脊髓损伤和失调患者的营养和饮食观念与行为:健康还是误解?

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-02-15 DOI:10.1037/rep0000544
Sherri L LaVela, Justina Wu, Andrea L Nevedal, Susan M Frayne, Alex H S Harris, Katherine D Arnow, Kristen Davis, Gary J Farkas, Lorena Reyes, Dan Eisenberg
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引用次数: 0

摘要

目的/目标:营养知识、信念和行为对于脊髓损伤和障碍(SCI/D)患者管理和预防慢性和与损伤相关的继发性疾病具有重要意义。然而,对于脊髓损伤和障碍(SCI/D)患者特有的饮食和营养需求及建议,以及他们的饮食观念和行为,研究还不够深入。研究方法/设计:采用描述性定性设计,对全国 SCI/D 退伍军人样本(n = 33)进行深入的半结构式访谈。采用主题分析法对录音和逐字记录誊本进行编码和分析:结果:参与者为男性(61%),年龄在 29-84 岁之间,55% 患有四肢瘫痪。确定了五个关键主题:极度禁食/热量限制、认为健康的饮食行为、认为不健康的饮食行为、因 SCI/D 相关症状而改变的饮食行为,以及基于能力/独立性和可及性的食物/准备选择:患有 SCI/D 的退伍军人的营养状况可能会受到多种因素的影响,例如有关 "健康 "和 "不健康 "营养的营养知识和信念/行为、禁食、热量限制、宏观和微观营养素摄入不平衡、相对于能量需求的过度摄入、与损伤相关的继发性并发症、损伤后身体成分和功能变化、与饱腹感和饥饿信号相关的损伤以及获取和准备食物的困难。研究结果提供了许多可从干预中受益的领域。研究结果可用于指导理想的营养和健康饮食信念与行为,这一点非常重要,因为营养不足会导致与饮食相关的疾病,可能会加重 SCI 继发性疾病,并导致整体健康状况不佳。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Nutrition and eating beliefs and behaviors among individuals with spinal cord injuries and disorders: Healthy or misconceived?

Purpose/objective: Nutrition knowledge, beliefs, and behaviors have important implications for managing and preventing chronic and injury-related secondary conditions in persons with spinal cord injuries and disorders (SCI/D). Yet, the unique dietary and nutritional needs and recommendations specific to individuals with SCI/D and their eating beliefs and behaviors have been understudied. Aim is to describe nutrition and eating beliefs and behaviors from the perspectives of individuals with SCI/D.

Research method/design: Descriptive qualitative design using in-depth semistructured interviews with a national sample of veterans with SCI/D (n = 33). Audio-recorded and transcribed verbatim transcripts were coded and analyzed using thematic analysis.

Results: Participants were male (61%), aged 29-84 years, and 55% had tetraplegia. Five key themes were identified: extreme fasting/caloric restriction, perceived healthy eating behaviors, perceived unhealthy eating behaviors, modified eating behaviors due to SCI/D-related symptoms, and food/preparation choices based on abilities/independence and access.

Conclusions/implications: Nutrition among veterans with SCI/D may be impacted by many factors, such as nutrition knowledge and beliefs/behaviors about "healthy" and "unhealthy" nutrition, fasting, caloric restriction, imbalanced intake of macro- and micronutrients, overconsumption relative to energy needs, injury-related secondary complications, postinjury body composition and function changes, impairments related to satiety and hunger signals, and difficulty in obtaining and preparing food. Study findings provide many areas that would benefit from intervention. Findings can be used to inform ideal nutrition and healthy eating beliefs and behaviors which are important because nutritional inadequacies can lead to diet-related diseases, may exacerbate SCI secondary conditions, and lead to poor overall health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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