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Electrically induced cycling and nutritional counseling for counteracting obesity after spinal cord injury: A pilot study.

Authors
  • Dolbow, David R1
  • Credeur, Daniel P2
  • Lemacks, Jennifer L2
  • Stokic, Dobrivoje S3
  • Pattanaik, Sambit4
  • Corbin, Gevork N4
  • Courtner, Andrew S5
  • 1 School of Physical Therapy, William Carey University, Hattiesburg, Mississippi, USA.
  • 2 School of Kinesiology and Nutrition, University of Southern Mississippi, Hattiesburg, Mississippi, USA.
  • 3 Center for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center, Jackson, Mississippi, USA.
  • 4 College of Osteopathic Medicine, William Carey University, Hattiesburg, Mississippi, USA.
  • 5 Educational Research and Higher Education Administration, Lincoln Memorial University, Knoxville, Tennessee, USA.
Type
Published Article
Journal
The journal of spinal cord medicine
Publication Date
Jul 01, 2021
Volume
44
Issue
4
Pages
533–540
Identifiers
DOI: 10.1080/10790268.2019.1710939
PMID: 31971487
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Objective: The purpose of this pilot study was to determine the preliminary efficacy of interval functional electrical stimulation (FES) cycling combined with nutritional counseling in obese adults with SCI.Setting: Community-based individuals with chronic SCI.Participants: Ten participants with chronic SCI.Interventions: Participants were divided into 2 groups (1) FES cycling and nutritional counseling (FES & Nutri) and (2) nutritional counseling only (Nutri Only). The FES & Nutri group performed high intensity interval FES cycling for 30 min 3 times per week for 8 weeks and received nutritional counseling for 30 min once per week for 8 weeks. The Nutri Only group received the nutritional counseling only.Outcome Measures: Body composition (fat mass, lean mass, body fat percentage), blood glucose levels.Results: Participants in the FES & Nutri group had a statistically significant greater decrease in body fat percentage (M = -1.14) compared to those in the Nutri Only group (M = +0.28) and gained more lean mass in their legs (M = +0.66 kg) compared to the Nutri Only group (M = -1.05 kg).Discussion/Conclusion: The statistically significant decrease in body fat percentage for the FES & Nutri group provides evidence that further study is merited. Future studies should include larger numbers of participants and the possible introduction of a preliminary strengthening program before initiating interval FES cycling. In addition, an increase in exercise volume and a greater role for nutritional counseling should be considered in order to optimize the treatment for obesity.

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