Prevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders: A retrospective review

Frances M. Weaver, Eileen G. Collins, Jibby Kurichi, Scott Miskevics, Bridget Smith, Suparna Rajan, David Gater

Research output: Contribution to journalReview article

100 Citations (Scopus)

Abstract

OBJECTIVE: A frequent cause of mortality in spinal cord injuries and disorders (SCI&D) is cardiovascular disease (CVD). Obesity and high blood pressure (BP) are modifiable risk factors for CVD. DESIGN: Retrospective review of clinical and administrative data for 7959 veterans with SCI&D. Data elements included height, weight, blood pressure, demographics, and level of injury. Analyses included descriptive statistics and generalized logistic regressions. RESULTS: Twenty percent of veterans were obese according to their body mass index (BMI), and 33% were overweight; 22% had high BP (≥140/90 mm Hg). Because BMI underestimates obesity in SCI&D, adjusted BMIs for overweight (23-27 kg/m) and obesity (28+ kg/m) indicate that those overweight increased to 37%, and 31% were obese. Veterans ages 50-64 or who had paraplegia were more likely to be overweight and obese than others; being white or age 65+ was associated with a higher likelihood of being overweight. Veterans who were overweight or obese, black, older (age 50+), and paraplegic were more likely to have higher blood pressure. CONCLUSIONS: Obesity and high BP rates were lower for veterans with SCI&D than the general population. However, because BMI underestimates body adiposity in SCI&D, obesity is likely a much more prevalent problem in this population and warrants attention.

Original languageEnglish (US)
Pages (from-to)22-29
Number of pages8
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume86
Issue number1
DOIs
StatePublished - Jan 1 2007

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Spinal Cord Diseases
Veterans
Spinal Cord Injuries
Obesity
Hypertension
Body Mass Index
Cardiovascular Diseases
Paraplegia
Adiposity
Population
Logistic Models
Demography
Blood Pressure
Weights and Measures
Mortality
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Weaver, Frances M. ; Collins, Eileen G. ; Kurichi, Jibby ; Miskevics, Scott ; Smith, Bridget ; Rajan, Suparna ; Gater, David. / Prevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders : A retrospective review. In: American Journal of Physical Medicine and Rehabilitation. 2007 ; Vol. 86, No. 1. pp. 22-29.
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abstract = "OBJECTIVE: A frequent cause of mortality in spinal cord injuries and disorders (SCI&D) is cardiovascular disease (CVD). Obesity and high blood pressure (BP) are modifiable risk factors for CVD. DESIGN: Retrospective review of clinical and administrative data for 7959 veterans with SCI&D. Data elements included height, weight, blood pressure, demographics, and level of injury. Analyses included descriptive statistics and generalized logistic regressions. RESULTS: Twenty percent of veterans were obese according to their body mass index (BMI), and 33{\%} were overweight; 22{\%} had high BP (≥140/90 mm Hg). Because BMI underestimates obesity in SCI&D, adjusted BMIs for overweight (23-27 kg/m) and obesity (28+ kg/m) indicate that those overweight increased to 37{\%}, and 31{\%} were obese. Veterans ages 50-64 or who had paraplegia were more likely to be overweight and obese than others; being white or age 65+ was associated with a higher likelihood of being overweight. Veterans who were overweight or obese, black, older (age 50+), and paraplegic were more likely to have higher blood pressure. CONCLUSIONS: Obesity and high BP rates were lower for veterans with SCI&D than the general population. However, because BMI underestimates body adiposity in SCI&D, obesity is likely a much more prevalent problem in this population and warrants attention.",
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Prevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders : A retrospective review. / Weaver, Frances M.; Collins, Eileen G.; Kurichi, Jibby; Miskevics, Scott; Smith, Bridget; Rajan, Suparna; Gater, David.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 86, No. 1, 01.01.2007, p. 22-29.

Research output: Contribution to journalReview article

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T1 - Prevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders

T2 - A retrospective review

AU - Weaver, Frances M.

AU - Collins, Eileen G.

AU - Kurichi, Jibby

AU - Miskevics, Scott

AU - Smith, Bridget

AU - Rajan, Suparna

AU - Gater, David

PY - 2007/1/1

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N2 - OBJECTIVE: A frequent cause of mortality in spinal cord injuries and disorders (SCI&D) is cardiovascular disease (CVD). Obesity and high blood pressure (BP) are modifiable risk factors for CVD. DESIGN: Retrospective review of clinical and administrative data for 7959 veterans with SCI&D. Data elements included height, weight, blood pressure, demographics, and level of injury. Analyses included descriptive statistics and generalized logistic regressions. RESULTS: Twenty percent of veterans were obese according to their body mass index (BMI), and 33% were overweight; 22% had high BP (≥140/90 mm Hg). Because BMI underestimates obesity in SCI&D, adjusted BMIs for overweight (23-27 kg/m) and obesity (28+ kg/m) indicate that those overweight increased to 37%, and 31% were obese. Veterans ages 50-64 or who had paraplegia were more likely to be overweight and obese than others; being white or age 65+ was associated with a higher likelihood of being overweight. Veterans who were overweight or obese, black, older (age 50+), and paraplegic were more likely to have higher blood pressure. CONCLUSIONS: Obesity and high BP rates were lower for veterans with SCI&D than the general population. However, because BMI underestimates body adiposity in SCI&D, obesity is likely a much more prevalent problem in this population and warrants attention.

AB - OBJECTIVE: A frequent cause of mortality in spinal cord injuries and disorders (SCI&D) is cardiovascular disease (CVD). Obesity and high blood pressure (BP) are modifiable risk factors for CVD. DESIGN: Retrospective review of clinical and administrative data for 7959 veterans with SCI&D. Data elements included height, weight, blood pressure, demographics, and level of injury. Analyses included descriptive statistics and generalized logistic regressions. RESULTS: Twenty percent of veterans were obese according to their body mass index (BMI), and 33% were overweight; 22% had high BP (≥140/90 mm Hg). Because BMI underestimates obesity in SCI&D, adjusted BMIs for overweight (23-27 kg/m) and obesity (28+ kg/m) indicate that those overweight increased to 37%, and 31% were obese. Veterans ages 50-64 or who had paraplegia were more likely to be overweight and obese than others; being white or age 65+ was associated with a higher likelihood of being overweight. Veterans who were overweight or obese, black, older (age 50+), and paraplegic were more likely to have higher blood pressure. CONCLUSIONS: Obesity and high BP rates were lower for veterans with SCI&D than the general population. However, because BMI underestimates body adiposity in SCI&D, obesity is likely a much more prevalent problem in this population and warrants attention.

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