Szlachcic et al. 2001 USA
Downs & Black score=20
Prospective Controlled Trial
N=222

Population: SCI: Gender: males = 198, females = 24; Level of injury: complete, incomplete; Time since injury = at least 2 years.
Treatment: Subjects who had a cholesterol level >5.2mmol/L (n=86) were referred to dietary consultation and advised to modify daily intakes as follows: total fat <30% of kcal, saturated fat <10% of kcal, cholesterol <300 mg, carbohydrate = 60% of kcal.  Compliance was assessed twice.  The remaining subjects acted as a control group.
Outcome Measures: Change in blood lipid profile.

1. Total cholesterol decreased in the dietary counseling group (from 6.1 to 5.8mmol/L, p < 0.001) and slightly increased in the control group (from 4.2-4.3 mmol/L, p = 0.006). 
2. LDL was reduced (from 4.1 to 3.9mmol/l, p = 0.004) in the dietary counseling group and did not change significantly among controls. 
3. Neither group experienced significant changes in HDL or triglyceride values.