Accession Number:

AD1018478

Title:

Obesity/Overweight in Persons With Early and Chronic SCI: A Randomized, Multicenter, Controlled Lifestyle Intervention

Descriptive Note:

Technical Report,30 Sep 2013,29 Sep 2014

Corporate Author:

UNIVERSITY OF MIAMI SCHOOL OF MEDICINE Miami United States

Personal Author(s):

• Nash,Mark S.

Report Date:

2014-10-01

Pagination or Media Count:

59.0

Abstract:

Overweightobesity is pervasive after SCI and contributes to accelerated cardiovascular disease and comorbid with dyslipidemia, glucose intolerance, and insulin resistance, and is far more difficult to manage and reverse than obesity occurring in persons without disability. It is generally recommended that overweightobese individuals lose weight by undertaking regular physically activity and consuming an energy-restricted diet to improve quality of life and reduce disease risk, although a demonstration to this effect has never been produced in persons with SCI. Here we examine the efficacy of a SCI-specific structured therapeutic lifestyle intervention TLI modeled after the landmark Diabetes Prevention Program DPP on obesity and component disease risks. The TLI consists of a 6-month clinical program incorporating 3x weekly circuit resistance training, Mediterranean-style calorie restricted diet 1200-2000 kcalday, 16 educational sessions with a lifestyle coach, and a 6-month quasi-supervised extension maintenance phase. Preliminary results indicate that TLI successfully reduced body weight, improves markers of disease risk, and improves cardiopulmonary and dynamic strength fitness attributes.

Descriptors:

• health services
• cardiovascular diseases
• therapeutics
• wounds and injuries
• spinal cord
• spinal injuries
• Obesity
• OVERWEIGHT
• diet
• Exercise(Physiology)
• intervention
• training
• PATIENT CARE MANAGEMENT
• diabetes mellitus
• body weight
• health care

Subject Categories:

Distribution Statement:

APPROVED FOR PUBLIC RELEASE