• Arch Phys Med Rehabil · Jan 2012

    Comparative Study

    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, and Frances M Weaver.
    • Spinal Cord Injury Quality Enhancement Research Initiative, Center for Management of Complex Chronic Care, Department of Veterans Affairs, Hines, IL 60141, USA. sherri.lavela@va.gov
    • Arch Phys Med Rehabil. 2012 Jan 1;93(1):90-5.

    ObjectiveTo compare the prevalence of cardiovascular and metabolic conditions in male veterans aging with spinal cord injury (SCI) with that of older men comparison groups.DesignCross-sectional survey.SettingNational community dwelling.ParticipantsMen 65 years and older (veterans with SCI [n=794] injured at least 20y, veterans [n=13,528], and general population [n=6105]).InterventionsNot applicable.Main Outcome MeasuresPrevalence of diabetes, myocardial infarction (MI), stroke, and coronary heart disease (CHD).ResultsIn 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.ConclusionsDiabetes 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.Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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