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  4. Electrically induced cycling and nutritional counseling for counteracting obesity after spinal cord injury: A pilot study

Electrically induced cycling and nutritional counseling for counteracting obesity after spinal cord injury: A pilot study

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2019.1710939 · Published: July 1, 2021

Spinal Cord InjuryEndocrinologyNeurology

Simple Explanation

This study explores how combining electrically stimulated cycling with nutritional advice can help obese adults who have spinal cord injuries. Participants were split into two groups: one received both cycling and counseling, while the other only received nutritional counseling. The group that cycled and received counseling showed a greater decrease in body fat percentage and gained more lean muscle mass in their legs.

Study Duration
8 weeks
Participants
10 participants with chronic SCI
Evidence Level
Level III, Pilot Study

Key Findings

  • 1
    Participants in the FES & Nutri group had a statistically significant greater decrease in body fat percentage compared to those in the Nutri Only group.
  • 2
    The FES & Nutri group gained more lean mass in their legs compared to the Nutri Only group.
  • 3
    There was a nominal drop in the mean blood glucose levels for the FES & Nutri group and the Nutri Only group, however neither change was found to be statistically significant.

Research Summary

This pilot study investigated the efficacy of combining interval functional electrical stimulation (FES) cycling with nutritional counseling in obese adults with SCI. The FES & Nutri group showed a statistically significant decrease in body fat percentage and an increase in legs lean mass compared to the Nutri Only group. The authors suggest future studies with larger participant numbers, a preliminary strengthening program, increased exercise volume, and a more involved role for nutritional counseling to optimize treatment for obesity in this population.

Practical Implications

Weight Management Programs

The study suggests that combining FES cycling and nutritional counseling can be a beneficial strategy for weight management in individuals with SCI.

Rehabilitation Strategies

The findings support the integration of FES cycling into rehabilitation programs to improve body composition and muscle mass in paralyzed limbs.

Nutritional Interventions

The study highlights the need for more comprehensive nutritional counseling to address caloric intake and promote healthier eating habits among individuals with SCI.

Study Limitations

  • 1
    Small sample size (n = 5 per group)
  • 2
    Use of BMI as a matching factor may be less accurate than body fat percentage
  • 3
    The two groups were uneven in terms of intervention

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