Original Article
Spinal Cord advance online publication 11 March 2008; doi: 10.1038/sc.2008.21
Current coronary heart disease risk assessment tools may underestimate risk in community-dwelling persons with chronic spinal cord injury
A K Finnie1, A C Buchholz1 and K A Martin Ginis2 SHAPE SCI Research Group3
- 1Department of Family Relations and Applied Human Nutrition, University of Guelph, Guelph, Ontario, Canada
- 2Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada
Correspondence: Dr AC Buchholz, Department of Family Relations and Applied Nutrition, Macdonald Stewart Hall, Room 326, University of Guelph, 50 Stone Road East, Guelph, Ontario, Canada N1G 2W1. E-mail: abuchhol@uoguelph.ca
3Amy E Latimer, School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada; Steven R Bray, Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada; Catharine Craven, Department of Medicine and Toronto Rehabilitation Institute, University of Toronto, Toronto, Ontario, Canada; Keith C Hayes, Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada; Audrey L Hicks, Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada; Mary Ann McColl, Centre for Health Services and Policy Research, Queen's University, Kingston, Ontario, Canada; Patrick J Potter, Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada; Karen Smith, Department of Physical Medicine and Rehabilitation, Queen's University, Kingston, Ontario, Canada; Dalton L Wolfe, Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario, Canada.
Received 2 October 2007; Revised 28 January 2008; Accepted 30 January 2008; Published online 11 March 2008.
Abstract
Study design:
Cross-sectional, observational study.
Objectives:
To quantify, in adults with chronic spinal cord injury (SCI): (1) presence of metabolic syndrome versus the general North American population (GP) and (2) 10-year coronary heart disease (CHD) risk using Framingham risk scoring (FRS).
Setting:
Ontario, Canada.
Methods:
Fasting anthropometric and biochemical data were collected from 75 adults with chronic SCI. Metabolic syndrome was determined using four internationally recognized definitions and FRS using the most recent (2001) algorithm.
Results:
Prevalence of metabolic syndrome was up to 5.4 times lower in SCI participants compared to GP, and FRS categorized 3.1% of participants as being at high 10-year CHD risk. However, high-sensitivity C-reactive protein (CRP) values indicated 36.7% of participants as being at high CHD risk.
Conclusion:
Current metabolic syndrome definitions and FRS may underestimate true CHD risk in people with SCI. Tools that better identify CHD risk require validation in the SCI population. CRP may be a potential factor to consider in the development of SCI-specific screening tools.
Keywords:
spinal cord injury, metabolic syndrome, heart disease, secondary complications, evidence-based practice, SHAPE SCI
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