| Popis: |
PURPOSE: Tracking the changes in body composition in individuals with spinal cord injury (SCI) during inpatient rehabilitation can be of great value to provide them with good advice and guidelines regarding diet and exercise. The purpose of this study was to investigate 1) changes in body composition indicated by body mass index (BMI), waist circumference (WC), body fat percentage (BF%) and lean body mass percentage (LBM%) in individuals with recent SCI during their first inpatient rehabilitation from admission to discharge and 2) the differences of these body composition changes over time in different age, gender, lesion level and motor completeness groups. METHODS: This study was based on AMSterdam Spinal Cord Injury (AMS-SCI) cohort study which included 59 persons with SCI. Patients were measured at admission (T0) and discharge (T1) of inpatient rehabilitation (median of the time period: 61 days). Height was registered at T0, while body mass (weight scale), WC (tap measure), BF% and LBM% (Bioelectric Impedance Analysis) were measured at T0 and T1. RESULTS: No significant changes in BMI (T0: 25.46±5.06; T1: 25.38±4.90), WC (T0: 94.04±13.75; T1:93.38±12.73), BF% (T0: 28.09±10.25; T1: 27.58±10.13) and LBM% (T0: 71.91±10.25; T1: 71.91±11.08) were found during inpatient rehabilitation in individuals with recent SCI. When taking personal or lesion characteristics into account, no significant interaction effects were found. DISCUSSION/CONCLUSION: In contrast to our expectations, no significant changes in body composition in individuals with recent SCI during inpatient rehabilitation were identified. This may be caused by the relatively short period of time between admission and discharge or the different changes in body composition between paralyzed parts and normal parts. It may also be a reason that these people were taken good care during inpatient rehabilitation so the changes in body composition didn’t show the unfavorable trend. |
