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Energy expenditure after spinal cord injury in people with motor-complete tetraplegia or motor-complete paraplegia.
Karolinska institutet.
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology, Björn Ekblom's research group.ORCID iD: 0000-0002-3901-7833
Karolinska institutet.
Karolinska institutet.
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2018 (English)In: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624, Vol. 56, no 3, p. 274-283Article in journal (Refereed) Published
Abstract [en]

STUDY DESIGN: Cross-sectional.

OBJECTIVES: This study aimed to describe and compare VO2 and energy expenditure at rest (REE) and during standardized sedentary, non-exercise physical activity, and exercise activities, in people with motor-complete tetraplegia (C5-C8). Further, REE and energy expenditure (EE) for the different activities were compared to data from a reference group of people with motor-complete paraplegia (T7-T12).

SETTING: Sweden.

METHODS: The sample of people with motor-complete tetraplegia consisted of 26 adults (seven women) with SCI, C5-C8 AIS A-B. REE and EE for the different activities were measured with indirect calorimetry. The results were further compared to people with motor-complete paraplegia.

RESULTS: Resting VO2 was 2.57 ml O2 kg-1 min-1, 2.54 for men and 2.60 for women. The VO2 or activity energy expenditure related to body weight increased three to four times during non-exercise physical activity compared to sedentary activities for the people with motor-complete tetraplegia, and up to six times during exercise activity. No significant differences were seen in resting or sedentary activity VO2 between the people with motor-complete tetraplegia and those with motor-complete paraplegia. Activities of daily life revealed no or small differences in VO2, except for setting a table, while the people with tetraplegia had ∼50% lower VO2 during exercise activities.

CONCLUSIONS: Non-exercise physical activities of daily life may be significant for increasing total daily EE in people with motor-complete tetraplegia. This might act to motivate the individual, and might be clinically important when designing adapted lifestyle intervention programs for the target group.

Place, publisher, year, edition, pages
2018. Vol. 56, no 3, p. 274-283
National Category
Physiotherapy
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-5139DOI: 10.1038/s41393-017-0024-4ISI: 000426748900013PubMedID: 29238094OAI: oai:DiVA.org:gih-5139DiVA, id: diva2:1168769
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Energiomsättning hos ryggmärgsskadadeAvailable from: 2017-12-21 Created: 2017-12-21 Last updated: 2018-05-23Bibliographically approved

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