Males aging with a spinal cord injury: prevalence of cardiovascular and metabolic conditions

Sherri L. LaVela; Charlesnika T. Evans; Thomas R. Prohaska; Scott Miskevics; Shanti P. Ganesh; Frances M. Weaver

doi:10.1016/j.apmr.2011.07.201

Males aging with a spinal cord injury: prevalence of cardiovascular and metabolic conditions

Sherri L. LaVela^*, Charlesnika T. Evans, Thomas R. Prohaska, Scott Miskevics, Shanti P. Ganesh, Frances M. Weaver

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

60 Scopus citations

Abstract

Objective: To compare the prevalence of cardiovascular and metabolic conditions in male veterans aging with spinal cord injury (SCI) with that of older men comparison groups. Design: Cross-sectional survey. Setting: National community dwelling. Participants: Men 65 years and older (veterans with SCI [n=794] injured at least 20y, veterans [n=13,528], and general population [n=6105]). Interventions: Not applicable. Main Outcome Measures: Prevalence of diabetes, myocardial infarction (MI), stroke, and coronary heart disease (CHD). Results: In older adult men with SCI, prevalences of diabetes, MI, stroke, and CHD were 20.30%, 18.70%, 9.84%, and 15.47%, respectively. The odds for stroke were 1.4 times higher in veterans with SCI than general veterans (P<.05), and there was a trend to higher odds for stroke in men with SCI than in the general population (P=.06). The odds for CHD were significantly lower for veterans with SCI than both comparison groups. Being a past smoker was associated with greater odds for diabetes, MI, and CHD, and being a current smoker was associated with higher odds for stroke. High blood pressure and high cholesterol levels were associated with higher odds for all conditions examined. Conclusions: Diabetes and MI were most prevalent in older adults, but the presence was similar in men with SCI (vs other men). In older adult men, SCI appeared to be protective of CHD. Stroke was most prevalent in veterans with SCI, and controlling for demographic and risk factors, SCI was associated independently with stroke. These findings may be useful for prioritizing preventive health strategies and planning long-term care for men aging with SCI.

Original language	English (US)
Pages (from-to)	90-95
Number of pages	6
Journal	Archives of physical medicine and rehabilitation
Volume	93
Issue number	1
DOIs	https://doi.org/10.1016/j.apmr.2011.07.201
State	Published - Jan 2012

Funding

This material is based on work supported by the Spinal Cord Injury Quality Enhancement Research Initiative and the Office of Research and Development, Health Services Research and Development Service of the Department of Veterans Affairs. This paper reflects the authors' opinions and does not necessarily reflect the official position of the Department of Veterans Affairs.

Keywords

Aging
Chronic disease
Prevalence
Rehabilitation
Spinal cord injury
Surveillance

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.apmr.2011.07.201

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@article{bd8c4ff4f43446d99fbe4597ad74ec81,

title = "Males aging with a spinal cord injury: prevalence of cardiovascular and metabolic conditions",

abstract = "Objective: To compare the prevalence of cardiovascular and metabolic conditions in male veterans aging with spinal cord injury (SCI) with that of older men comparison groups. Design: Cross-sectional survey. Setting: National community dwelling. Participants: Men 65 years and older (veterans with SCI [n=794] injured at least 20y, veterans [n=13,528], and general population [n=6105]). Interventions: Not applicable. Main Outcome Measures: Prevalence of diabetes, myocardial infarction (MI), stroke, and coronary heart disease (CHD). Results: In older adult men with SCI, prevalences of diabetes, MI, stroke, and CHD were 20.30%, 18.70%, 9.84%, and 15.47%, respectively. The odds for stroke were 1.4 times higher in veterans with SCI than general veterans (P<.05), and there was a trend to higher odds for stroke in men with SCI than in the general population (P=.06). The odds for CHD were significantly lower for veterans with SCI than both comparison groups. Being a past smoker was associated with greater odds for diabetes, MI, and CHD, and being a current smoker was associated with higher odds for stroke. High blood pressure and high cholesterol levels were associated with higher odds for all conditions examined. Conclusions: Diabetes and MI were most prevalent in older adults, but the presence was similar in men with SCI (vs other men). In older adult men, SCI appeared to be protective of CHD. Stroke was most prevalent in veterans with SCI, and controlling for demographic and risk factors, SCI was associated independently with stroke. These findings may be useful for prioritizing preventive health strategies and planning long-term care for men aging with SCI.",

keywords = "Aging, Chronic disease, Prevalence, Rehabilitation, Spinal cord injury, Surveillance",

