Weight loss intention, dietary behaviors, and barriers to dietary change in veterans with lower extremity amputations

Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users

“…In line with the studies of Hall et al [31], Bailey et al [32] and Littman et al [16] in respectively women with physical disabilities, persons with SCI and veterans with LLA, our study population mentioned fatigue, lack of intrinsic motivation, lack of knowledge, lack of time, habits, costs of healthy foods, unhealthy food supply and eating out as important personal and environmental barriers to healthy dietary behaviour. However, in the study of Bailey et al [32], "lack of knowledge" related to meal planning and preparation to adhere to an anti-inflammatory diet, while in our study this related to what healthy food is and energy and protein requirements.…”

“…Perceived facilitators of healthy dietary behaviour were, in contrast, less studied by Hall et al [31] and Littman et al [16] or by others. Bailey et al [32] explored facilitators of adherence to an anti-inflammatory diet, and in accordance with us, identified social support and having positive experiences, e.g.…”

“…Littman et al studied barriers to making dietary changes in veterans with LLA. In this group, the most reported barriers to changing dietary behaviour were habits, costs, psychological distress, lack of time, too much unhealthy food at work and home, eating out, and not knowing where to start [16].…”

“…The most pronounced increase appears in the first year after discharge from inpatient rehabilitation [14]. A high BMI is also common in persons with LLA [15,16]. Studies in persons with SCI or LLA report prevalence rates of overweight, obesity and metabolic syndrome ranging from 43 to 75 percent [14,[16][17][18][19][20].…”

“…A high BMI is also common in persons with LLA [15,16]. Studies in persons with SCI or LLA report prevalence rates of overweight, obesity and metabolic syndrome ranging from 43 to 75 percent [14,[16][17][18][19][20]. An increased BMI is a leading cause of preventable deaths due to the relation with cardiovascular diseases and several other (chronic) diseases [1,21].…”