Introduction

Given that traumatic spinal cord injuries tend to occur among young previously well-nourished persons, declines in nutritional status most likely occur post injury.  These declines are likely due to the combined effects of altered metabolism and lifestyle choices.  Many secondary complications of SCI are related to changes in energy, glucose, lipid and vitamin metabolism, including undesirable weight gain, cardiovascular disease risk, insulin resistance and osteoporosis.  Additional nutrition-related complications which can negatively impact quality of life include pressure ulcers and neurogenic bowel and bladder. 

At this point, little is known about the most effective health promotion activities, including nutrition interventions, required to promote long-term wellness forpersons after SCI.  However, it is clear thatadequate nutrition following SCI will help reduce the likelihood of further morbidity associated with post-SCI physiological and metabolic changes.  This chapter will summarize what is currently known regarding nutrition issues in the post-acute SCI population.

Fraser C, Teasell RW, Foulon BL, Mehta S (2010). Nutrition Issues Following Spinal Cord Injury. In Eng JJ, Teasell RW, Miller WC, Wolfe DL, Townson AF, Hsieh JTC, Connolly SJ, Mehta S, Sakakibara BM, editors. Spinal Cord Injury Rehabilitation Evidence. Version 3.0. Vancouver: p 1-19.
We would like to acknowledge previous contributors: Candice A Rideout