author = "LaVela, {Sherri L.} and Evans, {Charlesnika T.} and Prohaska, {Thomas R.} and Scott Miskevics and Ganesh, {Shanti P.} and Weaver, {Frances M.}",

note = "Funding Information: This material is based on work supported by the Spinal Cord Injury Quality Enhancement Research Initiative and the Office of Research and Development, Health Services Research and Development Service of the Department of Veterans Affairs. This paper reflects the authors' opinions and does not necessarily reflect the official position of the Department of Veterans Affairs. ",

year = "2012",

month = jan,

doi = "10.1016/j.apmr.2011.07.201",

language = "English (US)",

volume = "93",

pages = "90--95",

journal = "Archives of physical medicine and rehabilitation",

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T1 - Males aging with a spinal cord injury

T2 - prevalence of cardiovascular and metabolic conditions

AU - LaVela, Sherri L.

AU - Evans, Charlesnika T.

AU - Prohaska, Thomas R.

AU - Miskevics, Scott

AU - Ganesh, Shanti P.

AU - Weaver, Frances M.

N1 - Funding Information: This material is based on work supported by the Spinal Cord Injury Quality Enhancement Research Initiative and the Office of Research and Development, Health Services Research and Development Service of the Department of Veterans Affairs. This paper reflects the authors' opinions and does not necessarily reflect the official position of the Department of Veterans Affairs.

PY - 2012/1

Y1 - 2012/1

N2 - Objective: To compare the prevalence of cardiovascular and metabolic conditions in male veterans aging with spinal cord injury (SCI) with that of older men comparison groups. Design: Cross-sectional survey. Setting: National community dwelling. Participants: Men 65 years and older (veterans with SCI [n=794] injured at least 20y, veterans [n=13,528], and general population [n=6105]). Interventions: Not applicable. Main Outcome Measures: Prevalence of diabetes, myocardial infarction (MI), stroke, and coronary heart disease (CHD). Results: In older adult men with SCI, prevalences of diabetes, MI, stroke, and CHD were 20.30%, 18.70%, 9.84%, and 15.47%, respectively. The odds for stroke were 1.4 times higher in veterans with SCI than general veterans (P<.05), and there was a trend to higher odds for stroke in men with SCI than in the general population (P=.06). The odds for CHD were significantly lower for veterans with SCI than both comparison groups. Being a past smoker was associated with greater odds for diabetes, MI, and CHD, and being a current smoker was associated with higher odds for stroke. High blood pressure and high cholesterol levels were associated with higher odds for all conditions examined. Conclusions: Diabetes and MI were most prevalent in older adults, but the presence was similar in men with SCI (vs other men). In older adult men, SCI appeared to be protective of CHD. Stroke was most prevalent in veterans with SCI, and controlling for demographic and risk factors, SCI was associated independently with stroke. These findings may be useful for prioritizing preventive health strategies and planning long-term care for men aging with SCI.

AB - Objective: To compare the prevalence of cardiovascular and metabolic conditions in male veterans aging with spinal cord injury (SCI) with that of older men comparison groups. Design: Cross-sectional survey. Setting: National community dwelling. Participants: Men 65 years and older (veterans with SCI [n=794] injured at least 20y, veterans [n=13,528], and general population [n=6105]). Interventions: Not applicable. Main Outcome Measures: Prevalence of diabetes, myocardial infarction (MI), stroke, and coronary heart disease (CHD). Results: In older adult men with SCI, prevalences of diabetes, MI, stroke, and CHD were 20.30%, 18.70%, 9.84%, and 15.47%, respectively. The odds for stroke were 1.4 times higher in veterans with SCI than general veterans (P<.05), and there was a trend to higher odds for stroke in men with SCI than in the general population (P=.06). The odds for CHD were significantly lower for veterans with SCI than both comparison groups. Being a past smoker was associated with greater odds for diabetes, MI, and CHD, and being a current smoker was associated with higher odds for stroke. High blood pressure and high cholesterol levels were associated with higher odds for all conditions examined. Conclusions: Diabetes and MI were most prevalent in older adults, but the presence was similar in men with SCI (vs other men). In older adult men, SCI appeared to be protective of CHD. Stroke was most prevalent in veterans with SCI, and controlling for demographic and risk factors, SCI was associated independently with stroke. These findings may be useful for prioritizing preventive health strategies and planning long-term care for men aging with SCI.

KW - Aging

KW - Chronic disease

KW - Prevalence

KW - Rehabilitation

KW - Spinal cord injury

KW - Surveillance

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Males aging with a spinal cord injury: prevalence of cardiovascular and metabolic conditions

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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