Frequency of Dietary Recalls, Nutritional Assessment, and Body Composition Assessment in Men with Chronic Spinal Cord Injury

Ashraf S. Gorgey, Caleb Caudill, Sakita Sistrun, Refka E. Khalil, Ranjodh Gill, Teodoro Castillo, Timothy Lavis, David R. Gater

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objectives To assess different frequencies of dietary recalls while evaluating caloric intake and the percentage of macronutrients in men with spinal cord injury (SCI) and to examine the relations between caloric intake or percentage of macronutrients and assessment of whole and regional body composition using dual-energy x-ray absorptiometry. Design Cross-sectional and longitudinal. Setting Laboratory and hospital. Participants Men with chronic (>1y postinjury) motor complete SCI (N=16). Interventions Participants were asked to turn in a 5-day dietary recall on a weekly basis for 4 weeks. The averages of 5-, 3-, and 1-day dietary recalls for caloric intake and percentage of macronutrients (carbohydrates, fat, protein) were calculated. Body composition was evaluated using whole-body dual-energy x-ray absorptiometry. After overnight fast, basal metabolic rate (BMR) was evaluated using indirect calorimetry and total energy expenditure (TEE) was estimated. Main Outcome Measures Caloric intake, percentage of macronutrients, BMR, and body composition. Results Caloric intake and percentage of macronutrients were not different after using 5-, 3-, and 1-day dietary recalls (P>.05). Caloric intake was significantly lower than TEE (P<.05). The percentage of fat accounted for 29% to 34% of the whole and regional body fat mass (P=.037 and P=.022). The percentage of carbohydrates was positively related to the percentage of whole-body lean mass (r=.54; P=.037) and negatively related to the percentage of fat mass. Conclusions The frequency of dietary recalls does not vary while evaluating caloric intake and macronutrients. Total caloric intake was significantly lower than the measured BMR and TEE. Percentages of dietary fat and carbohydrates are related to changes in body composition after SCI.

Original languageEnglish (US)
Pages (from-to)1646-1653
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number9
DOIs
StatePublished - Sep 1 2015

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Nutrition Assessment
Body Composition
Energy Intake
Spinal Cord Injuries
Basal Metabolism
Energy Metabolism
Fats
Carbohydrates
X-Rays
Dietary Carbohydrates
Hospital Laboratories
Indirect Calorimetry
Dietary Fats
Adipose Tissue
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Gorgey, Ashraf S. ; Caudill, Caleb ; Sistrun, Sakita ; Khalil, Refka E. ; Gill, Ranjodh ; Castillo, Teodoro ; Lavis, Timothy ; Gater, David R. / Frequency of Dietary Recalls, Nutritional Assessment, and Body Composition Assessment in Men with Chronic Spinal Cord Injury. In: Archives of Physical Medicine and Rehabilitation. 2015 ; Vol. 96, No. 9. pp. 1646-1653.
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abstract = "Objectives To assess different frequencies of dietary recalls while evaluating caloric intake and the percentage of macronutrients in men with spinal cord injury (SCI) and to examine the relations between caloric intake or percentage of macronutrients and assessment of whole and regional body composition using dual-energy x-ray absorptiometry. Design Cross-sectional and longitudinal. Setting Laboratory and hospital. Participants Men with chronic (>1y postinjury) motor complete SCI (N=16). Interventions Participants were asked to turn in a 5-day dietary recall on a weekly basis for 4 weeks. The averages of 5-, 3-, and 1-day dietary recalls for caloric intake and percentage of macronutrients (carbohydrates, fat, protein) were calculated. Body composition was evaluated using whole-body dual-energy x-ray absorptiometry. After overnight fast, basal metabolic rate (BMR) was evaluated using indirect calorimetry and total energy expenditure (TEE) was estimated. Main Outcome Measures Caloric intake, percentage of macronutrients, BMR, and body composition. Results Caloric intake and percentage of macronutrients were not different after using 5-, 3-, and 1-day dietary recalls (P>.05). Caloric intake was significantly lower than TEE (P<.05). The percentage of fat accounted for 29{\%} to 34{\%} of the whole and regional body fat mass (P=.037 and P=.022). The percentage of carbohydrates was positively related to the percentage of whole-body lean mass (r=.54; P=.037) and negatively related to the percentage of fat mass. Conclusions The frequency of dietary recalls does not vary while evaluating caloric intake and macronutrients. Total caloric intake was significantly lower than the measured BMR and TEE. Percentages of dietary fat and carbohydrates are related to changes in body composition after SCI.",
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Frequency of Dietary Recalls, Nutritional Assessment, and Body Composition Assessment in Men with Chronic Spinal Cord Injury. / Gorgey, Ashraf S.; Caudill, Caleb; Sistrun, Sakita; Khalil, Refka E.; Gill, Ranjodh; Castillo, Teodoro; Lavis, Timothy; Gater, David R.

