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  4. Calorie and Protein Intake in Acute Rehabilitation Inpatients with Traumatic Spinal Cord Injury Versus Other Diagnoses

Calorie and Protein Intake in Acute Rehabilitation Inpatients with Traumatic Spinal Cord Injury Versus Other Diagnoses

Top Spinal Cord Inj Rehabil, 2013 · DOI: 10.1310/sci1903-229 · Published: January 1, 2013

Spinal Cord InjuryNutrition & DieteticsRehabilitation

Simple Explanation

Obesity is a significant concern for individuals with spinal cord injury (SCI), increasing their risk of heart disease and other health problems. This study investigates the calorie and protein intake of SCI patients during acute inpatient rehabilitation. The study compares the dietary intake of SCI patients to that of patients with traumatic brain injury (TBI), stroke, and Parkinson's disease (PD) to understand if SCI patients consume more calories and protein. The findings suggest that SCI patients in acute rehabilitation consume more calories than stroke and PD patients, highlighting the need for tailored nutritional education to prevent overeating and promote healthier outcomes.

Study Duration
1 year (September 1, 2009 to August 31, 2010)
Participants
78 acute rehabilitation inpatients (SCI=16, TBI=9, Stroke=43, PD=10)
Evidence Level
Not specified

Key Findings

  • 1
    SCI patients had a significantly higher mean calorie intake compared to stroke and Parkinson's disease patients during acute inpatient rehabilitation.
  • 2
    Multiple linear regression analysis revealed that younger age and male gender were significant predictors of increased calorie and protein intake, regardless of diagnosis.
  • 3
    Diagnosis was not a predictor of calorie or protein intake in the regression model, suggesting that other factors like age and gender play a more significant role.

Research Summary

This study aimed to compare calorie and protein intake in acute rehabilitation inpatients with spinal cord injury (SCI) versus those with traumatic brain injury (TBI), stroke, and Parkinson's disease (PD). The results indicated that SCI patients consumed significantly more calories than stroke and PD patients. However, after regression analysis, age and gender were found to be more significant predictors of calorie and protein intake than diagnosis. The study concludes that education regarding appropriate calorie intake should be given to patients with SCI in the acute inpatient rehabilitation setting, particularly targeting younger, male patients.

Practical Implications

Nutritional Education

Implement targeted nutritional education programs for SCI patients in acute rehabilitation, focusing on appropriate calorie intake to prevent obesity.

Personalized Dietary Plans

Develop personalized dietary plans based on age, gender, and individual metabolic needs to address the risk of overeating in specific patient subgroups.

Early Intervention

Provide early nutritional counseling and intervention to younger, male SCI patients to mitigate the risk of excessive calorie and protein consumption.

Study Limitations

  • 1
    Small number of participants
  • 2
    Performed in a single facility
  • 3
    Did not measure weight at any time point other than admission

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