A systematic review and qualitative synthesis of weight management interventions for people with spinal cord injury.
Obes Rev
; 25(9): e13785, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38853150
ABSTRACT
People with spinal cord injury (SCI) are at greater risk of developing obesity and related co-morbidities than those without SCI. The objectives of this systematic review were to examine the effectiveness of weight management interventions for people with SCI and to synthesize the experiences of people involved with SCI weight management (e.g., SCI healthcare professionals and caregivers). Five databases were searched (up to July 31, 2023) and 5,491 potentially eligible articles were identified. Following screening, 22 articles were included, comprising 562 adults. There was considerable heterogeneity in study design and weight loss interventions included behavioral nutritional and exercise education sessions, recalling food diaries, exercise interventions, and pharmaceuticals. The mean percentage change of the pooled body mass data equated to -4.0 ± 2.3%, with a range from -0.5 to -7.6%. In addition, 38% of the individuals with SCI who completed a weight loss intervention (N = 262) had a ≥5% reduction in body weight. Collectively, although on average the included interventions led to moderate weight loss, the finding that just over a third of individuals achieved clinically meaningful 5% weight loss suggests that available interventions for this population may need to be improved.
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Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Traumatismos de la Médula Espinal
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Pérdida de Peso
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Obesidad
Idioma:
En
Revista:
Obes Rev
Asunto de la revista:
METABOLISMO
Año:
2024
Tipo del documento:
Article