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A systematic review and qualitative synthesis of weight management interventions for people with spinal cord injury.
Madigan, Claire D; King, James A; Taylor, Carolyn; Hoekstra, Sven P; Graham, Heneritta E; Kirk, Natasha; Fenton, Jordan M; Goosey-Tolfrey, Vicky L.
Afiliación
  • Madigan CD; Centre for Lifestyle Medicine and Behaviour (CLiMB), The School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
  • King JA; National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
  • Taylor C; National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
  • Hoekstra SP; The Peter Harrison Centre for Disability Sport, The School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
  • Graham HE; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust and University of Leicester, Leicester, UK.
  • Kirk N; Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
  • Fenton JM; National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
  • Goosey-Tolfrey VL; The Peter Harrison Centre for Disability Sport, The School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
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: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Pérdida de Peso / Obesidad Límite: Humans Idioma: En Revista: Obes Rev Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Pérdida de Peso / Obesidad Límite: Humans Idioma: En Revista: Obes Rev Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido