According to this study, obesity is among several cardiovascular disease risk factors that commonly affect persons with paraplegia and spinal cord injuries. The rate of obesity was high in this study, as 70.4% of participants were obese. The obesity was associated with low levels of physical activity, especially in the group with complete spinal cord lesions, wherein participants had an activity level near sedentary. For the individuals who have near sedentary activity levels, activities such as 30 minutes of arm cycling or 27 minutes of wheelchair basketball or other aerobic activities on most days of the week can increase physical activity levels to meet the WHO recommendations.

Overall, it is recommended that persons with paraplegia increase the frequency, duration, and/or intensity of their physical activity to limit obesity and cardiovascular disease risk factors. To meet these goals, it is recommended to focus on improving mobility and functional tasks with a combination of flexibility, strength training, and aerobic fitness. Flexibility should be performed daily and strength training at least two days per week to improve the ability to perform activities of daily living and instrumental activities of daily living. Aerobic exercise is recommended for most days of the week and can include wheeling, cycling, rowing, and seated aerobics. Arm or wheelchair ergometers can be used to determine exercise level and appropriate prescription. Adopting an active lifestyle can not only reduce the susceptibility to obesity, but also improve daily function and activities opening up the ability to be more independent.