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  4. Potential barriers to the use of anti‐obesity medications in persons with spinal cord injuries and disorders

Potential barriers to the use of anti‐obesity medications in persons with spinal cord injuries and disorders

Obes Sci Pract, 2024 · DOI: 10.1002/osp4.784 · Published: July 23, 2024

Spinal Cord InjuryPharmacologyEndocrinology

Simple Explanation

This study explores the perspectives of healthcare providers (HCPs) regarding the use of anti-obesity medications (AOMs) in individuals with spinal cord injuries and disorders (SCI/D). The research identifies key barriers that HCPs perceive as hindering the use of AOMs in this specific population. The study highlights concerns about potential side effects of AOMs, such as gastrointestinal issues, bowel problems, and skin breakdown, which could be exacerbated in individuals with SCI/D. Additionally, HCPs worry that AOMs might contribute to poor eating habits and a reliance on medication rather than adopting healthy lifestyle choices. The research also points out challenges related to the accessibility, availability, and administration of AOMs, as well as a general lack of evidence and clinical agreement on their use in the SCI/D population. The study emphasizes the need for further research to understand the interaction of AOMs with chronic conditions associated with SCI/D and to build evidence for safe and effective use.

Study Duration
May to July 2023
Participants
12 health care providers
Evidence Level
Qualitative design

Key Findings

  • 1
    HCPs identified AOM side effects (bowel problems, gastrointestinal distress, skin breakdown, muscle loss) as significant barriers due to potential exacerbation in SCI/D patients.
  • 2
    Concerns were raised about AOMs contributing to poor eating habits, with individuals possibly relying on medication instead of making healthy dietary choices.
  • 3
    Limited availability, accessibility, and administration challenges were noted, along with a lack of evidence and clinical agreement regarding AOM use in the SCI/D population.

Research Summary

This study explores health care providers' (HCPs) views about barriers to AOM use in persons living with SCI/D. HCPs described four main thematic barriers to AOM use in persons with SCI/D: (1) AOM side effects that are especially concerning in persons with SCI/D; (2) AOMs contribute to poor eating habits; (3) availability, accessibility, and administration; and (4) lack of evidence, clinical agreement, and knowledge about AOM use in the SCI/D population. There are several potential barriers to AOM use in the SCI/D population. Barriers include AOM side effects which may cause or exacerbate conditions that are already concerns in persons with SCI/D, such as bowel and skin problems, and muscle loss.

Practical Implications

Clinical Practice

When considering AOMs for individuals with SCI/D, healthcare providers should carefully assess and address potential side effects that may exacerbate existing conditions.

Nutritional Counseling

Nutritional counseling should be offered to individuals with SCI/D using AOMs to ensure healthy eating habits and prevent reliance on medication alone.

Further Research

Further research is needed to study the clinical impact and safety of AOMs in individuals with SCI/D, as well as to build evidence and disseminate new findings to SCI/D HCPs.

Study Limitations

  • 1
    Use of a convenience sample of English-speaking HCPs, mostly dietitians.
  • 2
    The study participants represent only a small proportion of SCI/D HCPs, which may impact the transferability of findings.
  • 3
    The study did not present feedback directly from individuals with SCI/D, which may have revealed additional or different barriers to AOM use.

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