Dietary intake and adherence to the 2010 Dietary Guidelines for Americans among individuals with chronic spinal cord injury: A pilot study |
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Authors: | Jesse Lieberman David Goff Jr. Flora Hammond Pamela Schreiner H. James Norton Michael Dulin Xia Zhou Lyn Steffen |
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Affiliation: | 1.Carolinas Rehabilitation/Carolinas Medical Center, Charlotte, NC, USA;2.Colorado School of Public Health, Aurora, CO, USA;3.Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN, USA;4.University of Minnesota School of Public Health, Division of Epidemiology and Community Health, Minneapolis, MN, USA |
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Abstract: | ObjectiveTo investigate dietary intake and adherence to the 2010 Dietary Guidelines for Americans in individuals with chronic spinal cord injury (SCI) and able-bodied individuals.DesignA pilot study of dietary intake among a sample of individuals with SCI >1 year ago from a single site compared with able-bodied individuals.Participants/methodsOne hundred black or white adults aged 38–55 years old with SCI >1 year and 100 age-, sex-, and race-matched adults enrolled in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Dietary intake was assessed by the CARDIA dietary history. Linear regression analysis was used to compare dietary intake between the subjects with SCI and those enrolled in the CARDIA study. Further, adherence to the 2010 Dietary Guidelines for dairy, fruits, and vegetables, and whole-grain foods was assessed.ResultsCompared with CARDIA participants, participants with SCI consumed fewer daily servings of dairy (2.10 vs. 5.0, P < 0.001), fruit (2.01 vs. 3.64, P = 0.002), and whole grain foods (1.20 vs. 2.44 P = 0.007). For each food group, fewer participants with SCI met the recommended servings compared with the CARDIA participants. Specifically, the participants with SCI and in CARDIA who met the guidelines were, respectively: dairy, 22% vs. 54% (P < 0.001), fruits and vegetables 39% vs. 70% (P = 0.001), and whole-grain foods 8% vs. 69.6% (P = 0.001).ConclusionsCompared with able-bodied individuals, SCI participants consumed fewer daily servings of fruit, dairy, and whole grain foods than proposed by the 2010 Dietary Guideline recommendations. Nutrition education for this population may be warranted. |
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Keywords: | Spinal cord injury Dietary intake 2010 Dietary Guidelines for Americans |
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