Obesity/Overweight in Persons With Early and Chronic SCI: A Randomized, Multicenter, Controlled Lifestyle Intervention
Abstract
Overweight/obesity 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 overweight/obese 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 kcal/day), 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.
Document Details
- Document Type
- Technical Report
- Publication Date
- Oct 01, 2014
- Accession Number
- AD1003033
Entities
People
- Mark S. Nash
Organizations
- University of Miami