ArticleJournal of neurotrauma2014
Waist circumference is the best index for obesity-related cardiovascular disease risk in individuals with spinal cord injury.
Article in Journal of neurotrauma, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Management of obesity after spinal cord injury: a systematic review.The journal of spinal cord medicine · 2017Pooled it
- Rehabilitation Interventions to modify endocrine-metabolic disease risk in Individuals with chronic Spinal cord injury living in the Community (RIISC): A systematic review and scoping perspective.The journal of spinal cord medicine · 2017Pooled it
- Rowing exercise increases cardiorespiratory fitness and brachial artery diameter but not traditional cardiometabolic risk factors in spinal cord-injured humans.European journal of applied physiology · 2023Trial
- Anthropometric cutoffs and associations with visceral adiposity and metabolic biomarkers after spinal cord injury.PloS one · 2018Trial
- Screening, Diagnosis, and Treatment of Cardiometabolic Risk in Persons With Spinal Cord Injury/Disease: A Scoping Review.Archives of rehabilitation research and clinical translation · 2025Review
- Association between fat-to-muscle mass ratio and depressive symptoms in U.S. adults: evidence from a nationally representative cross-sectional study.European journal of medical research · 2025Article
- Expert-Reviewed Nutritional Guidance for Adults with Spinal Cord Injury: A Delphi Study.Nutrients · 2025Article
- Does irisin mediate metabolic effects of androgen deficiency? A cross-sectional study in men with chronic spinal cord injury.Spinal cord · 2025Article
- Nutritional alterations, adverse consequences, and comprehensive assessment in spinal cord injury: a review.Frontiers in nutrition · 2025Review
- Impact of obesity on outcomes of transcatheter aortic valve implantation in patients with aortic stenosis: a systematic review and meta-analysis of real-world data.American journal of cardiovascular disease · 2025Article
- The association between visceral fat obesity and prefrailty in Chinese older adults: a cross-sectional study.BMC endocrine disorders · 2024Article
- Obesity in wheelchair users with long-standing spinal cord injury: prevalence and associations with time since injury and physical activity.Spinal cord · 2024Article
- Impaired Glucose Tolerance and Visceral Adipose Tissue Thickness among Lean and Non-Lean People with and without Spinal Cord Injury.Journal of functional morphology and kinesiology · 2023Article
- Article
- The Diagnosis and Management of Cardiometabolic Risk and Cardiometabolic Syndrome after Spinal Cord Injury.Journal of personalized medicine · 2022Review
- Factors and at-risk group associated with hypertension self-management patterns among people with physical disabilities: a latent class analysis.BMC public health · 2022Article
- National survey of mental health and suicidal thoughts in people with spinal cord injury.Spinal cord · 2022Article
- Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury.Annals of rehabilitation medicine · 2022Article
- The effect of metformin on body mass index and metabolic parameters in non-diabetic HIV-positive patients: a meta-analysis.Journal of diabetes and metabolic disorders · 2021Review
- Changes in body composition during and after inpatient rehabilitation in people with recent spinal cord injury.Spinal cord series and cases · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Obesity is an important identifier of cardiovascular disease (CVD) risk, but is challenging to determine accurately in individuals with spinal cord injury (SCI). Body mass index (BMI) is used worldwide as a simple indicator of obesity, but is difficult to measure in individuals with SCI. Furthermore, standard BMI cutoffs underestimate obesity in this population. Therefore, we aimed to identify the best marker of obesity in individuals with SCI, considering both practicality, and ability to detect adiposity and CVD risk. Five anthropometric measures were evaluated: BMI; waist circumference (WC); waist-to-height ratio (WHtR); waist-to-hip ratio; and neck circumference. We evaluated relationships between these measures and abdominal and total body-fat percentage, seven cardiovascular metabolic risk factors (fasting insulin, glucose, glucose tolerance, triglycerides, high-density lipoprotein, low-density lipoprotein, and total cholesterol), and the Framingham risk score. BMI, WC, and WHtR were correlated with abdominal fat percentage. WC and WHtR were correlated with five metabolic risk factors as well as the Framingham risk score. WC is a more practical measure for an SCI population. The optimal cutoff for identifying adverse CVD risk in individuals with SCI was identified as WC ≥94 cm, with 100% sensitivity and 79% specificity. We propose that WC is a simple, more sensitive alternative to BMI in this population that is easy to use in multiple settings. The cutoff provides a simple tool to predict adverse CVD risk profiles that can be used to guide risk management, as well as as a practical aid for individuals with SCI to maintain a healthy body composition.
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