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  4. What Are Personal Meanings of Healthy Eating and Physical Activity in Individuals Living With Spinal Cord Injury? A Qualitative Exploration

What Are Personal Meanings of Healthy Eating and Physical Activity in Individuals Living With Spinal Cord Injury? A Qualitative Exploration

Top Spinal Cord Inj Rehabil, 2021 · DOI: 10.46292/sci21-00001 · Published: December 1, 2021

Spinal Cord InjuryNutrition & DieteticsRehabilitation

Simple Explanation

This study explores what healthy eating and physical activity mean to people with spinal cord injuries (SCI). Understanding these personal meanings can help healthcare providers create better programs and advice for weight management. The study found that people with SCI define healthy eating based on the types and amounts of food, mindful eating, and eating to improve health. They want diets tailored to their specific injury level and easy-to-prepare healthy foods. Physical activity means different things, including specific exercises, staying generally active, any kind of movement, and how it differs from activity for people without SCI. Participants want information on wheelchair-friendly cardio and ways to burn calories.

Study Duration
2013-2018 (sampling pool timeframe)
Participants
25 (11 Veterans, 14 civilians) predominantly male, non-Hispanic White, with paraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Healthy eating for individuals with SCI revolves around types of food, amounts/portions, mindful eating, and eating to enhance health, with specific requests for tailored dietary information.
  • 2
    Physical activity/exercise for individuals with SCI encompasses types of activity, staying active, movement, and differences from non-SCI, with a desire for information on wheelchair-accessible cardiovascular workouts.
  • 3
    Participants expressed interest in information about accessible parks and safe routes for wheelchair use to promote physical activity and overcome environmental barriers.

Research Summary

This qualitative study explored the personal meanings of healthy eating and physical activity among individuals with SCI to inform patient-provider discussions and health promotion programs. Participants defined healthy eating through themes like food types, portion control, mindful eating, and health enhancement, expressing a need for SCI-tailored dietary guidelines and easy-to-prepare options. Physical activity was understood through exercise types, general activity, movement, and distinctions from non-SCI contexts, with participants seeking information on accessible workouts and strategies for calorie burning and weight management.

Practical Implications

Tailored Interventions

Develop health promotion programs and interventions that capitalize on meaningful concepts and beliefs about healthy eating and physical activity among individuals with SCI.

Patient-Provider Discussions

Guide patient-provider discussions with a better understanding of what healthy eating and physical activity mean to people with SCI.

Resource Development

Create and provide tailored dietary guidelines and easy-to-prepare healthy food options for individuals with different levels of SCI, addressing digestive concerns.

Study Limitations

  • 1
    Predominantly male sample, limiting generalizability to women with SCI
  • 2
    Lack of evaluation of age, education, cultural, or linguistic factors
  • 3
    Qualitative nature limits broad generalizability

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