AUTHOR=Watson Paul K. , Arora Mohit , Middleton James W. , Quel de Oliveira Camila , Heard Robert , Nunn Andrew , Geraghty Timothy , Marshall Ruth , Davis Glen M. 

TITLE=Leisure-Time Physical Activity in People With Spinal Cord Injury—Predictors of Exercise Guideline Adherence

JOURNAL=International Journal of Public Health

VOLUME=Volume 67 - 2022

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1605235

DOI=10.3389/ijph.2022.1605235

ISSN=1661-8564

ABSTRACT=Objectives: This study described leisure-time physical activity (LTPA) for people in Australia with spinal cord injury (SCI) and whether certain sociodemographic and psychosocial variables might be associated with LTPA uptake and guideline adherence.
Methods: The Physical Activity Scale for Individuals with a Physical Disability was used to measure the intensity and volume of LTPA of 1579 individuals with SCI. Summary statistics were calculated for LTPA guideline adherence. Analyses included regression modelling.
Results: Of the 1579 participants, 58% performed LTPA and 13% adhered to recommended guidelines for weekly LTPA. There was low association with being an ‘exerciser’ based on the time since injury (OR = 1.019 [95% 1.010-1.027]), traumatic injury (OR = 0.687 [95% CI 0.497-0.949]) and how an individual rated their health (OR = 1.243 [95% CI 1.089-1.420]). Where LTPA guidelines were met, adherence was most related to traumatic injury (OR = 1.751 [95% CI 1.015-3.022]) and being unemployed (OR = 1.525 [95% CI 1.034-2.250]). 
Conclusion: Of those who performed LTPA, one in four met population-specific LTPA guidelines. Sociodemographic variables were moderately associated with being an ‘exerciser’ or LTPA ‘guideline-adherent’.