Abstract

Physical activity is a powerful modifiable risk factor for disease and mortality. Physical activity levels in people with spinal cord injury (SCI) have not been quantified relative to uninjured individuals in a large population-based sample. We aimed to quantify and compare physical activity in people with and without SCI, and to examine the associations between physical activity, lifestyle, and socioeconomic factors. The 2010 Canadian Community Health Survey (n > 57,000) was used, which includes three measures that assess physical activity levels (i.e., leisure time activity frequency, leisure time activity intensity, and transportation time activity intensity). Bivariable and multivariable logistic regressions were performed and odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were estimated. The odds of physical activity in people with SCI were 0.43 (95% CI 0.3–0.61), 0.53 (95% CI 0.36–0.75), and 0.42 (95% CI 0.28–0.61), across the three measures of physical activity, respectively. These differences persisted after adjustment for lifestyle, comorbidities, and socioeconomic factors. Physical activity is reduced in the SCI population compared with the general population. This knowledge is important to direct future research and guide the allocation of health care resources.

Highlights

  • Physical activity is a powerful modifiable risk factor for disease and mortality

  • A previous study showed that approximately half of people with spinal cord injury (SCI) report no leisure-time physical activity, and, it is not clear if this is a similar rate as those reported in non-SCI ­populations[8,9]

  • We do not understand the association of various lifestyle and socioeconomic factors with physical activity levels in the SCI population

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Summary

Introduction

Physical activity is a powerful modifiable risk factor for disease and mortality. Physical activity levels in people with spinal cord injury (SCI) have not been quantified relative to uninjured individuals in a large population-based sample. We aimed to quantify and compare physical activity in people with and without SCI, and to examine the associations between physical activity, lifestyle, and socioeconomic factors. Physical activity is reduced in the SCI population compared with the general population. This knowledge is important to direct future research and guide the allocation of health care resources. Various lifestyle and socioeconomic factors are associated with physical activity in the general population, including income, education level, gender, diet, cigarette smoking, and alcohol ­consumption[10–15]. Due to different lifestyles and socioeconomic profiles in the SCI population, the association between these factors and physical activity may be unique in people with ­SCI16–21. We do not understand the association of various lifestyle and socioeconomic factors with physical activity levels in the SCI population. This knowledge is important to direct future research, and potential interventions and educational strategies for people with SCI, to reduce the development of risk factors that impact long-term health

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