Impact of Spinal Cord Injury on Body Composition and Weight

Year : 2026 | Volume : 15 | Issue : 01 | Page : 19 34
    By

    Gurmeet Singh Sarla,

  • Nirmal Pandey,

  1. Senior Advisor, Department of Surgery, Military Hospital, Khadki, Pune, Maharashtra, India
  2. Dietician, Department of Dietetics, Military Hospital (MH) Khadki, Pune, Maharashtra, India

Abstract

Weight gain is a common consequence of spinal cord injury (SCI), often resulting from decreased physical activity, metabolic alterations, and changes in body composition. This study aimed to assess post-injury weight changes among individuals with SCI. Data was obtained using a multistage random sampling method, utilizing a patient questionnaire administered to 28 individuals diagnosed with SCI. Participants’ baseline weights were compared with their recorded weights at follow-up. The mean initial body weight of the participants was recorded as 64.92 kg, whereas the mean current body weight was found to be 72.11 kg. This reflects an average increase of 7.19 kg over the study period. To determine the statistical significance of this observed change, a paired t-test was conducted, which demonstrated that the increase in body weight was statistically significant (p < 0.05). This result indicates that individuals with spinal cord injury (SCI) are prone to substantial weight gain following the onset of their condition. Several factors may contribute to this trend, including reduced physical activity due to mobility limitations, alterations in metabolism, and changes in dietary intake. Such weight gain can exacerbate secondary complications, including cardiovascular risk, insulin resistance, and increased strain on musculoskeletal structures. These findings underscore the critical importance of implementing targeted interventions, including nutritional counseling, structured exercise programs, and ongoing monitoring, to manage weight effectively during both rehabilitation and long-term care for patients with SCI. Addressing these factors early may improve overall health outcomes and quality of life for this population.

Keywords: Body composition, metabolic changes, rehabilitation, spinal cord injury, weight gain

[This article belongs to Research and Reviews : Journal of Surgery ]

How to cite this article:
Gurmeet Singh Sarla, Nirmal Pandey. Impact of Spinal Cord Injury on Body Composition and Weight. Research and Reviews : Journal of Surgery. 2026; 15(01):19-34.
How to cite this URL:
Gurmeet Singh Sarla, Nirmal Pandey. Impact of Spinal Cord Injury on Body Composition and Weight. Research and Reviews : Journal of Surgery. 2026; 15(01):19-34. Available from: https://journals.stmjournals.com/rrjos/article=2026/view=239482


