Background: The relationship between cardiovascular disease (CVD) risk factors and dietary intake is unknown among individuals with spinal cord injury (SCI). Objective: To investigate the relationship between consumption of selected food groups (dairy, whole grains, fruits, vegetables, and meat) and CVD risk factors in individuals with chronic SCI. Methods: A cross-sectional substudy of individuals with SCI to assess CVD risk factors and dietary intake in comparison with age-, gender-, and race-matched able-bodied individuals enrolled in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Dietary history, blood pressure, waist circumference (WC), fasting blood glucose, high-sensitivity C-reactive protein (hs-CRP), lipids, glucose, and insulin data were collected from 100 SCI participants who were 38 to 55 years old with SCI ≯1 year and compared to 100 matched control participants from the CARDIA study. Results: Statistically significant differences between SCI and CARDIA participants were identified in WC (39.2 vs 36.2 in.; P < .001) and high-density lipoprotein cholesterol (HDL-C; 39.2 vs 47.5 mg/dL; P < .001). Blood pressure, total cholesterol, triglycerides, glucose, insulin, and hs-CRP were similar between SCI and CARDIA participants. No significant relation between CVD risk factors and selected food groups was seen in the SCI participants. Conclusions: SCI participants had adverse WC and HDL-C compared to controls. This study did not identify a relationship between consumption of selected food groups and CVD risk factors.
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Original Article|
April 11 2014
Dietary Intake Relative to Cardiovascular Disease Risk Factors in Individuals With Chronic Spinal Cord Injury: A Pilot Study
Jesse Lieberman;
Jesse Lieberman
1
Department of Physical Medicine and Rehabilitation, Carolinas Medical Center, Charlotte, North Carolina
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David Goff, Jr;
David Goff, Jr
2
Colorado School of Public Health, Denver, Colorado
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Flora Hammond;
Flora Hammond
3
Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, Indiana
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Pamela Schreiner;
Pamela Schreiner
4
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota
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H. Norton;
H. Norton
5
Department of Biostatistics, Carolinas Medical Center, Charlotte, North Carolina
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Michael Dulin;
Michael Dulin
6
Department of Family Medicine, Carolinas Medical Center, Charlotte, North Carolina
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Xia Zhou;
Xia Zhou
4
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota
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Lyn Steffen
Lyn Steffen
4
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota
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Top Spinal Cord Inj Rehabil (2014) 20 (2): 127–136.
Citation
Jesse Lieberman, David Goff, Jr, Flora Hammond, Pamela Schreiner, H. Norton, Michael Dulin, Xia Zhou, Lyn Steffen; Dietary Intake Relative to Cardiovascular Disease Risk Factors in Individuals With Chronic Spinal Cord Injury: A Pilot Study. Top Spinal Cord Inj Rehabil 1 April 2014; 20 (2): 127–136. doi: https://doi.org/10.1310/sci2002-127
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