Abstract：
People with spinal cord injury (SCI) are at greater risk of developing obesity and related co-morbidities than those without SCI. The objectives of this systematic review were to examine the effectiveness of weight management interventions for people with SCI and to synthesize the experiences of people involved with SCI weight management (e.g., SCI healthcare professionals and caregivers). Five databases were searched (up to July 31, 2023) and 5,491 potentially eligible articles were identified. Following screening, 22 articles were included, comprising 562 adults. There was considerable heterogeneity in study design and weight loss interventions included behavioral nutritional and exercise education sessions, recalling food diaries, exercise interventions, and pharmaceuticals. The mean percentage change of the pooled body mass data equated to -4.0 ± 2.3%, with a range from -0.5 to -7.6%. In addition, 38% of the individuals with SCI who completed a weight loss intervention (N = 262) had a ≥5% reduction in body weight. Collectively, although on average the included interventions led to moderate weight loss, the finding that just over a third of individuals achieved clinically meaningful 5% weight loss suggests that available interventions for this population may need to be improved.
摘要：
患有脊髓损伤（SCI）的人比没有SCI的人患肥胖症和相关合并症的风险更大。本系统评价的目的是检查体重管理干预措施对SCI患者的有效性，并综合参与SCI体重管理的人的经验（例如，SCI医疗保健专业人员和护理人员)。搜索了五个数据库（截至2023年7月31日），确定了5,491篇潜在合格文章。筛选后,包括22篇文章，包括562名成年人。在研究设计和减肥干预中存在相当大的异质性，包括行为营养和运动教育课程，回忆食物日记，运动干预,和药物。合并体重数据的平均百分比变化等于-4.0±2.3%，范围为-0.5至-7.6%。此外,完成减肥干预的SCI患者中有38％（N=262）的体重减轻≥5％。总的来说，尽管平均而言，所包括的干预措施导致了适度的体重减轻，超过1/3的个体实现了有临床意义的5%的体重减轻,这一发现表明,针对该人群的可用干预措施可能需要改进.
