Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. Changes in body composition during and after inpatient rehabilitation in people with recent spinal cord injury

Changes in body composition during and after inpatient rehabilitation in people with recent spinal cord injury

Spinal Cord Series and Cases, 2021 · DOI: https://doi.org/10.1038/s41394-021-00446-x · Published: September 7, 2021

Spinal Cord InjuryPhysiologyRehabilitation

Simple Explanation

This study looked at how body composition changes in people who recently experienced a spinal cord injury (SCI) during their initial rehabilitation in the hospital and up to a year after they were discharged. The researchers wanted to see if these changes differed based on personal factors like age and sex, as well as the specifics of their injury. They found that while body composition remained relatively stable during inpatient rehabilitation, there was a significant increase in BMI (Body Mass Index) in the year following discharge. Furthermore, individuals with paraplegia experienced a greater increase in waist circumference compared to those with tetraplegia.

Study Duration
1 year
Participants
53 people with recent SCI, a sub-group of 19 was measured at 1 year
Evidence Level
Prospective cohort study

Key Findings

  • 1
    During inpatient rehabilitation, no significant changes in all body composition parameters were found.
  • 2
    During the first year after discharge, body mass index (26.8 kg/m2) significantly increased compared with the level at both admission (25.4 kg/m2; p = 0.01, 95% CI: 0.32–2.52) and discharge (25.1 kg/m2; p = 0.02, 95% CI: 0.26–3.00).
  • 3
    People with paraplegia showed an increase in absolute waist circumference (6.5%) compared with people with tetraplegia who showed a net decrease (−5.5%) in the year after discharge (p = 0.047, 95% CI: 0.27–33.62).

Research Summary

The study investigated changes in body composition in individuals with recent SCI during inpatient rehabilitation and up to one year post-discharge. Body composition remained relatively stable during inpatient rehabilitation. BMI increased significantly in the year following discharge, with paraplegic individuals showing a greater increase in waist circumference compared to tetraplegic individuals.

Practical Implications

Dietary Management

Highlights the need for dietary management and exercise prescription during the challenging period after discharge to counteract unfavorable body composition trends.

Targeted Interventions

Suggests that people with paraplegia need targeted interventions regarding diet and exercise to control the risk of body mass and fat mass gain.

Awareness and Education

Emphasizes the importance of awareness and education for both rehabilitation professionals and people with SCI regarding the control of body composition after discharge.

Study Limitations

  • 1
    Use of self-reported height for BMI calculation.
  • 2
    Lack of segmental body composition data from BIA.
  • 3
    Small sample size for follow-up measurements at 1 year after discharge.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury