{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:48:04Z","timestamp":1776826084346,"version":"3.51.2"},"reference-count":98,"publisher":"American Spinal Injury Association","issue":"Supplement1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Physical inactivity is highly prevalent among individuals with spinal cord injury (SCI), contributing to secondary health conditions and reduced quality of life (QOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To examine the independent associations between adherence to SCI cardiorespiratory fitness guidelines and health and psychosocial outcomes, while controlling for relevant covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>We conducted a multisite, cross-sectional study of adults with traumatic SCI stratified by self-reported leisure-time physical activity: no activity (28%), some activity (41%), and met guidelines (26%). Multivariable regression models analyzed associations between physical activity (PA) group and outcomes of hospitalization, self-perceived health, resilience (SCI-QOL Resilience), pain, depression (PHQ-8), QOL (SWLS), and social integration (CHART-SF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The study included 361 participants (no activity, 28%; some activity, 41%; met guidelines, 26%). Meeting PA guidelines was associated with better self-perceived health (odds ratio [OR] 2.79,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and higher resilience (\u03b2 = 1.78,\n                      <jats:italic>P<\/jats:italic>\n                      = .04) compared to the No Activity group. However, hospitalization risk was unexpectedly higher for both the Some Activity (risk ratio [RR] 1.93,\n                      <jats:italic>P<\/jats:italic>\n                      = .005) and Met Guidelines (RR 1.75,\n                      <jats:italic>P<\/jats:italic>\n                      = .03) groups. After adjusting for covariates, PA was not significantly associated with pain, depression, QOL, or social integration; instead, higher income was consistently associated with better outcomes in these domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Adherence to SCI exercise guidelines is associated with enhanced self-perceived health and resilience. However, PA alone was not associated with broader psychosocial outcomes in this model, where socioeconomic factors such as income appeared to play a significant explanatory role.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.46292\/sci25-00120","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:17:19Z","timestamp":1776824239000},"page":"103-117","source":"Crossref","is-referenced-by-count":0,"title":["Association of Meeting Physical Activity Guidelines With Psychosocial and Health Outcomes in Spinal Cord Injury"],"prefix":"10.46292","volume":"32","author":[{"given":"Kimberley R.","family":"Monden","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela Hanks","family":"Philippus","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nidhi","family":"Pai","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Health Data Science, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie","family":"Shogren","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erjia","family":"Cui","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Health Data Science, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse L.","family":"Kowalski","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abby","family":"Welch","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda A.","family":"Herrmann","sequence":"additional","affiliation":[{"name":"HealthPartners Institute Neuroscience Research Center, St. Paul, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah R.","family":"Hanson","sequence":"additional","affiliation":[{"name":"HealthPartners Institute Neuroscience Research Center, St. Paul, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald K.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shraddha","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"DeRasmi","sequence":"additional","affiliation":[{"name":"Courage Kenny Rehabilitation Institute, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim D.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, The MetroHealth System and Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth R.","family":"Felix","sequence":"additional","affiliation":[{"name":"Christine E. Lynn Rehabilitation Center for the Miami Project to Cure Paralysis, UHealth\/Jackson Rehabilitation Care, Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Groah","sequence":"additional","affiliation":[{"name":"MedStar National Rehabilitation Hospital, Washington, DC"},{"name":"MedStar Georgetown University Hospital, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Valeria","family":"Aguirre Guemez","sequence":"additional","affiliation":[{"name":"MedStar National Rehabilitation Hospital, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Martinez","sequence":"additional","affiliation":[{"name":"Christine E. Lynn Rehabilitation Center for the Miami Project to Cure Paralysis, UHealth\/Jackson Rehabilitation Care, Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie R.","family":"Morse","sequence":"additional","affiliation":[{"name":"Christine E. Lynn Rehabilitation Center for the Miami Project to Cure Paralysis, UHealth\/Jackson Rehabilitation Care, Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn","family":"Worobey","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"key":"b1","series-title":"Prev Chronic Dis","first-page":"E65","article-title":"Changes in physical inactivity among US adults overall and by sociodemographic characteristics, Behavioral Risk Factor Surveillance System, 2020 versus 2018","volume":"20","author":"Van Dyke ME","year":"2023","unstructured":"Van Dyke ME, Chen TJ, Nakayama JY, Moore LV, Whitfield GP. 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