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Aim

Cardiometabolic risk factors in Iranians with spinal cord injury: Analysis by injury-related variables.

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Aim

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  1. Cardiometabolic risk factors in Iranians with spinal cord injury: Analysis by injury-related variables Hadis Sabour, MD, PhD; Abbas Norouzi Javidan, PhD; Neda Ranjbarnovin, MD; Mohammad Reza Vafa, PhD, MSPH; Zahra Khazaeipour, MD; Firoozeh Ghaderi, BSc; Fatemah Khanzadeh Mehrabani, BSc; Farzad Shidfar, PhD, MSc

  2. Aim • Perform detailed analysis of level-specific cardiometabolic risk factors in individuals with spinal cord injury (SCI). • Analyze association of injury level on these risk factors. • Relevance • Persons with SCI have high prevalence of abnormalities in carbohydrate and lipid metabolism. • These abnormalities cause adverse coronary heart disease (CHD) in patients with SCI.

  3. Method • Cross-sectional study of 162 patients with SCI, assessing prevalence of: • Diabetes mellitus. • Dyslipidaemia. • Hypertension. • Obesity. • Smoking. • Also diagnosed fasting blood sugar in 27 patients.

  4. Results • Total cholesterol (TC) >200: • 36 patients. • Triglyceride >150: • 56 patients. • Hypertension: • 2.5% of patients. • Body mass index (BMI), TC, and low-density lipoprotein cholesterol (LDL-C): • Significantly higher in patients with paraplegia than in patients with tetraplegia.

  5. Conclusion • Patients with paraplegia may have increased hypertension, higher BMI, and increasing levels of serum LDL-C and TC compared with those with tetraplegia. • Conventional risk factors for CHD should be identified and treated in individuals with SCI.

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