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  4. Impact of energy intake on the activities of daily living in patients with cervical spinal cord injury undergoing post-acute rehabilitation

Impact of energy intake on the activities of daily living in patients with cervical spinal cord injury undergoing post-acute rehabilitation

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2212333 · Published: January 1, 2024

Spinal Cord InjuryNutrition & DieteticsRehabilitation

Simple Explanation

This study investigates if sufficient energy intake affects activities of daily living (ADL) improvement in cervical spinal cord injury (CSCI) patients during rehabilitation. The study found that sufficient energy intake within the first 3 days of admission did not significantly improve ADL during hospitalization for these patients. However, in patients with incomplete motor paralysis, sufficient energy intake was positively associated with body weight change during hospitalization.

Study Duration
September 2013 to December 2020
Participants
116 patients with cervical spinal cord injury
Evidence Level
Retrospective cohort study

Key Findings

  • 1
    Sufficient energy intake within the first 3 days of admission did not affect functional outcomes in patients with CSCI.
  • 2
    Energy sufficiency was not associated with mFIM score at discharge and body weight change during hospitalization.
  • 3
    Sufficient energy intake within the first 3 days of admission was positively associated with body weight change during hospitalization in patients with incomplete motor paralysis.

Research Summary

The study examined the impact of sufficient energy intake within the first 3 days of admission on functional outcomes and body weight change during hospitalization in patients with CSCI undergoing rehabilitation. The results indicated that sufficient energy intake did not affect functional outcomes in patients with CSCI. However, sufficient energy intake was positively associated with body weight change in patients with incomplete motor paralysis.

Practical Implications

Personalized Energy Requirements

Energy requirements should be calculated considering injury site and severity.

Monitoring in Severe Cases

Patients with severe CSCI should be monitored regularly for excessive energy intake.

Preventing Overfeeding

It is important to measure resting metabolism and other parameters to calculate individualized energy requirements.

Study Limitations

  • 1
    Single-center study limiting generalizability.
  • 2
    Evaluation of energy intake only within the first 3 days of hospitalization.
  • 3
    Exclusion of participants transferred to other hospitals or with missing data.

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