The Relationship Between Basal Metabolic Rate and Femur Bone Mineral Density in Men With Traumatic Spinal Cord Injury

Yılmaz, Bilge; Yaşar, Evren; Göktepe, Ahmet Salim; Önder, Mustafa Erkut; Alaca, Rıdvan; Yazıcıoğlu, Kamil; Möhür, Haydar

doi:10.1016/j.apmr.2007.02.037

Cited by 32 publications

(34 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Differences in measured REE were also observed between other SCI subgroups in the study by Yilmaz 3 where REE was found to correlate with lower 34 the overestimation of REE increased to 90%. Although the study by Aquilani was the only one to find measured REE similar to predicted REE using the Harris Benedict equation, the authors highlighted that the study populations were likely to be hypermetabolic because of the presence of pressure injuries and urinary tract infections.…”

Section: Measured Reesupporting

confidence: 50%

“…Bone mineral density was found to correlate with REE in the study by Yilmaz et al, 3 whereas Bauman found that REE and lean tissue mass increased significantly in hypogonadal men with SCI receiving testosterone replacement therapy. 31 Anti-spasticity medications commonly prescribed in SCI have been shown to suppress REE in non-injured populations, 39 and common secondary complications such as pressure injuries and urinary tract infections may increase energy needs.…”

Section: Discussionmentioning

confidence: 95%

“…is the standard error and n is the sample size. Several studies reported findings by subgroup only, such as male and female or paraplegic and tetraplegic, 3,[24][25][26][27] and it failed to report a mean for the cohort. To enable ease of comparison between studies, subgroup means were combined and a weighted group mean and standard deviation was calculated for each study using the following equation:…”

Section: Discussionmentioning

confidence: 99%

“…SCI is initially associated with catabolic conditions of trauma such as spinal shock and patients may be at risk of weight loss, malnutrition and pressure injuries. 1 In the long term, SCI results in marked body composition changes, specifically muscle atrophy below the level of injury and higher relative fat mass compared with people without SCI, [1][2][3] which may contribute to decreases in resting energy expenditure (REE). In an environment of reduced mobility, energy needs are further reduced, and there is an increased risk of weight gain and obesity-related chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Investigation of measured and predicted resting energy needs in adults after spinal cord injury: a systematic review

et al. 2015

View full text Add to dashboard Cite

Background: Accurate estimation of energy needs is vital for effective nutritional management of individuals with spinal cord injury (SCI). Inappropriate energy prescription after SCI can compound the rates of malnutrition or obesity, increase the risk of complications and negatively influence outcomes. Energy requirements following SCI are not well understood, and there is currently no universally accepted method of estimating energy needs in clinical practice. Study design: This is a systematic literature review. Objectives: The objectives of this study were to investigate and compare the measured resting energy needs of adults with SCI across different phases of rehabilitation, and to identify appropriate energy prediction equations for use in SCI. Setting: This study was conducted in Australia. Methods: MEDLINE, EMBASE and CENTRAL databases were searched for studies published between 1975 and April 2015, identifying 298 articles. Full articles in English language of adults with SCI who were fasted for a minimum of 8 hours before undergoing indirect calorimetry to measure resting energy expenditure (REE) for at least 20 min were selected. On the basis of the inclusion criteria, 18 articles remained for data extraction. One author extracted information from all articles, and inter-rater reliability was tested in five articles. Results: REE across three phases of injury was assessed: acute, sub-acute and chronic. Few studies (n = 2) have investigated REE in the acute and sub-acute injury stages of SCI recovery. The factors influencing chronic energy needs in SCI patient populations are many and varied, and a valid predictive equation for use in SCI remains elusive. SCI is initially associated with catabolic conditions of trauma such as spinal shock and patients may be at risk of weight loss, malnutrition and pressure injuries. 1 In the long term, SCI results in marked body composition changes, specifically muscle atrophy below the level of injury and higher relative fat mass compared with people without SCI, 1-3 which may contribute to decreases in resting energy expenditure (REE). In an environment of reduced mobility, energy needs are further reduced, and there is an increased risk of weight gain and obesity-related chronic diseases. 4,5 To prescribe an appropriate daily energy intake, an individual's total daily energy expenditure (TDEE) must be determined. An individual's TDEE comprises three components, two of which may be considerably affected by SCI. Basal metabolic rate (BMR) is the minimum energy required for the basal processes of life, and it contributes the majority (~70%) of TDEE in a healthy person. 6 In the clinical literature, the term BMR is often used interchangeably with REE, and for the purpose of this review REE is defined as the energy expended in an awake, alert individual in a rested position following

