Weight after SCI: the good, the bad and the ugly

Gater, David R.

doi:10.1080/10790268.2016.1248705

Cited by 7 publications

(4 citation statements)

References 17 publications

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“…Our findings showed that 84% of HCPs stressed that individuals with SCI and overweight/obesity were at greater risk for numerous chronic conditions, similar to literature that links overweight/obesity in SCI with diabetes, hypertension, high cholesterol, 7,30 cardiometabolic syndrome, 15,27 and atherosclerosis. 31 HCPs also noted the impact on dysfunctional sleep, chronic pain, and behavioral health comorbidities.…”

Section: Discussionsupporting

confidence: 86%

“…Our findings are in accord with literature reporting high obesity prevalence after SCI, with estimates up to 83%. 3,15,[27][28][29] In fact, HCPs said that overweight/obesity is among their top five concerns for individuals with SCI and stressed the importance of managing weight to mitigate the many consequences and subsequent difficulties experienced because of overweight/obesity and SCI.…”

Section: Discussionmentioning

confidence: 99%

“…The interview was composed of predetermined questions along with follow-up probes and questions that emerged from the dialogue between interviewer and interviewee. 21,22 The interview guide (Figure 1) was developed using literature 12,13,15,18,19 and research team expertise, including health professionals from SCI medicine, psychology, exercise physiology, disability studies, physical medicine and rehabilitation, physical and occupational therapy, public health, nursing, and rehabilitation research. We field-tested the interview guide and process with six volunteer SCI HCPs from the VHA and MRSCICS/SRAlab and incorporated their feedback to ensure intelligibility, relevance, and flow.…”

Section: Data Collectionmentioning

confidence: 99%

“…10,11 Despite the need, evidence-based research on effective and practical weight management (WM) practices, including behavioral strategies, physical activity, and healthy eating, for persons with SCI is not widespread. [12][13][14] Further, although WM has been an ongoing concern and a topic of several studies, 4,5,15 literature has shown that large proportions of people with SCI continue to experience challenges and limitations in WM efforts and resources in the health care setting. 16,17 Health care providers (HCPs) are likely to be familiar with WM experiences of persons with SCI because of their direct contact with patients and their propensity to reach them at an individual level and potentially have an influential role.…”

Section: Introductionmentioning

confidence: 99%

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Health care provider views on the magnitude of overweight/obesity in spinal cord injury and awareness of evidence‐based guidance for weight management

LaVela

Burkhart

Jones

et al. 2021

PM&R

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Background: Literature shows that large proportions of people with a spinal cord injury (SCI) continue to experience challenges and limitations in weight management (WM) efforts in the health care setting. Despite the need, evidence-based research on effective and practical WM practices for persons with SCI is inconsistent and not widely used by health care providers (HCPs). Objective: The objectives were twofold: (1) to explore HCP perspectives of the extent of the problem of overweight/obesity in individuals with SCI and (2) HCPs awareness of and beliefs about availability of literature or evidence-based guidelines that discuss WM in SCI. Design: Qualitative study using semistructured interviews with HCPs and thematic analysis to identify themes. Participants/Setting: SCI HCPs (n = 25) from Veterans Health Administration and Midwest Regional SCI Care System. Intervention: Not applicable. Results: SCI HCPs (88%) emphasized the large scope of the problem of overweight and obesity in persons with SCI. HCPs noted the multiple associated negative consequences, specifically 84% highlighted the impact on chronic conditions (cardiometabolic, respiratory) and 48% discussed the impact on secondary/ associated conditions (skin, bowel, bladder, musculoskeletal). HCPs noted other impacts of excess weight as greater disability in later life (28%), challenges with mobility and function (60%), self-care (24%), and equipment safety (28%). This sample of HCPs (76%) indicated being unaware of published or available information about WM efforts that work in SCI populations. Conclusion: Our findings indicate that HCPs believe that overweight and obesity is a significant problem in persons with SCI but that this sample of HCPs are not aware of published work and easily accessible SCI-specific WM evidence-based guidance. This suggests the need for more education and proactive efforts to improve awareness of appropriate information within interprofessional HCPs.

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