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  4. Identification of Mood and Body Mass Index as Modifiable Factors for Health Improvement in Spinal Cord Injury

Identification of Mood and Body Mass Index as Modifiable Factors for Health Improvement in Spinal Cord Injury

Archives of Rehabilitation Research and Clinical Translation, 2022 · DOI: https://doi.org/10.1016/j.arrct.2021.100174 · Published: January 1, 2022

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

Spinal cord injury (SCI) can significantly impact an individual’s psychological health, leading to emotional disorders and an increased risk of depression. The restriction of physical activity and altered nervous system function contribute to these mental health challenges. In addition to mood imbalances, body weight is another factor that is often overlooked in individuals with SCI. Reduced physical activity and mobility can affect body weight, increasing the risk of depression and other health complications. This study examines the link between body mass index (BMI) and mood (positive and negative affect) in individuals with SCI. Understanding this relationship is crucial for improving rehabilitation outcomes and overall quality of life.

Study Duration
October 2016 to February 2021
Participants
142 individuals with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Higher BMI is negatively correlated with positive affect in individuals with SCI, suggesting that increased body weight may contribute to lower motivation and enthusiasm.
  • 2
    Younger individuals with SCI are more likely to have a lower BMI compared to older individuals, possibly due to the prolonged sedentary lifestyle associated with chronic SCI.
  • 3
    Men with SCI are more likely to have lower negative affect compared to women, indicating that women with SCI may be at a higher risk for mental health problems.

Research Summary

This study investigates the relationship between body mass index (BMI) and mood (positive and negative affect) in individuals with spinal cord injury (SCI), considering factors such as age, sex, and level of injury. The findings suggest that higher BMI is associated with lower positive mood, while age and sex can influence the prevalence of negative mood in SCI patients. The study emphasizes the importance of addressing both physical and mental health in SCI rehabilitation through interventions like physical activity and proactive counseling.

Practical Implications

Physical Activity Interventions

Encourage regular physical activity and exercise to help regulate body weight and improve positive mood in individuals with SCI.

Proactive Counseling

Provide counseling and therapeutic activities to address negative mood and promote mental well-being, particularly for women with SCI.

Age-Specific Strategies

Develop tailored interventions for younger and older individuals with SCI, considering the different factors influencing their BMI and mood.

Study Limitations

  • 1
    Lack of information on preinjury body mass and fitness-related lifestyle.
  • 2
    Premorbid negative personality or high BMI could have heightened NA scores.
  • 3
    Postinjury situational differences could affect mood.

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