Weight gain prevention

People with spinal cord injury (SCI) need less energy compared to people without SCI. This is due to reductions in muscle mass, decreased sympathetic nervous system activity and reduced physical activity. As energy requirements can decrease by more than 25% after injury, weight gain can occur rapidly if changes to food intake are not made early in rehabilitation.

Consider referral to an Accredited Practising Dietitian who can educate and support people with SCI to prevent weight gain.

Key considerations for weight gain prevention include:

1. Monitor weight regularly

Initiate regular weight monitoring following SCI. It is much easier to take action when weight gain is identified early. If suitable scales are not accessible in the community, consider alternative approaches such as monitoring supine waist circumference.

2. Provide practical strategies

Ensure people with SCI, their family and friends are aware of the reduction in daily energy requirements. Demonstrate simple ways to reduce energy intake such as using smaller plates, bowls and cups. Reviewing the number of meals and snacks consumed each day can also be helpful. Identifying meals and snacks that contribute the most energy and brainstorming lower energy alternatives can also be a useful approach.

3. Consider emotional and boredom eating

Emotional and boredom eating can be common following SCI. It may be useful to explore leisure interests, physical activity or other distraction techniques in between meal times. The home and eating environment is also important to consider. Keeping food out of sight (such as inside a pantry) can help to keep it out of mind and may prevent boredom eating.