Basal Metabolic Rate Versus Dietary Vitamin D and Calcium Intakes and the Association With Body Composition and Bone Health After Chronic Spinal Cord Injury
Bibliographic Data
| ID | 13774687 |
|---|---|
| Authors | Ifon E Dora (Richmond VA Medical Center, Richmond, VA, USA), Refka E Khalil (Richmond VA Medical Center, Richmond, VA, USA), Robert A Adler (0000-0002-2019-0417, Richmond VA Medical Center, Richmond, VA, USA), Ashraf S Gorgey (0000-0002-9157-6034, Richmond VA Medical Center, Richmond, VA, USA, corresponding author) |
| Year | 2024 |
| Volume | 61 |
| Pages | 469580241278018-469580241278018 |
| Publication date | 2024-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00469580241278018 |
| PMID | 39264099 |
| OpenAlex | W4402501327 |
| Language | EN |
| References cited | 47 |
We examined the association among basal metabolic rate (BMR) as well as dietary intakes of vitamin D (Vit D) and calcium on body composition and bone mineral density (BMD) after spinal cord injury (SCI). Cross-sectional design. Veterans Affairs Medical Center, Richmond, VA. About 33 individuals with chronic SCI who recorded their food consumption 3 days per week for 2 weeks. BMR was measured after 10 to 12 h of overnight fast. Average daily vit D and calcium intakes, and total caloric intake were recorded and analyzed using the Nutrition Data System for Research (NDSR) software. Fasting blood analysis for 25-hydroxyvitamin D (25[OH]D) status and Triiodothyronine (T3) status was performed (n = 10). Total and regional BMD, % fat mass (FM), and % lean mass (LM) were measured by dual X-ray absorptiometry scans. Participants consumed less than the Institute of Medicine (IOM) recommended daily allowances (RDA) for vit D (600-800 IU) and calcium (1000-1200 mg) for adults. BMR was positively related to total-lean mass ( r = .62, P = .0001; n = 32) and leg-lean mass ( r = .51, P = .003; n = 32). Adjusted BMR was negatively related to BMD of the left (r = -.38, P = .047; n = 28) and the right (r = -.41, P = .032; n = 28) proximal tibia. Vit D intake was negatively related to percentage total-FM ( r = -.33, P = .07; n = 29) and legs-%FM ( r = -.37, P = .047; n = 29). Multivariate regression models indicated that adjusted BMR explained the variance in leg fat mass (34%; P = .002) and percentage fat mass (44%; P < .0001). Persons with SCI are likely to consume less than the RDAs for vit D and calcium. BMR may explain the changes in body composition and bone metabolism. Dietary vit D should be considered as a prophylactic intervention in maintenance of bone health after SCI
Basal metabolic rate · Body weight · Bone mineral · Calcium · Lean body mass · Osteoporosis · Spinal cord · Spinal cord injury · Vitamin D and neurology · Cerebral Palsy and Movement Disorders · Endocrinology · Internal Medicine · Medicine · Pharmacological Effects and Toxicity Studies · Physiology · Vitamin D Research Studies
| Citation velocity | historical |
|---|---|
| Highly cited | No |