In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 9, 01.09.2015, p. 1646-1653.

Research output: Contribution to journalArticle

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T1 - Frequency of Dietary Recalls, Nutritional Assessment, and Body Composition Assessment in Men with Chronic Spinal Cord Injury

AU - Gorgey, Ashraf S.

AU - Caudill, Caleb

AU - Sistrun, Sakita

AU - Khalil, Refka E.

AU - Gill, Ranjodh

AU - Castillo, Teodoro

AU - Lavis, Timothy

AU - Gater, David R.

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N2 - Objectives To assess different frequencies of dietary recalls while evaluating caloric intake and the percentage of macronutrients in men with spinal cord injury (SCI) and to examine the relations between caloric intake or percentage of macronutrients and assessment of whole and regional body composition using dual-energy x-ray absorptiometry. Design Cross-sectional and longitudinal. Setting Laboratory and hospital. Participants Men with chronic (>1y postinjury) motor complete SCI (N=16). Interventions Participants were asked to turn in a 5-day dietary recall on a weekly basis for 4 weeks. The averages of 5-, 3-, and 1-day dietary recalls for caloric intake and percentage of macronutrients (carbohydrates, fat, protein) were calculated. Body composition was evaluated using whole-body dual-energy x-ray absorptiometry. After overnight fast, basal metabolic rate (BMR) was evaluated using indirect calorimetry and total energy expenditure (TEE) was estimated. Main Outcome Measures Caloric intake, percentage of macronutrients, BMR, and body composition. Results Caloric intake and percentage of macronutrients were not different after using 5-, 3-, and 1-day dietary recalls (P>.05). Caloric intake was significantly lower than TEE (P<.05). The percentage of fat accounted for 29% to 34% of the whole and regional body fat mass (P=.037 and P=.022). The percentage of carbohydrates was positively related to the percentage of whole-body lean mass (r=.54; P=.037) and negatively related to the percentage of fat mass. Conclusions The frequency of dietary recalls does not vary while evaluating caloric intake and macronutrients. Total caloric intake was significantly lower than the measured BMR and TEE. Percentages of dietary fat and carbohydrates are related to changes in body composition after SCI.

AB - Objectives To assess different frequencies of dietary recalls while evaluating caloric intake and the percentage of macronutrients in men with spinal cord injury (SCI) and to examine the relations between caloric intake or percentage of macronutrients and assessment of whole and regional body composition using dual-energy x-ray absorptiometry. Design Cross-sectional and longitudinal. Setting Laboratory and hospital. Participants Men with chronic (>1y postinjury) motor complete SCI (N=16). Interventions Participants were asked to turn in a 5-day dietary recall on a weekly basis for 4 weeks. The averages of 5-, 3-, and 1-day dietary recalls for caloric intake and percentage of macronutrients (carbohydrates, fat, protein) were calculated. Body composition was evaluated using whole-body dual-energy x-ray absorptiometry. After overnight fast, basal metabolic rate (BMR) was evaluated using indirect calorimetry and total energy expenditure (TEE) was estimated. Main Outcome Measures Caloric intake, percentage of macronutrients, BMR, and body composition. Results Caloric intake and percentage of macronutrients were not different after using 5-, 3-, and 1-day dietary recalls (P>.05). Caloric intake was significantly lower than TEE (P<.05). The percentage of fat accounted for 29% to 34% of the whole and regional body fat mass (P=.037 and P=.022). The percentage of carbohydrates was positively related to the percentage of whole-body lean mass (r=.54; P=.037) and negatively related to the percentage of fat mass. Conclusions The frequency of dietary recalls does not vary while evaluating caloric intake and macronutrients. Total caloric intake was significantly lower than the measured BMR and TEE. Percentages of dietary fat and carbohydrates are related to changes in body composition after SCI.

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