 10.57).Participants completed a biometric evChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 for People with SCI (PARA-SCI) via the telephone. The PARA-SC1 |2J is a valid and reliable self-report measure of all activities performed over a 3-day recall period. Similar to past analyses using the PARA-SCĨ, activities which required similar functional movements were clustered [3|. For example, Rehabilitation mobility, exercise and sports part 2 wheeling and transferring were combined into the ‘Mobility ADL’ class. Cleaning, food preparation, laundry, and yard work were combined into the ‘DomRehabilitation mobility, exercise and sports part 2
estic ADL’ class. This categorization helped to increase statistical power and provide more generalizable information regarding a class of activities Chapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 29 minutes per day (min/d) engaged in Total ADL (Range- 0.00m in/d to 468.83min/d), 17.35+27.07 min/d engaged in Mobility ADI. (Range- O.OOmin/d to l60.03min/d), and 15.78+30.45 min/d engaged in Domestic ADL (Range- O.OOmin/d to 150.00min/d).The relationships between each ADL category (Total, Mobili Rehabilitation mobility, exercise and sports part 2 ty, and Domestic) and each biometric indicator (waist circumference, total cholesterol, LDL, 11DL, and triglycerides) were examined using a unique genRehabilitation mobility, exercise and sports part 2
eralized linear model. An assessment of potential covariates indicated that women had higher ĨĨDL levels than men (F-I2.I I, df-l,p-.OOl), age was posChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 ese associations, in addition to I.TPA were controlled for in subsequent analyses. Due to three relationships being examined for each CUD risk factor, a Bonfcrroni correction was employed such that the p-value was set at .016. Individuals who spent more time participating in Mobility ADL had lower t Rehabilitation mobility, exercise and sports part 2 otal cholesterol and LDL levels (B--.005, Wald Chi-Square>7.79, p<.005). No other significant relationships emerged.4.DiscussionIt has been well estabRehabilitation mobility, exercise and sports part 2
lished that individuals with SCI spend a great deal of time participating in ADL (4J. However, there is limited evidence supporting the potential beneChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 chronic SCI.Mobility ADL were associated w ith lower total cholesterol and LDL. The specific physiological mechanisms underlying the study findings arc complex and poorly understood. The aerobic characteristics of Mobility ADL may have contributed to these findings. It has been suggested that aerob Rehabilitation mobility, exercise and sports part 2 ic activities may be more effective than resistance training at decreasing LDL and total cholesterol [51.S.p. Uetz et al. /Activities of Daily LivingRehabilitation mobility, exercise and sports part 2
and CUD Risk Factors229Although Mobility ADL were associated with lower LDL and total cholesterol, we were not able to demonstrate similar findings wiChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 on-excrcisc physical activity and CUD risk factors may be due to measurement differences (self-report vs. objective measures of physical activity) or indicative of the variation between sample populations (able bodied individuals vs. individuals with SCI). Moreover, it is quite possible that the SCI Rehabilitation mobility, exercise and sports part 2 specific ADL performed by the current sample were not of adequate intensity or duration to affect certain biomarkers.Total and Domestic ADI. were unrRehabilitation mobility, exercise and sports part 2
elated to CUD risk factors. Total ADL encompasses very' sedentary activity such as desk and office work. These sedentary activities likely weakened thChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 y of Mobility ADI. and that Mobility and Domestic ADI. differ in the amount of physical exertion required to accomplish these tasks [7J.5.ConclusionBy classifying and examining SCI specific ADL. our preliminary findings suggest that increased Mobility ADI. participation may be a strategy worth inves Rehabilitation mobility, exercise and sports part 2 tigating as a means of decreasing CUD risk factors, particularly Ĩ.DL and total cholesterol in individuals with SCI. The practical implications of theRehabilitation mobility, exercise and sports part 2
findings are that Mobility ADL participation should be promoted by practitioners in addition to LIPA in the SCI population. Notably, practitioners enChapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100 Rehabilitation mobility, exercise and sports part 2 . Latimer. A.c. Buchholz, S.R. Bray. B.c. Craven. K..C. Hayes. A.L. Hicks, M.A. McColl, K. Smith, D.L. Wolfe, Establishing evidence-based physical activity guidelines: Methods for the study of health and activity in people with spinal cord injury (SHAPE SCI), Spina! Cord 46 (2008). 216-221. Rehabilitation mobility, exercise and sports part 2 Chapter 6Everyday Physical ActivityOral PresentationsRehabilitation; Mobility, Exercise and Sports227LH.V. van der Woudeet al. (Eds.) IOS Press. 20100Gọi ngay
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