Electrically Induced Cycling and Nutritional Counseling for Counteracting Obesity After Spinal Cord Injury: A Pilot Study
Kinesiology and Nutrition
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.
Journal of Spinal Cord Medicine
(2020). Electrically Induced Cycling and Nutritional Counseling for Counteracting Obesity After Spinal Cord Injury: A Pilot Study. Journal of Spinal Cord Medicine.
Available at: https://aquila.usm.edu/fac_pubs/17902