Nutrition in Spinal Cord Injury Patients

Jj, Barboriak; Cb, Rooney; Az, El Ghatit; Spuda, K; Aj, Anderson

doi:10.1080/01952307.1983.11735976

Cited by 21 publications

(10 citation statements)

References 6 publications

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“…9 In fact, the nutritional behavior of patients with SCI has been investigated in several studies so far. 4,[9][10][11][12][13][14] However, all these studies were focussed on SCI. To our knowledge no study so far has concurrently investigated two comparable groups with acute and chronic SCI.…”

Section: Introductionmentioning

confidence: 99%

Comparison of nutritional intake between individuals with acute and chronic spinal cord injury

Perret

Stoffel

2011

The Journal of Spinal Cord Medicine

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Objective: To compare the nutritional intake of patients with acute and chronic spinal cord injury (SCI). Design: Cross-sectional, observational study. Setting: Spinal cord unit. Methods: Twelve in-house patients of a spinal cord unit with acute SCI and paralysis duration of 5.3 ± 2.5 months (acute group) were compared with 12 subjects with chronic SCI (chronic group) with lesion duration of 55.5 ± 21.0 months. All subjects recorded their nutritional intake for 7 days, which was analyzed for intake of energy, proteins, fat, carbohydrates, vitamins, mineral nutrients, fluid, and dietary fiber. Resting energy expenditure (REE) and total body fat were also determined. Results: The chronic group showed a significantly higher total body fat content compared to the acute group (19.4 ± 3.8 vs. 15.7 ± 4.3%). All other parameters were not significantly different between groups. Both groups ingested excessive fat and insufficient amounts of carbohydrates compared with common nutritional recommendations. Low intakes of vitamins C, D, E, biotin, folic acid, as well as potassium and iron were found. Conclusions: No differences were found in the nutritional intakes of two comparable groups of subjects with acute and chronic SCI. Independent of lesion duration, subjects with SCI showed considerable deviations from the general accepted nutritional recommendations concerning macro-and micronutrients intake. Professional nutritional education for persons with SCI should start as soon as possible after injury to prevent nutrition-related secondary complications like cardiovascular diseases. Periodic determinations of body fat content and REE combined with a physical activity program might be helpful as well.

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Section: Introductionmentioning

confidence: 99%

Comparison of nutritional intake between individuals with acute and chronic spinal cord injury

Perret

Stoffel

2011

The Journal of Spinal Cord Medicine

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“…На уровень метаболических расходов после травмы ЦНС оказывает влияние также сохранность нейрогенной стимуляции мышц [33][34][35][36][37]. У возбужденных пациентов с ЧМТ энергопотребление в покое может доходить до 200% от рассчитанного по формуле Харриса-Бенедикта.…”

Section: Abstract: Traumatic Brain Injury Spinal Cord Injury Metabounclassified

Assessment of need in nutritional support in patients with the consequences of central nervous system injuries

Gumarova

Бодрова

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Traumatic brain injury (TBI) and spinal cord injury (SCI) are most common causes of death and disability in young patients. Metabolic changes occur immediately after the acute injury of the central nervous system. However hypermetabolic response in SCI is less pronounced compared to that in TBI that could be explained by the weakness of denervated muscles and hypodynamia. Following SCI, the level of resting energy expenditure is lower comparison to that calculated using the Harris-Benedict formula. Indirect calorimetry corresponded to class II (B) medical evidence, is recommended as a method for assessment of energy expenditure in the acute stage of TBI and SCI as well as in their consequences. Nutritional support is favorable and safe and therefore, it should be used as soon as possible. Many studies provide evidence that nutritional support leads to the replenishment of energy expenditure, reduce catabolic processes and nitrogen loss thus minimizing the risk of complications that in future decrease the extent of disability and increase quality-of-life of patients with the consequences of central nervous system injuries.

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“…31,33,34,40 This observation contrasts earlier studies that reported low caloric intakes for persons with tetraplegia, but not paraplegia. 41,42 More precise data on total caloric expenditure in relation to total energy expenditure are needed to make specific dietary recommendations for persons with SCI, and better matching of caloric intake and expenditure should represent a primary goal of dietary therapy.…”

Section: Dietary Intake Total Caloric Intakementioning

confidence: 99%

Evidence-based and heuristic approaches for customization of care in cardiometabolic syndrome after spinal cord injury

Nash

Cowan

Kressler

2012

The Journal of Spinal Cord Medicine

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Component and coalesced health risks of the cardiometabolic syndrome (CMS) are commonly reported in persons with spinal cord injuries (SCIs). These CMS hazards are also co-morbid with physical deconditioning and elevated pro-atherogenic inflammatory cytokines, both of which are common after SCI and worsen the prognosis for all-cause cardiovascular disease. This article describes a systematic procedure for individualized CMS risk assessment after SCI, and emphasizes evidence-based and intuitioncentered countermeasures to disease. A unified approach will propose therapeutic lifestyle intervention as a routine plan for aggressive primary prevention in this risk-susceptible population. Customization of dietary and exercise plans then follow, identifying shortfalls in diet and activity patterns, and ways in which these healthy lifestyles can be more substantially embraced by both stakeholders with SCI and their health care providers. In cases where lifestyle intervention utilizing diet and exercise is unsuccessful in countering risks, available pharmacotherapies and a preferred therapeutic agent are proposed according to authoritative standards. The over-arching purpose of the monograph is to create an operational framework in which existing evidence-based approaches or heuristic modeling becomes best practice. In this way persons with SCI can lead more active and healthy lives.

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Nutrition in Spinal Cord Injury Patients

Cited by 21 publications

References 6 publications

Comparison of nutritional intake between individuals with acute and chronic spinal cord injury

Comparison of nutritional intake between individuals with acute and chronic spinal cord injury

Assessment of need in nutritional support in patients with the consequences of central nervous system injuries

Evidence-based and heuristic approaches for customization of care in cardiometabolic syndrome after spinal cord injury

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