Tobias Holmlund1,2, Elin Ekblom-Bak3, Erika Franzén4,5, Claes Hultling6, Kerstin Wahman6,7. 1. Department of Neurobiology, Care Sciences and Society, Division of Neurodegeneration, Neurorehabilitation Section, Karolinska Institutet, SE-171 77, Solna, Sweden. tobias.holmlund@ki.se. 2. Rehab Station Stockholm/Spinalis R&D Unit, Frösundaviks allé 4, SE-169 89, Solna, Sweden. tobias.holmlund@ki.se. 3. Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Lidingövägen 1, 114 33, Stockholm, Sweden. 4. Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, SE-171 77, Solna, Sweden. 5. Function Area Occupational Therapy & Physiotherapy, Allied Health Professionals Function, Karolinska University Hospital, SE-171 76, Stockholm, Sweden. 6. Department of Neurobiology, Care Sciences and Society, Division of Neurodegeneration, Neurorehabilitation Section, Karolinska Institutet, SE-171 77, Solna, Sweden. 7. Rehab Station Stockholm/Spinalis R&D Unit, Frösundaviks allé 4, SE-169 89, Solna, Sweden.
Abstract
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.
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.
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