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Abstract
Physical activity is a powerful modifiable risk factor for disease and mortality. Physical activity levels in people with spinal cord injury (SCI) have not been quantified relative to uninjured individuals in a large population-based sample. We aimed to quantify and compare physical activity in people with and without SCI, and to examine the associations between physical activity, lifestyle, and socioeconomic factors. The 2010 Canadian Community Health Survey (n > 57,000) was used, which includes three measures that assess physical activity levels (i.e., leisure time activity frequency, leisure time activity intensity, and transportation time activity intensity). Bivariable and multivariable logistic regressions were performed and odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were estimated. The odds of physical activity in people with SCI were 0.43 (95% CI 0.3–0.61), 0.53 (95% CI 0.36–0.75), and 0.42 (95% CI 0.28–0.61), across the three measures of physical activity, respectively. These differences persisted after adjustment for lifestyle, comorbidities, and socioeconomic factors. Physical activity is reduced in the SCI population compared with the general population. This knowledge is important to direct future research and guide the allocation of health care resources.
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1 Libin Cardiovascular Institute of Alberta, Hotchkiss Brain Institute, University of Calgary, Departments of Physiology and Pharmacology, Cardiac Sciences & Clinical Neurosciences, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697)
2 Libin Cardiovascular Institute of Alberta, Hotchkiss Brain Institute, University of Calgary, Departments of Physiology and Pharmacology, Cardiac Sciences & Clinical Neurosciences, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697); University of British Columbia, MD/PhD Training Program, Faculty of Medicine, Vancouver, Canada (GRID:grid.17091.3e) (ISNI:0000 0001 2288 9830)
3 University of British Columbia, Faculty of Pharmaceutical Sciences, International Collaboration On Repair Discoveries (ICORD), Vancouver, Canada (GRID:grid.17091.3e) (ISNI:0000 0001 2288 9830)
4 Libin Cardiovascular Institute of Alberta, Hotchkiss Brain Institute, University of Calgary, Departments of Physiology and Pharmacology, Cardiac Sciences & Clinical Neurosciences, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697); University of Calgary, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697)
5 University of Calgary, Cumming School of Medicine, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697)
6 Libin Cardiovascular Institute of Alberta, Hotchkiss Brain Institute, University of Calgary, Departments of Physiology and Pharmacology, Cardiac Sciences & Clinical Neurosciences, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697); University of British Columbia, Faculty of Pharmaceutical Sciences, International Collaboration On Repair Discoveries (ICORD), Vancouver, Canada (GRID:grid.17091.3e) (ISNI:0000 0001 2288 9830)
7 University of Calgary, Sport Injury Prevention Research Centre, Faculty of Kinesiology and Departments of Pediatric and Community Health Sciences, Cumming School of Medicine, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697)
8 University of Calgary, Foothills Medical Centre, Division of Physical Medicine & Rehabilitation, Department of Clinical Neurosciences, Cumming School of Medicine, Calgary, Canada (GRID:grid.414959.4) (ISNI:0000 0004 0469 2139)
9 University of Split, Department of Integrative Physiology, School of Medicine, Split, Croatia (GRID:grid.38603.3e) (ISNI:0000 0004 0644 1675)