Health-related behaviors and multiple chronic health conditions among persons with traumatic spinal cord injury

Cao, Yue; Jarnecke, Melinda; Krause, James S.

doi:10.1038/s41393-018-0227-3

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…We therefore summarize the ACSM nutritional guidelines for able-bodied athletes [131] related to the CHO intake in table 1 that indicates the quantities (ranges) and timing of intake to provide high CHO availability for designated training or competition sessions according to athlete's BM and session characteristics. Unlike the Position statement of the International Society of Sports Nutrition regarding the timing of macronutrients in highly trained individuals, CHO re-feeding [1.2 g/(kg•h)] with a preference towards CHO sources that have a high (> 70) glycaemic index for rapid restoration of glycogen is required (< 4 h of recovery time) [132] must be evaluated on the light of possible co-morbidity in SCI [85,87,133] .…”

Section: Dietary Advice For Paralympic Athletesmentioning

confidence: 99%

Diet in neurogenic bowel management: A viewpoint on spinal cord injury

Bernardi¹,

Fedullo²,

Bernardi³

et al. 2020

WJG

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The aim of this review is to offer dietary advice for individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction. With this in mind, we consider health conditions that are dependent on the level of lesion including skeletal muscle atrophy, autonomic dysreflexia and neurogenic bladder. In addition, SCI is often associated with a sedentary lifestyle, which increases risk for osteoporosis and diseases associated with chronic low-grade inflammation, including cardiovascular and chronic kidney diseases. The Mediterranean diet, along with exercise and dietary supplements, has been suggested as an anti-inflammatory intervention in individuals with SCI. However, individuals with chronic SCI have a daily intake of whole fruit, vegetables and whole grains lower than the recommended dietary allowance for the general population. Some studies have reported an increase in neurogenic bowel dysfunction symptoms after high fiber intake; therefore, this finding could explain the low consumption of plant foods. Low consumption of fibre induces dysbiosis, which is associated with both WJG https://www.wjgnet.com

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Section: Dietary Advice For Paralympic Athletesmentioning

confidence: 99%

Diet in neurogenic bowel management: A viewpoint on spinal cord injury

Bernardi¹,

Fedullo²,

Bernardi³

et al. 2020

WJG

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“…Modifiable health-related behaviors, including smoking, excessive alcohol use, tea drinking, poor diet, insufficient sleeping, poor sleep quality, and physical inactivity, are associated with individuals' health, such as obesity, diabetes, coronary heart disease, and self-reported multiple chronic conditions. [13][14][15][16] Previous studies have reported the association between health-related behaviors and TCM syndromes among patients with acute myocardial infarction or dyslipidemia and suggested a positive relationship between smoking, alcohol use, and Phlegm-dampness syndrome. 17,18 A recent study found that sleep quality was associated with kidney deficiency, blood deficiency, and blood stasis syndrome in patients with cognitive impairment.…”

Section: Introductionmentioning

confidence: 99%

The Association Between Health-Related Behaviors and Traditional Chinese Medicine Syndromes in Type 2 Diabetes Mellitus Patients

Wang¹,

Li²,

Dang³

et al. 2023

DMSO

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Background: Traditional Chinese medicine (TCM) has certain advantages in treating diabetes via TCM syndromes differentiation, and health-related behaviors can regulate TCM syndromes. This study aimed to identify the clusters of TCM syndromes in type 2 diabetes mellitus (T2DM) patients and to explore the association between health-related behaviors and those TCM syndromes clusters. Methods: This was a cross-sectional study of 1761 T2DM patients from the Ningxia Province. The TCM syndromes (11 TCM syndromes in total) scale was used to collect the syndrome information. Health-related behaviors, including smoking, alcohol use, tea drinking, the intensity of physical activity, sleep quality, and sleep duration, were collected via a face-to-face interview questionnaire. Latent profile analysis was employed to identify clusters of 11 TCM syndromes. Multinomial logistic regression was employed to examine the relationships between health-related behaviors and clusters of TCM syndromes. Results: TCM syndromes in T2DM patients were classified into three profiles using latent profile analysis: light, moderate, and heavy. Participants with poor health-related behaviors were more likely to have heavy 1.49 (95% CI: 1.12, 1.99) or moderate 1.75 (95% CI: 1.10, 2.79) profiles than those with good health-related habits. Smokers, tea drinkers, and those with poor sleep quality were more likely to have a moderate profile and heavy profile than a light profile. Compared with heavy physical activity, moderate activity 0.24 (95% CI: 0.07, 0.88) was negatively associated with a heavy profile. Conclusion: Results showed that most participants had light or moderate levels of TCM syndromes, and those with poor healthrelated behaviors were more likely to have heavy or moderate profiles. In the context of precision medicine, these results have important implications for understanding the prevention and treatment of diabetes via changing lifestyles and behaviors to regulate TCM syndromes.

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