Prevalence of Obesity After Spinal Cord Injury

Overview

Journal Top Spinal Cord Inj Rehabil

Specialties Emergency Medicine
Rehabilitation Medicine

Date 2018 Feb 24

PMID 29472754

Citations 60

Authors

Ashraf S Gorgey

David R Gater Jr

Affiliations

Soon will be listed here.

Abstract

The prevalence of obesity has been continuously increasing in the United States. Obesity has crossed the borders of the able-bodied populations and extended to populations with disabilities, including spinal cord injury (SCI). The magnitude and the prevalence of obesity after SCI are not clearly defined. The purpose of the current review is to discuss the body of literature on the prevalence of obesity among individuals with SCI. The review will show that the prevalence of obesity after SCI is an issue that needs to be further addressed and specifically correlated to mortality rates in SCI. Body mass index (BMI) criteria need to be adjusted to meet the changes in body composition after SCI, specifically increasing fat mass and percent body fat. Prevalence of overweight and obesity in SCI by sex, age, and ethnic group needs further investigation to determine the actual magnitude of the problem, which appears to exceed epidemic proportions. Moreover, SCI-specific factors such as level of injury, American Spinal Injury Association (ASIA) impairment classification, and time since injury need to be further correlated to the prevalence of obesity after SCI.

Citing Articles

Nutritional Intakes of People With Spinal Cord Injury Who Have Pressure Injuries in Hospital: A Secondary Analysis of a Randomized Controlled Trial.

Nevin A, Dwyer K, Atresh S, Vivanti A, Hickman I, Banks M Top Spinal Cord Inj Rehabil. 2025; 31(1):17-29.

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Self-Reported Difficulty with and Assistance Needed by People with Spinal Cord Injury to Prepare Meals at Home.

Froehlich-Grobe K Int J Environ Res Public Health. 2024; 21(11).

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Modification of the Diabetes Prevention Program Lifestyle Intervention in Persons with Spinal Cord Injury: Efficacy for Reducing Major Cardiometabolic Risks, Increased Fitness, and Improved Health-Related Quality of Life.

Bigford G, Lehmann D, Betancourt L, Maher J, Mendez A, Nash M J Spine Res Surg. 2024; 6(1).

PMID: 39309246 PMC: 11414834. DOI: 10.26502/fjsrs0070.

The Impact of Caregiver/Care-Receiver Co-Treatment in a Therapeutic Lifestyle Intervention for Chronic Spinal Cord Injury: A Comparative Case Series.

Bigford G, Lehmann D, Mendez A, Nash M Ann Case Rep. 2024; 9(2).

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Preliminary field validity of ActiGraph-based energy expenditure estimation in wheelchair users with spinal cord injury.

Huang Z, Veerubhotla A, DeLany J, Ding D Spinal Cord. 2024; 62(9):514-522.

PMID: 38969742 DOI: 10.1038/s41393-024-01012-6.

References

Desport J, Preux P, Guinvarch S, Rousset P, Salle J, Daviet J . Total body water and percentage fat mass measurements using bioelectrical impedance analysis and anthropometry in spinal cord-injured patients. Clin Nutr. 2000; 19(3):185-90. DOI: 10.1054/clnu.1999.0122. View

Flegal K, Graubard B, Williamson D, Gail M . Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005; 293(15):1861-7. DOI: 10.1001/jama.293.15.1861. View

Modlesky C, Bickel C, Slade J, Meyer R, Cureton K, Dudley G . Assessment of skeletal muscle mass in men with spinal cord injury using dual-energy X-ray absorptiometry and magnetic resonance imaging. J Appl Physiol (1985). 2003; 96(2):561-5. DOI: 10.1152/japplphysiol.00207.2003. View

Olle M, Pivarnik J, Klish W, Morrow Jr J . Body composition of sedentary and physically active spinal cord injured individuals estimated from total body electrical conductivity. Arch Phys Med Rehabil. 1993; 74(7):706-10. DOI: 10.1016/0003-9993(93)90030-e. View

Flegal K, Carroll M, Ogden C, Johnson C . Prevalence and trends in obesity among US adults, 1999-2000. JAMA. 2002; 288(14):1723-7. DOI: 10.1001/jama.288.14.1723. View

Anson C, Shepherd C . Incidence of secondary complications in spinal cord injury. Int J Rehabil Res. 1996; 19(1):55-66. DOI: 10.1097/00004356-199603000-00006. View

Finkelstein E, Fiebelkorn I, Wang G . State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004; 12(1):18-24. DOI: 10.1038/oby.2004.4. View

Clasey J, Gater Jr D . A comparison of hydrostatic weighing and air displacement plethysmography in adults with spinal cord injury. Arch Phys Med Rehabil. 2005; 86(11):2106-13. DOI: 10.1016/j.apmr.2005.06.013. View

Nuhlicek D, Spurr G, Barboriak J, Rooney C, El Ghatit A, Bongard R . Body composition of patients with spinal cord injury. Eur J Clin Nutr. 1988; 42(9):765-73. View

10.

Blackmer J, Marshall S . Obesity and spinal cord injury: an observational study. Spinal Cord. 1997; 35(4):245-7. DOI: 10.1038/sj.sc.3100392. View

11.

Buchholz A, Bugaresti J . A review of body mass index and waist circumference as markers of obesity and coronary heart disease risk in persons with chronic spinal cord injury. Spinal Cord. 2005; 43(9):513-8. DOI: 10.1038/sj.sc.3101744. View

12.

Buchholz A, Pencharz P . Energy expenditure in chronic spinal cord injury. Curr Opin Clin Nutr Metab Care. 2004; 7(6):635-9. DOI: 10.1097/00075197-200411000-00008. View

13.

Maggioni M, Bertoli S, Margonato V, Merati G, Veicsteinas A, Testolin G . Body composition assessment in spinal cord injury subjects. Acta Diabetol. 2003; 40 Suppl 1:S183-6. DOI: 10.1007/s00592-003-0061-7. View

14.

Boninger M, Cooper R, Baldwin M, Shimada S, Koontz A . Wheelchair pushrim kinetics: body weight and median nerve function. Arch Phys Med Rehabil. 1999; 80(8):910-5. DOI: 10.1016/s0003-9993(99)90082-5. View

15.

Jackson A, Dijkers M, DeVivo M, Poczatek R . A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil. 2004; 85(11):1740-8. DOI: 10.1016/j.apmr.2004.04.035. View

16.

Stjernberg L, BLUMBERG H, Wallin B . Sympathetic activity in man after spinal cord injury. Outflow to muscle below the lesion. Brain. 1986; 109 ( Pt 4):695-715. DOI: 10.1093/brain/109.4.695. View

17.

Saltzman E, Roberts S . The role of energy expenditure in energy regulation: findings from a decade of research. Nutr Rev. 1995; 53(8):209-20. DOI: 10.1111/j.1753-4887.1995.tb01554.x. View

18.

DeVivo M . Causes and costs of spinal cord injury in the United States. Spinal Cord. 1998; 35(12):809-13. DOI: 10.1038/sj.sc.3100501. View

19.

Rimmer J, Wang E . Obesity prevalence among a group of Chicago residents with disabilities. Arch Phys Med Rehabil. 2005; 86(7):1461-4. DOI: 10.1016/j.apmr.2004.10.038. View

20.

Jones L, Legge M, Goulding A . Healthy body mass index values often underestimate body fat in men with spinal cord injury. Arch Phys Med Rehabil. 2003; 84(7):1068-71. DOI: 10.1016/s0003-9993(03)00045-5. View