Article

Obesity and its consequences affect patients with spinal cord injury
(SCI). There is a paucity of data with regard to the dietary intake patterns of
patients with SCI in the acute inpatient rehabilitation setting. Our hypothesis
is that acute rehabilitation inpatients with SCI consume significantly more
calories and protein than other inpatient rehabilitation diagnoses. OBJECTIVE: To
compare calorie and protein intake in patients with new SCI versus other
diagnoses (new traumatic brain injury [TBI], new stroke, and Parkinson's disease
[PD]) in the acute inpatient rehabilitation setting. METHODS: The intake of 78
acute rehabilitation inpatients was recorded by registered dieticians utilizing
once-weekly calorie and protein intake calculations. RESULTS: Mean +/- SD calorie
intake (kcal) for the SCI, TBI, stroke, and PD groups was 1,967.9 +/- 611.6,
1,546.8 +/- 352.3, 1,459.7 +/- 443.2, and 1,459.4 +/- 434.6, respectively. ANOVA
revealed a significant overall group difference, F(3, 74) = 4.74, P = .004. Mean
+/- SD protein intake (g) for the SCI, TBI, stroke, and PD groups was 71.5 +/-
25.0, 61.1 +/- 12.8, 57.6 +/- 16.6, and 55.1 +/- 19.1, respectively. ANOVA did
not reveal an overall group difference, F(3, 74) = 2.50, P = .066. CONCLUSIONS:
Given the diet-related comorbidities and energy balance abnormalities associated
with SCI, combined with the intake levels demonstrated in this study, education
with regard to appropriate calorie intake in patients with SCI should be given in
the acute inpatient rehabilitation setting.

Langue : ANGLAIS