PLoS ONE, 2017 · DOI: https://doi.org/10.1371/journal.pone.0173934 · Published: March 27, 2017
This study investigates how damage to the nerves controlling the liver and abdominal fat affects fat levels in the blood, specifically triglyceride-rich lipoproteins, in men with spinal cord injury. The researchers compared men with spinal cord injuries at different levels of the spine to see if the level of injury, and therefore the extent of nerve damage, influenced their triglyceride and VLDL levels. They found that men with higher spinal cord injuries, which likely meant more nerve damage affecting the liver and abdominal fat, had lower levels of these fats in their blood compared to those with lower injuries.
Persons with SCI at or distal to T5 who are overweight/obese may warrant more aggressive clinical monitoring.
Rehabilitation intervention(s) to increase the level of activity and, if possible, reduce adiposity in an effort to maintain peripheral insulin sensitivity and thus improve the lipid profile and associated risk of cardiovascular disease.
Functional sympathetic innervation to the abdomen should be recognized as an important contributing factor in the prediction of the concentration of circulating TRL products