scholarly journals Energy Expenditure as a Function of Activity Level After Spinal Cord Injury: The Need for Tetraplegia-Specific Energy Balance Guidelines

2018 ◽  
Vol 9 ◽  
Author(s):  
Jessie R. Shea ◽  
Barbara L. Shay ◽  
Jeff Leiter ◽  
Kristine C. Cowley
2020 ◽  
Vol 26 (3) ◽  
pp. 197-202
Author(s):  
David R. Gater ◽  
Craig Bauman ◽  
Rachel Cowan

Physiological changes that occur after spinal cord injury (SCI) are profound and affect almost every organ system in the human body. Energy balance is significantly altered due to motor paralysis, spasticity or flaccidity, neurogenic sarcopenia, neurogenic osteopenia, sympathetic nervous system disruption, and blunted anabolism. Energy expenditure is markedly reduced, whereas hypothalamic control of appetite and satiety is diminished, resulting in discordant energy intake. Ultimately, neurogenic obesity ensues as the result of a positive energy balance. Even though nutritional guidelines for persons with SCI have been available since 2009, the necessity for body composition assessment and total daily energy expenditure was insufficiently addressed such that most individuals with SCI continued in positive energy balance despite “adherence” to the guidelines. Macronutrients must be carefully assessed to optimize caloric intake, while micronutrient consumption may need to be supplemented in order to meet recommended daily allowances. Such a diet would emphasize foods with low caloric yet high nutrient density. This article reviews current literature regarding nutritional requirements for SCI and provides a straightforward plan for implementing more rigorous dietary interventions meant to address the obesity crisis in this especially vulnerable population.


2019 ◽  
Vol 10 ◽  
Author(s):  
Werner L. Popp ◽  
Sophie Schneider ◽  
Jessica Bär ◽  
Philipp Bösch ◽  
Christina M. Spengler ◽  
...  

2015 ◽  
Vol 12 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Ricardo A. Tanhoffer ◽  
Aldre I.P. Tanhoffer ◽  
Jacqueline Raymond ◽  
Nathan A. Johnson ◽  
Andrew P. Hills ◽  
...  

2005 ◽  
Vol 42 (5) ◽  
pp. 617 ◽  
Author(s):  
Amy M. Hayes ◽  
Jonathan N. Myers ◽  
Monica Ho ◽  
Matthew Y. Lee ◽  
Inder Perkash ◽  
...  

2002 ◽  
Vol 34 (5) ◽  
pp. S17 ◽  
Author(s):  
T Abel ◽  
M Kr??ner ◽  
I Bleicher ◽  
S Rojas ◽  
A Kupfer ◽  
...  

2002 ◽  
Vol 34 (5) ◽  
pp. S73
Author(s):  
W E Langbein ◽  
K J Williams ◽  
S Foley ◽  
E Collins ◽  
S VanDeWalker ◽  
...  

2011 ◽  
Vol 43 (Suppl 1) ◽  
pp. 84
Author(s):  
Ricardo A. Tanhoffer ◽  
Aldre I. P. Tanhoffer ◽  
Jacqueline Raymond ◽  
Andrew P. Hills ◽  
Glen M. Davis

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