Energy Expenditure in Individuals with Spinal Cord Injury Quantified by Doubly Labeled Water and a Multi-Sensor Armband

2015 ◽  
Vol 12 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Ricardo A. Tanhoffer ◽  
Aldre I.P. Tanhoffer ◽  
Jacqueline Raymond ◽  
Nathan A. Johnson ◽  
Andrew P. Hills ◽  
...  
2015 ◽  
Vol 12 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Ricardo A. Tanhoffer ◽  
Aldre I.P. Tanhoffer ◽  
Jacqueline Raymond ◽  
Nathan A. Johnson ◽  
Andrew P. Hills ◽  
...  

Background:The objective of this study was to determine whether doubly labeled water (DLW) and a multi-sensor armband (SWA) could detect the variation in energy expenditure incurred by a period of increased exercise (EXE) versus a period of high sedentary activity (SED), in individuals with spinal cord injury (SCI).Methods:Eight participants with SCI were submitted to 2 testing periods of energy expenditure assessment: 1) a 14-day phase during which sedentary living conditions were imposed and 2) a 14-day phase during which an exercise training intervention was employed. For each phase, total daily energy expenditure (TDEE) and physical activity energy expenditure (PAEE) were measured by DLW and SWA.Results:Mean TDEE assessed by DLW, was significantly higher during EXE versus SED (11,605 ± 2151 kJ·day-1 and 10,069 ± 2310 kJ·day-1). PAEE predicted by DLW was also significantly higher during EXE versus SED (5422 ± 2240 kJ·day-1 and 3855 ± 2496 kJ·day-1). SWA-predicted PAEE significantly underestimated PAEE measured by the DLW during SED and EXE.Conclusion:DLW is sensitive to detect variation in within-individual energy expenditure during voluntary increase in physical activity in individuals with SCI. SWA failed to detect statistically significant variations in energy expenditure between periods of high versus low activity in SCI.


2019 ◽  
Vol 10 ◽  
Author(s):  
Werner L. Popp ◽  
Sophie Schneider ◽  
Jessica Bär ◽  
Philipp Bösch ◽  
Christina M. Spengler ◽  
...  

2005 ◽  
Vol 42 (5) ◽  
pp. 617 ◽  
Author(s):  
Amy M. Hayes ◽  
Jonathan N. Myers ◽  
Monica Ho ◽  
Matthew Y. Lee ◽  
Inder Perkash ◽  
...  

2002 ◽  
Vol 34 (5) ◽  
pp. S17 ◽  
Author(s):  
T Abel ◽  
M Kr??ner ◽  
I Bleicher ◽  
S Rojas ◽  
A Kupfer ◽  
...  

2002 ◽  
Vol 34 (5) ◽  
pp. S73
Author(s):  
W E Langbein ◽  
K J Williams ◽  
S Foley ◽  
E Collins ◽  
S VanDeWalker ◽  
...  

2021 ◽  
Vol 27 (1) ◽  
pp. 92-99
Author(s):  
Gary J. Farkas ◽  
Alicia Sneij ◽  
David R. Gater

Following a spinal cord injury (SCI), neurogenic obesity results from changes in body composition, physical impairment, and endometabolic physiology and when dietary intake exceeds energy expenditure. Given the postinjury reductions in lean body mass, sympathetic nervous system dysfunction, and anabolic deficiencies, energy balance is no longer in balance, and thereby an obesogenic environment is created that instigates cardiometabolic dysfunction. Accurate determination of metabolic rate can prevent excess caloric intake while promoting positive body habitus and mitigating obesity-related comorbidities. Metabolic rate as determined by indirect calorimetry (IC) has not been adopted in routine clinical care for persons with SCI despite several studies indicating its importance. This article reviews current literature on measured and predicted metabolic rate and energy expenditure after SCI and stresses the importance of IC as standard of care for persons with SCI.


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