Libin et al CMR riskfactors等人的风险因素.pdfVIP

Cardiometabolic Risk Clustering in Spinal Cord Injury: Results of Exploratory Factor Analysis 1 1 2 Alexander Libin, PhD, Emily A. Tinsley, MS, Mark S. Nash, PhD, Armando J. Mendez, PhD,2 Patricia Burns, MS, CSCS,2 3 4 1 Matt Elrod, PT, DPT, NCS, Larry F. Hamm, PhD, and Suzanne L. Groah, MD, MSPH 1 2 3 MedStar National Rehabilitation Hospital, Washington DC; Miller School of Medicine, University of Miami, Miami, Florida; American Physical Therapy Association, Alexandria, Virginia; 4School of Public Health and Health Services, George Washington University Medical Center, Washington, DC Background: Evidence suggests an elevated prevalence of cardiometabolic risks among persons with spinal cord injury (SCI); however, the unique clustering of risk factors in this population has not been fully explored. Objective: The purpose of this study was to describe unique clustering of cardiometabolic risk factors differentiated by level of injury. Methods: One hundred twenty- one subjects (mean 37 ± 12 years; range, 18-73) with chronic C5 to T12 motor complete SCI were studied. Assessments included medical histories, anthropometrics and blood pressure, and fasting serum lipids, glucose, insulin, and hemoglobin A1c (HbA1c). Results: The most common cardiometabolic risk factors were overweight/obesity, high levels of low-density lipoprotein (LDL-C), and low