show abstract

Section: Measured Reesupporting

confidence: 50%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Investigation of measured and predicted resting energy needs in adults after spinal cord injury: a systematic review

et al. 2015

View full text Add to dashboard Cite

show abstract

“…SCI affects health-related quality of life and is associated with increased preterm mortality. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Health and social care expenditure related to SCI varies according to severity of injury, but is generally high. Inpatient rehabilitation appears to be the most expensive part of health care provided to SCI person.…”

Section: Introductionmentioning

confidence: 99%

Need for a comprehensive epidemiologic study of spinal cord injury in Poland: findings from a systematic review

et al. 2013

View full text Add to dashboard Cite

Objective: To review and assess the quality of available epidemiologic data of spinal cord injury (SCI) in Poland in the context of general International Classification of Functioning (ICF) domains and to answer the question whether there is a need for a comprehensive epidemiologic study of SCI in Poland. Methods: Databases Medline, Embase and Polish Medical Bibliography were searched using keywords 'spinal cord injury', 'paraplegia', 'tetraplegia' and 'Poland'. Inclusion criteria: studies on humans, original papers, publication in 1979 or later. Case reports and studies with unclear inclusion criteria or performed on a population other than Polish were excluded. Full texts were reviewed for data on incidence, prevalence, etiology, mortality, natural history and outcome of comprehensive treatment. Quality of studies was assessed according to the modified Downs and Black criteria. The ICF model was applied to group the studies according to the ICF components. Results: Out of 536 identified papers, 224 articles were extracted and reviewed. Mean quality score was 11.04 points based on a 28-grade scale. Body functions and structures were assessed in 81.6%, activities in 22.4%, participation in 14.8%, environmental factors in 15.2% and personal factors in 47% of the studies reviewed. Conclusion: Current epidemiologic data on SCI in Poland are insufficient and biased toward biomedical aspects. There is a need to develop a long-term research strategy for SCI in Poland in the form of a comprehensive cohort study. Spinal Cord (2013) 51, 802-808; doi:10.1038/sc.2013.105; published online 17 September 2013Keywords: spinal cord injury; Poland; paraplegia; tetraplegia INTRODUCTIONMany people with disabilities worldwide, including those in Poland, do not have equal access to health care, education, employment and experience exclusion from activities of everyday life. 1 On 6 September 2012, Poland ratified the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), which aims to ensure the equality of rights and opportunities for persons with disabilities. 2 Disability associated with spinal cord injury (SCI) is serious and can last a lifetime. All organs and systems below the level of lesion can be affected. In addition to the loss of sensory and somatic functions, a wide range of other functional and structural problems is observed in individuals with SCI. These may include cardiovascular and respiratory problems, spasticity, neurogenic bladder and bowel, sexual dysfunction and neurogenic pain. SCI also increases the risk of respiratory and urinary complications, pressure sores, gastrointestinal bleeding, osteoporosis, male infertility, diabetes mellitus, ischemic heart disease, depression and suicide. SCI affects health-related quality of life and is associated with increased preterm mortality. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Health and social care expenditure related to SCI varies according to severity of injury, but is generally high. Inpatient rehabilitation appears to be ...

show abstract

Optimal Management of Osteoporosis in the Spinal Cord (Injury) Population

Poku,

Fedorko,

Weaver

2024

Endocrinology and Metabolism Clinics of North America

View full text Add to dashboard Cite

The Relationship Between Basal Metabolic Rate and Femur Bone Mineral Density in Men With Traumatic Spinal Cord Injury

Cited by 32 publications

References 23 publications

Investigation of measured and predicted resting energy needs in adults after spinal cord injury: a systematic review

Investigation of measured and predicted resting energy needs in adults after spinal cord injury: a systematic review

Need for a comprehensive epidemiologic study of spinal cord injury in Poland: findings from a systematic review

Optimal Management of Osteoporosis in the Spinal Cord (Injury) Population

Contact Info

Product

Resources

About