Prevalence of Obesity After Spinal Cord Injury.
Prevalence of Obesity After Spinal Cord Injury.
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DOI：
10.1310/sci1204-1
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发表时间：
2007-01-01
影响因子：
2.9
通讯作者：
Gater, David R Jr
中科院分区：
文献类型：
--
作者：
Gorgey, Ashraf S;Gater, David R Jr
在美国，肥胖症的患病率一直在持续增加。肥胖已经跨越了身体健全人群的界限，并扩展到包括脊髓损伤（SCI）在内的残疾人群。SCI后肥胖的程度和患病率尚不清楚。本综述的目的是讨论SCI患者肥胖患病率的文献。该综述将表明SCI后肥胖的流行是一个需要进一步解决的问题，并且与SCI的死亡率特别相关。身体质量指数（BMI）标准需要调整，以适应SCI后身体成分的变化，特别是增加脂肪量和体脂百分比。按性别、年龄和种族划分的SCI超重和肥胖的患病率需要进一步调查，以确定问题的实际严重程度，这似乎超过了流行病的比例。此外，SCI特异性因素，如损伤程度、美国脊髓损伤协会（ASIA）损伤分类和损伤后时间，需要进一步与SCI后肥胖的患病率相关。
The prevalence of obesity has been continuously increasing in the United States. Obesity has crossed the borders of the able-bodied populations and extended to populations with disabilities, including spinal cord injury (SCI). The magnitude and the prevalence of obesity after SCI are not clearly defined. The purpose of the current review is to discuss the body of literature on the prevalence of obesity among individuals with SCI. The review will show that the prevalence of obesity after SCI is an issue that needs to be further addressed and specifically correlated to mortality rates in SCI. Body mass index (BMI) criteria need to be adjusted to meet the changes in body composition after SCI, specifically increasing fat mass and percent body fat. Prevalence of overweight and obesity in SCI by sex, age, and ethnic group needs further investigation to determine the actual magnitude of the problem, which appears to exceed epidemic proportions. Moreover, SCI-specific factors such as level of injury, American Spinal Injury Association (ASIA) impairment classification, and time since injury need to be further correlated to the prevalence of obesity after SCI.