Journal:Spinal Cord (formerly Paraplegia)
Year, Volume, Issue, Page(s):16, 54, 11, 967-972
Study examined the relationship between metabolic syndrome (MetS) and pressure ulcers (PrU), after controlling for demographic and injury characteristics, socioeconomic factors, health behaviors and fatigue among 350 participants with spinal cord injury (SCI). Blood tests and physical examination were performed. Waist circumference, high-density cholesterol, triglycerides, blood pressure and fasting glucose were used to diagnose MetS according to Criteria for Clinical Diagnosis of Metabolic Syndrome defined by the American Heart Association. All other variables were self-reported. Three-stage multivariate logistic regression models evaluated the effects of three sequential sets of predictors, including demographic/injury, socio-environmental/behavioral and health factors, basing the order of analysis on the Theoretical Risk and Prevention Model. The prevalence of PrU and MetS was 11.0 percent and 35.3 percent, respectively. Ethnicity, smoking, alcohol consumption and MetS were statistically associated with PrU in the full model. Participants who were non-Hispanic, smokers, and drank over 30 drinks per month had greater odds of having a PrU compared with those who were Hispanic, non-smokers, and non-drinkers, respectively. Participants who had MetS had higher odds of PrU than those without MetS, even after adjusting for multiple covariates.