{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:36:17Z","timestamp":1784291777369,"version":"3.55.0"},"reference-count":39,"publisher":"Canadian Science Publishing","issue":"2","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.nrcresearchpress.com\/page\/about\/CorporateTextAndDataMining"}],"content-domain":{"domain":["cdnsciencepub.com"],"crossmark-restriction":false},"short-container-title":["Appl. Physiol. Nutr. Metab."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p> Increased visceral adiposity places individuals with chronic spinal cord injury (SCI) at increased risk of cardiometabolic disease. The purpose of this study was to identify if people with chronic SCI who participate in any moderate- to vigorous-intensity leisure time physical activity (LTPA) have lower visceral adipose tissue (VAT) area compared with those who report none. Participants included 136 adult men (n = 100) and women (n = 36) with chronic (mean (\u00b1SD) 15.6 \u00b1 11.3 years post-injury) tetraplegia (n = 66) or paraplegia (n = 70) recruited from a tertiary rehabilitation hospital. VAT area was assessed via whole-body dual-energy X-ray absorptiometry using a Hologic densitometer and the manufacturer\u2019s body composition software. Moderate-to-vigorous LTPA was assessed using the Leisure Time Physical Activity Questionnaire for People with SCI (LTPAQ-SCI) or the Physical Activity Recall Assessment for People with SCI (PARA-SCI). Summary scores were dichotomized into any or no participation in moderate-to-vigorous LTPA to best represent the intensity described in current population-specific physical-activity guidelines. Data were analyzed using univariate and multiple regression analyses to identify the determinants of VAT. Overall, the model explained 67% of the variance in VAT area and included time post-injury, age-at-injury, android\/gynoid ratio, waist circumference, and moderate-to-vigorous LTPA. Participation in any moderate-to-vigorous LTPA was significantly (95% confidence interval: \u201334.71 to \u20132.61, p = 0.02) associated with VAT after controlling for injury-related and body-composition correlates. Moderate-to-vigorous LTPA appears to be related to lower VAT area, suggesting potential for LTPA to reduce cardiometabolic disease risk among individuals with chronic SCI. <\/jats:p>","DOI":"10.1139\/apnm-2017-0304","type":"journal-article","created":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T21:35:42Z","timestamp":1507671342000},"page":"139-144","update-policy":"https:\/\/doi.org\/10.1139\/csp-crossmark-policy","source":"Crossref","is-referenced-by-count":17,"title":["Participation in moderate-to-vigorous leisure time physical activity is related to decreased visceral adipose tissue in adults with spinal cord injury"],"prefix":"10.1139","volume":"43","author":[{"given":"Chelsea A.","family":"Pelletier","sequence":"first","affiliation":[{"name":"Toronto Rehabilitation Institute \u2013 University Health Network, Brain and Spinal Cord Rehabilitation Program, Toronto, ON M4G 3V9, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Omidvar","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute \u2013 University Health Network, Brain and Spinal Cord Rehabilitation Program, Toronto, ON M4G 3V9, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masae","family":"Miyatani","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute \u2013 University Health Network, Brain and Spinal Cord Rehabilitation Program, Toronto, ON M4G 3V9, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lora","family":"Giangregorio","sequence":"additional","affiliation":[{"name":"Toronto Rehabilitation Institute \u2013 University Health Network, Brain and Spinal Cord Rehabilitation Program, Toronto, ON M4G 3V9, Canada."},{"name":"Department of Kinesiology, University of Waterloo, Waterloo, ON N2L 3G1, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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