An observational study on body mass index during rehabilitation and follow-up in people with spinal cord injury in Denmark
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An observational study on body mass index during rehabilitation and follow-up in people with spinal cord injury in Denmark. / Holm, Nicolaj J.; Steensgaard, Randi; Schou, Lone H.; Møller, Tom; Kasch, Helge; Biering-Sørensen, Fin.
In: Spinal Cord, Vol. 60, 2022, p. 157–162.Research output: Contribution to journal › Journal article › Research › peer-review
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T1 - An observational study on body mass index during rehabilitation and follow-up in people with spinal cord injury in Denmark
AU - Holm, Nicolaj J.
AU - Steensgaard, Randi
AU - Schou, Lone H.
AU - Møller, Tom
AU - Kasch, Helge
AU - Biering-Sørensen, Fin
N1 - Funding Information: NJH was primarily responsible for the study and collecting data together with RS who was in charge of the data collection in Western Denmark. FB-S has contributed with the overall idea of the study design and data analysis. TM contributed with perspectives on the frequency of BMI measures. HK, and LS contributed with feedback on the paper. All authors contributed to the text writing and approved the final version of the paper. This work was supported by a research program, “Centre for Integrated Rehabilitation of Cancer Patients (CIRE) - Neuro/Psychology”, conducted collaboratively by the University Hospitals Centre for Health Care Research, University Hospital Copenhagen, Rigshospitalet, University College Copenhagen, Department of Nursing and Nutrition, and the NeuroScience Centre, Rigshospitalet. Publisher Copyright: © 2021, The Author(s), under exclusive licence to International Spinal Cord Society.
PY - 2022
Y1 - 2022
N2 - Study design: Observational study Objective: To describe body mass index (BMI) during rehabilitation in people with a newly sustained spinal cord injury (SCI). Setting: Inpatient SCI rehabilitation in Denmark. Participants: Inpatients, >18 years, having sustained a SCI within the last 12 months at admission to primary rehabilitation, inclusive of various SCI etiology, neurological level, completeness of the lesion or mobility status. Methods: Measures of BMI were obtained at admission and discharge as part of standard care. At one SCI center measures of BMI were sampled at follow up 9.5 months after discharge as well. BMI was described by mean and standard deviation (SD). Paired t-test was used to test difference in BMI between admission and discharge. Repeated measures Analysis of Variance (ANOVA) was used for analyzing BMI deriving from three time points. Results: Overall BMI was stable with no change (25.4 kg/m2 at admission and 25.6 kg/m2 at discharge) during rehabilitation at the two national centers. In participants with an American Spinal Injury Association (ASIA) Impairment Scale (AIS) D classification, BMI was higher during rehabilitation compared to the other groups and increased significantly (p = 0.008) from discharge to follow up. Conclusions: Overall BMI was stable but higher than recommended in people with SCI undergoing rehabilitation at the two national centers in Denmark. Participants with an AIS D SCI were obese according to SCI adjusted BMI and the World Health Organization (WHO) recommendations during rehabilitation and at follow up.
AB - Study design: Observational study Objective: To describe body mass index (BMI) during rehabilitation in people with a newly sustained spinal cord injury (SCI). Setting: Inpatient SCI rehabilitation in Denmark. Participants: Inpatients, >18 years, having sustained a SCI within the last 12 months at admission to primary rehabilitation, inclusive of various SCI etiology, neurological level, completeness of the lesion or mobility status. Methods: Measures of BMI were obtained at admission and discharge as part of standard care. At one SCI center measures of BMI were sampled at follow up 9.5 months after discharge as well. BMI was described by mean and standard deviation (SD). Paired t-test was used to test difference in BMI between admission and discharge. Repeated measures Analysis of Variance (ANOVA) was used for analyzing BMI deriving from three time points. Results: Overall BMI was stable with no change (25.4 kg/m2 at admission and 25.6 kg/m2 at discharge) during rehabilitation at the two national centers. In participants with an American Spinal Injury Association (ASIA) Impairment Scale (AIS) D classification, BMI was higher during rehabilitation compared to the other groups and increased significantly (p = 0.008) from discharge to follow up. Conclusions: Overall BMI was stable but higher than recommended in people with SCI undergoing rehabilitation at the two national centers in Denmark. Participants with an AIS D SCI were obese according to SCI adjusted BMI and the World Health Organization (WHO) recommendations during rehabilitation and at follow up.
U2 - 10.1038/s41393-021-00730-5
DO - 10.1038/s41393-021-00730-5
M3 - Journal article
C2 - 34975155
AN - SCOPUS:85122206397
VL - 60
SP - 157
EP - 162
JO - Spinal Cord
JF - Spinal Cord
SN - 1362-4393
ER -
ID: 289967563