Diabetes, Obesity, Spinal Cord Injuries
Conditions
Brief summary
The purpose of this study is to examine the effectiveness of a low carbohydrate diet on increasing dietary adherence and improving cardiometabolic risk factors among adults with spinal cord injury (SCI). Seventy overweight/obese adults with SCI will be randomized to one of two groups: 1) a reduced carbohydrate diet or 2): a standard diet (STD). Participants will take part in a 6-month behavioral lifestyle intervention implemented through a novel eHealth platform specially designed for individuals with SCI.
Interventions
BEHAVIORALeHealth Behavioral Lifestyle Intervention Device: Telecoach
Participants will receive weekly/biweekly coaching sessions with a telecoach and use eHealth platform to log food and exercise, review daily goals, and find strategies for reaching goals.
Sponsors
University of Alabama at Birmingham
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* SCI ≥ 1 year post injury * able to use arms for exercise * BMI of 22-50 kg/m2 * 19-60 years old * reliable access to internet and smartphone * have the ability to converse in English * ability to prepare own food or have input into person responsible for food preparation
Exclusion criteria
* heart disease * renal disease * active pressure sore * persons on medically restricted diets
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to prescribed macronutrient composition as measured by multiple pass 24 hour dietary recall | 6 months | Participants will record 3 days of food intake at each measurement time point. Calories and macronutrient values from the 3 days will be averaged. We will calculate an adherence score using methodology described by Alhassan et al. Adherence will be measured as the difference between recorded intake and prescribed intake of the macronutrient of interest for each group (i.e., carbohydrates for the low carbohydrate group, fat for the standard group). For example, if a participant in the low carbohydrate group is prescribed a limit of 50g of CHO/day, and recorded intake is 70g, the adherence score will be 20. A score of 0 indicates meeting recommended values, and higher scores indicate poorer adherence than lower scores. |
Countries
United States
Outcome results
None listed