Caloric Intake Relative to Total Daily Energy Expenditure Using a Spinal Cord Injury-Specific Correction Factor: An Analysis by Level of Injury

American Journal of Physical Medicine & Rehabilitation
Gary J FarkasDavid R Gater

Abstract

The aims of the study were to evaluate the influence of level of spinal cord injury (SCI) on caloric intake relative to total daily energy expenditure (TDEE) and body composition, and to develop a SCI-specific correction factor for the TDEE estimation. Individuals with paraplegia (PARA, n = 28) and tetraplegia (TETRA, n = 13) were analyzed. Daily caloric intake, basal metabolic rate, and TDEE were obtained using dietary recall, indirect calorimetry, and prediction equations, respectively. Caloric intake and TDEE were adjusted to bodyweight. Body composition was assessed using dual-energy x-ray absorptiometry. Total caloric (PARA 1516.4 ± 548.4, TETRA 1619.1 ± 564.3 kcal/d), fat (PARA 58.6 ± 27.4, TETRA 65.8 ± 29.7 g), and protein (PARA 62.7 ± 23.2, TETRA 71.5 ± 30.9 g) intake were significantly higher in TETRA versus PARA (P < 0.05) when adjusted for bodyweight. Adjusted and unadjusted TDEE (unadjusted: PARA 1851.0 ± 405.3, TETRA 1530.4 ± 640.4 kcal/d) and basal metabolic rate (unadjusted: PARA 1516.6 ± 398.0, TETRA 1223.6 ± 390.2 kcal/d) were significantly higher in PARA versus TETRA (P < 0.05). Bone mineral content (PARA 3.17 ± 0.6, TETRA 2.71 ± 0.5 g), lean body mass (PARA 50.0 ± 8.6, TETRA 40.96 ± 8.8 kg), and regional perc...Continue Reading

References

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May 17, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Ashraf S Gorgey, David R Gater
Jun 11, 2011·Medicine and Science in Sports and Exercise·Ashraf S GorgeyDavid R Gater
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Apr 18, 2014·Indian Journal of Orthopaedics·Roop SinghKiranpreet Kaur
Jun 7, 2015·Archives of Physical Medicine and Rehabilitation·Ashraf S GorgeyDavid R Gater
Aug 2, 2017·The Journal of Spinal Cord Medicine·Gary J Farkas, David R Gater
Jan 13, 2018·The Journal of Spinal Cord Medicine·David R GaterCamilo Castillo
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Gregory Bigford, Mark S Nash

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Citations

Nov 17, 2020·Topics in Spinal Cord Injury Rehabilitation·David R GaterRachel Cowan
Dec 18, 2020·Spinal Cord Series and Cases·Gary J FarkasDavid R Gater
Jul 7, 2020·Physical Medicine and Rehabilitation Clinics of North America·Mark S Nash, David R Gater
Apr 6, 2021·Topics in Spinal Cord Injury Rehabilitation·Ashraf S GorgeyDavid R Gater
Apr 6, 2021·Topics in Spinal Cord Injury Rehabilitation·Phillip S GordonDavid R Gater
Apr 6, 2021·Topics in Spinal Cord Injury Rehabilitation·Gary J FarkasDavid R Gater
Apr 6, 2021·Topics in Spinal Cord Injury Rehabilitation·Gary J FarkasDavid R Gater
Apr 28, 2021·Disability and Rehabilitation·Gary J FarkasDavid R Gater

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