References

  1. Ministério da Saúde. Diretrizes de atenção à pessoa com lesão medular. Brasília (DF): Secretaria de Atenção à Saúde – Departamento de Ações Programáticas Estratégicas; 2012.
  2. Farkas GJ, Gater DR. Neurogenic obesity and systemic inflammation following spinal cord injury: A review. J Spinal Cord Med. 2018;41(4):378–87.
  3. Farkas GJ, Pitot MA, Gater DR Jr. A systematic review of the accuracy of estimated and measured resting metabolic rate in chronic spinal cord injury. Int J Sport Nutr Exerc Metab. 2019;29(5):548–58.
  4. Gorgey AS, Mather KJ, Cupp HR, Gater DR. Effects of resistance training on adiposity and metabolism after spinal cord injury. Med Sci Sports Exerc. 2012;44(1):165–74.
  5. Aquilani R, Boschi F, Contardi A, Iadarola P, Dioguardi F, Verri M, et al. Energy expenditure and nutritional adequacy of rehabilitation paraplegics with asymptomatic bacteriuria and pressure sores. Spinal Cord. 2001;39(8):437–41. doi: 10.1038/sj.sc.3101179.
  6. Academy of Nutrition and Dietetics. Spinal Cord Injury (SCI) Guidelines; 2009. Available from: https://andeal.org/topic.cfm?menu=5292&pcat=3487&cat=5448
  7. Nightingale TE, Williams S, Thompson D, Bilzon JLJ. Energy balance components in persons with paraplegia: Daily variation and appropriate measurement duration. Int J Behav Nutr Phys Act. 2017;14(1):132.
  8. Bühler MA, Lucatelli V, Amaral RB, Rockenbach CWF. Perfil clínico e epidemiológico dos pacientes com lesão medular atendidos no Centro de Atendimento à Deficiência (CAD). In: XIV Seminário Interinstitucional de Ensino e Pesquisa e Extensão; 2011; Cruz Alta. Cruz Alta: Universidade de Cruz Alta; 2011.
  9. Groah SL, Nash MS, Ljungberg IH, Libin A, Hamm LF, Ward E, et al. Nutrient intake and body habitus after spinal cord injury: An analysis by sex and level of injury. Spinal Cord. 2009;47(1):25–33.
  10. Silveira SL, Winter LL, Clark R, Ledoux T, Robinson-Whelen S. Baseline dietary intake of individuals with spinal cord injury who are overweight or obese. J Acad Nutr Diet. 2018;119(9):301–09.
  11. Farkas GJ, Gater DR. Energy expenditure and nutrition in neurogenic obesity following spinal cord injury. J Phys Med Rehabil. 2020;2(1):11–13.
  12. Gater DR, Farkas GJ, Berg AS, Castillo C. Prevalence of metabolic syndrome in veterans with spinal cord injury. J Spinal Cord Med. 2018;42(1):86–93.
  13. Schmid A, Knöebber J, Vogt S, Braunstein V, Heidrich C, Pochstein M, et al. Lipid profiles of persons with paraplegia and tetraplegia: sex differences. J Spinal Cord Med. 2008;31(3):285–89.
  14. Bauman WA, Spungen AM. Metabolic changes in persons after spinal cord injury. Phys Med Rehabil Clin N Am. 2000;11(1):109–40.
  15. Groah SL, Weitzenkamp D, Sett P, Soni B, Savic G. The relationship between neurological level of injury and symptomatic cardiovascular disease risk in the aging spinal injured. Spinal Cord. 2001;39(6):310–17. doi: 10.1038/sj.sc.3101162.
  16. Gibson AE, Buchholz AC, Martin Ginis KA. C-reactive protein in adults with chronic spinal cord injury: increased chronic inflammation in tetraplegia vs paraplegia. Spinal Cord. 2008;46(9):616–21. doi:10.1038/sc.2008.32.
  17. Manns PJ, McCubbin JA, Williams DP. Fitness, inflammation, and the metabolic syndrome in men with paraplegia. Arch Phys Med Rehabil. 2005;86:1176–81. doi: 10.1016/j.apmr.2004.11.020.
  18. Maruyama Y, Mizuguchi M, Yaginuma T, Sekiguchi K, Tadano T, Kawai M, et al. Serum leptin, abdominal obesity and the metabolic syndrome in individuals with chronic spinal cord injury. Spinal Cord. 2008;46:494–99. doi: 10.1038/sj.sc.3102171.
  19. Nash MS, Groah SL, Gater DR, van der Scheer JW, Hayes KC, Borszcz GS, et al. Identification and management of cardiometabolic risk after spinal cord injury: Clinical practice guideline for health care providers. Top Spinal Cord Inj Rehabil. 2018;24(4):379–423. doi: 10.1310/sci2404–379.
  20. Yahiro AM, Wingo BC, Kunwor S, Parton J, Ellis AC. Classification of obesity, cardiometabolic risk, and metabolic syndrome in adults with spinal cord injury. J Spinal Cord Med. 2019;42(5):1–12. doi: 10.1080/10790268.2018.1557864.
  21. Gupta N, White KT, Gater DR. Body mass index in spinal cord injury—A retrospective study. Spinal Cord. 2006;44(2):92–94. doi: 10.1038/sj.sc.3101790.
  22. Tweedy SM, Beckman EM, Geraghty TJ, Theisen D, Perret C, Harvey LA, et al. Exercise and Sports Science Australia (ESSA) position statement on exercise and spinal cord injury. J Sci Med Sport. 2017;20:108–15. doi:10.1016/j.jsams.2016.02.001.
  23. Segovia-Siapco G, Sabate J, Harwatt H, et al. Beyond meat: A comparison of the dietary intakes of vegetarian and non-vegetarian adolescents. Front Nutr. 2019;6:134.
  24. Leidy HJ, Campbell WW. The effect of eating frequency on appetite control and food intake: Brief synopsis of controlled feeding studies. J Nutr. 2011;141(1):154–57. doi: 10.3945/jn.109.114389.
  25. McCrory MA, Howarth NC, Roberts SB, Huang TT. Eating frequency and energy regulation in free-living adults consuming self-selected diets. J Nutr. 2011;141(1):148–53. doi: 10.3945/jn.109.114991.
  26. Farkas GJ, Gorgey AS, Dolbow DR, Berg AS, Gater DR. Caloric intake relative to total daily energy expenditure using a spinal cord injury-specific correction factor: An analysis by level of injury. Am J Phys Med Rehabil. 2019;98(11):947–52.
  27. Farkas GJ, Pitot MA, Berg AS, Gater DR. Nutritional status in chronic spinal cord injury: A systematic review and meta-analysis. Spinal Cord. 2019;57(1):3–17.
  28. Kaneko H, Itoh H, Kiriyama H, Kamon T, Fujiu K, Morita K, et al. Possible association between eating behaviors and cardiovascular disease in the general population: Analysis of a nationwide epidemiological database. Atherosclerosis. 2021;320:79–85.
  29. Lynch A, Antony A, Dobbs B, Frizelle FB. Bowel dysfunction following spinal cord injury. Spinal Cord. 2001;39:193–203.
  30. Rimmer JH, Wang E. Obesity prevalence among a group of Chicago residents with disabilities. Arch Phys Med Rehabil. 2005;86(7):1461–64. doi: 10.1016/j.apmr.2004.10.038.
  31. Gorgey AS, Gater DR, Clasey JL. Waist circumference identifies the risk of obesity and metabolic syndrome in persons with spinal cord injury. Arch Phys Med Rehabil. 2006;87(10):E7–E8.
  32. Buchholz AC, McGillivray CF, Pencharz PB. Differences in resting metabolic rate between paraplegic and able-bodied subjects are explained by differences in body composition. Am J Clin Nutr. 2003;77(2):371–78.
  33. Jeon JY, Steadward RD, Bell GJ, et al. Intact sympathetic nervous system is required for leptin effects on resting metabolic rate in people with spinal cord injury. J Clin Endocrinol Metab. 2003;88(1):402–07. doi:10.1210/jc.2002-020939.
  34. Safdarian M, Trinka E, Rahimi-Movaghar V, Thomschewski A, Aali A, Abady GG, et al. Global, regional, and national burden of spinal cord injury, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2023;22:1026–47.
  35. Gorgey AS, Dolbow DR, Dolbow JD, Khalil RK, Castillo C, Gater DR. Effects of spinal cord injury on body composition and metabolic profile – Part I. J Spinal Cord Med. 2014;37:693–702.

Regular Issue Subscription Original Research
Volume 15
Issue 01
Received 10/10/2025
Accepted 13/01/2026
Published 30/03/2026
Publication Time 171 Days


Login


My IP

PlumX Metrics