TY - JOUR
T1 - Body composition of women and men with complete motor paraplegia
AU - Beck, Lisa A.
AU - Lamb, Jeffry L.
AU - Atkinson, Elizabeth J.
AU - Wuermser, Lisa Ann
AU - Amin, Shreyasee
N1 - Publisher Copyright:
© 2014 The Academy of Spinal Cord Injury Professionals, Inc.
PY - 2014/7/1
Y1 - 2014/7/1
N2 - Objectives: To examine body composition, including the relationship between body mass index (BMI) and total body fat, in women and men with complete motor paraplegia and to make comparisons with able-bodied controls. Methods: In 13 subjects with traumatic, complete motor paraplegia (six women, seven men) and 39 sex-, age-, and BMI-matched controls from the community (18 women, 21 men), we measured total and regional (upper extremities, trunk, and lower extremities) lean and fat mass using total body dual-energy X-ray absorptiometry. Results: Both women and men with paraplegia had significantly lower lean mass in their lower extremities, as would be expected, and in their total body when compared with controls. However, they had significantly greater lean mass in their upper extremities than controls (4.4 kg vs. 3.6 kg, P = 0.004 and 8.6 kg vs. 6.7 kg, P < 0.001 in women and men, respectively); all subjects with paraplegia studied used manual wheelchairs. Although total body fat mass was significantly greater in women (P = 0.010) and men (P=<0.001) with paraplegia compared with controls, for the equivalent total body fat mass, BMI was actually lower in women and men with paraplegia than controls (e.g. 20.2 kg/m2 vs. 25.0 kg/m2, respectively). Conclusion: We report on body composition in persons with complete motor paraplegia, including women on whom limited information is currently available. Our results support the need to define better assessments of obesity in both women and men following spinal cord injury, particularly of central body fat distribution, as BMI underestimates adiposity in this population.
AB - Objectives: To examine body composition, including the relationship between body mass index (BMI) and total body fat, in women and men with complete motor paraplegia and to make comparisons with able-bodied controls. Methods: In 13 subjects with traumatic, complete motor paraplegia (six women, seven men) and 39 sex-, age-, and BMI-matched controls from the community (18 women, 21 men), we measured total and regional (upper extremities, trunk, and lower extremities) lean and fat mass using total body dual-energy X-ray absorptiometry. Results: Both women and men with paraplegia had significantly lower lean mass in their lower extremities, as would be expected, and in their total body when compared with controls. However, they had significantly greater lean mass in their upper extremities than controls (4.4 kg vs. 3.6 kg, P = 0.004 and 8.6 kg vs. 6.7 kg, P < 0.001 in women and men, respectively); all subjects with paraplegia studied used manual wheelchairs. Although total body fat mass was significantly greater in women (P = 0.010) and men (P=<0.001) with paraplegia compared with controls, for the equivalent total body fat mass, BMI was actually lower in women and men with paraplegia than controls (e.g. 20.2 kg/m2 vs. 25.0 kg/m2, respectively). Conclusion: We report on body composition in persons with complete motor paraplegia, including women on whom limited information is currently available. Our results support the need to define better assessments of obesity in both women and men following spinal cord injury, particularly of central body fat distribution, as BMI underestimates adiposity in this population.
KW - Body composition
KW - Body mass index (BMI)
KW - Fat tissue mass
KW - Lean tissue mass
KW - Paraplegia
KW - Percent body fat
KW - Spinal cord injury
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U2 - 10.1179/2045772313Y.0000000151
DO - 10.1179/2045772313Y.0000000151
M3 - Article
C2 - 24090208
AN - SCOPUS:84907253055
SN - 1079-0268
VL - 37
SP - 359
EP - 365
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
IS - 4
ER -