{Reference Type}: Systematic Review
{Title}: A systematic review and qualitative synthesis of weight management interventions for people with spinal cord injury.
{Author}: Madigan CD;King JA;Taylor C;Hoekstra SP;Graham HE;Kirk N;Fenton JM;Goosey-Tolfrey VL;
{Journal}: Obes Rev
{Volume}: 25
{Issue}: 9
{Year}: 2024 Sep 9
{Factor}: 10.867
{DOI}: 10.1111/obr.13785
{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.