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

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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

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• 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.

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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.

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Results

• Total cholesterol (TC) gt200
• 36 patients.
• Triglyceride gt150
• 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.

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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.