Objectives: To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specifythe type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI). Setting: International. Methods: Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines’ scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d). Results: For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation). Conclusions: Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.

Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline / Martin Ginis, Kathleen A.; van der Scheer, Jan W.; Latimer-Cheung, Amy E.; Barrow, Andy; Bourne, Chris; Carruthers, Peter; Bernardi, Marco; Ditor, David S.; Gaudet, Sonja; de Groot, Sonja; Hayes, Keith C.; Hicks, Audrey L.; Leicht, Christof A.; Lexell, Jan; Macaluso, Steven; Manns, Patricia J.; Mcbride, Christopher B.; Noonan, Vanessa K.; Pomerleau, Pierre; Rimmer, James H.; Shaw, Robert B.; Smith, Brett; Smith, Karen M.; Steeves, John D.; Tussler, Dot; West, Christopher R.; Wolfe, Dalton L.; Goosey-Tolfrey, Victoria L.. - In: SPINAL CORD. - ISSN 1362-4393. - STAMPA. - 4:56(2018), pp. 308-321. [10.1038/s41393-017-0017-3]

Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline

Bernardi, Marco
Membro del Collaboration Group
;
2018

Abstract

Objectives: To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specifythe type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI). Setting: International. Methods: Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines’ scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d). Results: For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation). Conclusions: Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1043299
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