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  4. Maintenance of diet participation in individuals with spinal cord injury: effect on mood and neuropathic pain

Maintenance of diet participation in individuals with spinal cord injury: effect on mood and neuropathic pain

Spinal Cord Series and Cases, 2018 · DOI: 10.1038/s41394-018-0131-2 · Published: October 16, 2018

Spinal Cord InjuryPain ManagementNutrition & Dietetics

Simple Explanation

This study investigated whether individuals with spinal cord injury (SCI) could maintain an anti-inflammatory diet one year after a 3-month intervention and how this affected their neuropathic pain and mood. Five participants who completed a 3-month anti-inflammatory diet were reassessed after one year for dietary compliance, depression, and neuropathic pain. The study found that diet compliance decreased significantly at the 1-year follow-up, and improvements in mood were lost. However, improvements in sensory pain were maintained.

Study Duration
1-year
Participants
5 individuals (4 female, 1 male) with chronic SCI
Evidence Level
Randomized clinical trial follow-up

Key Findings

  • 1
    Diet compliance significantly decreased from 92.6% at 3 months to 43.0% at the 1-year follow-up (p < 0.01).
  • 2
    CES-D scores, indicating depression, showed a trend toward an increase from 3 months to follow-up (p = 0.10), returning to baseline levels.
  • 3
    Sensory NPQ scores remained significantly lower than baseline at the 1-year follow-up (p = 0.02), indicating maintained improvement in sensory pain.

Research Summary

This study followed up with individuals with SCI who had previously completed a 3-month anti-inflammatory diet to assess their dietary compliance and the persistence of benefits related to mood and neuropathic pain after 1 year. The results showed a significant reduction in diet compliance at the 1-year follow-up, and the improvements in mood observed at 3 months were lost. However, the improvement in sensory pain was maintained. The study emphasizes the importance of continued compliance with an anti-inflammatory diet to maintain benefits related to mood and neuropathic pain in individuals with SCI and highlights the need to address barriers to long-term dietary adherence.

Practical Implications

Long-Term Diet Adherence

Continued compliance with anti-inflammatory diets is crucial for maintaining benefits in mood and neuropathic pain management for individuals with SCI.

Barrier Identification

Identifying and addressing barriers to long-term dietary adherence is essential for successful implementation of dietary interventions.

Modified Diet Approach

Exploring less strict, more sustainable dietary approaches may be beneficial in achieving long-term adherence and favorable outcomes.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of biomarker data
  • 3
    Limited generalizability

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