Food avoidance behaviors in individuals living with spinal cord injuries and disorders.

IF 2 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2026-04-02 DOI:10.1037/rep0000659

Sherri L LaVela, Gary J Farkas, Allen W Heinemann, Dan Eisenberg, Lorena Reyes, Rena M Steiger-Chadwick, Jennifer Burns, Myrissa Le, Brian Bartle, Marissa Wirth, Keith Aguina, Alex W K Wong

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引用次数: 0

Abstract

Purpose/objective: Research on food avoidance behaviors in individuals with chronic spinal cord injuries and disorders (SCI/D) is scarce. The objective was to assess food avoidance, reasons, and associated variables in persons with chronic SCI/D.

Research method/design: A cross-sectional survey was conducted. Bivariate and multivariable analyses identified variables associated with food avoidance.

Results: Of 365 respondents, 63% engaged in food avoidance behaviors. Reasons included intentional weight loss (49%), lack of hunger cues (40%), fear of bowel complications (32%), fear of gastrointestinal concerns (26%), uninterested in food (26%), and lack of help needed to prepare/eat food (11%). Bivariate analysis showed that a greater proportion of individuals with SCI/D who engaged in food avoidance behaviors compared with those who did not had low blood pressure (29% vs. 19%), heart problems (13% vs. 5%), sleep problems (86% vs. 66%), musculoskeletal pain (82% vs. 63%), bowel complications (78% vs. 69%), bladder complications (77% vs. 65%), gastroesophageal reflux disease (49% vs. 30%), osteoporosis (37% vs. 24%), posttraumatic stress (35% vs. 16%), and loneliness (31% vs. 14%; all p < .05). Variables that remained independently associated with food avoidance in multivariable analysis included: heart conditions (OR = 3.09, 95% confidence interval [CI]: 1.18-8.12), gastroesophageal reflux disease (OR = 1.77, 95% CI: 1.05-2.97), musculoskeletal pain (OR = 2.00, 95% CI: 1.11-3.62), sleep problems (OR = 1.81, 95% CI: 1.01-3.30), and loneliness (OR = 2.19, 95% CI: 1.17-4.10; all p < .05).

Conclusions/implications: Many individuals with SCI/D engaged in food avoidance behaviors. Food avoidance may be a strategy people use to modify their diet to manage health conditions, or it may suggest disordered avoidant eating behaviors. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

查看原文本刊更多论文

脊髓损伤和疾病患者的食物回避行为。

目的/目的：慢性脊髓损伤与障碍（SCI/D）患者的食物回避行为研究较少。目的是评估慢性SCI/D患者的食物避免、原因和相关变量。研究方法/设计：采用横断面调查法。双变量和多变量分析确定了与食物避免相关的变量。结果：在365名受访者中，63%的人有食物回避行为。原因包括故意减肥（49%）、缺乏饥饿提示（40%）、担心肠道并发症（32%）、担心胃肠道问题（26%）、对食物不感兴趣（26%）以及在准备/吃食物时缺乏帮助（11%）。双变量分析显示，与没有食物回避行为的患者相比，有低血压（29%比19%）、心脏问题（13%比5%）、睡眠问题（86%比66%）、肌肉骨骼疼痛（82%比63%）、肠道并发症（78%比69%）、膀胱并发症（77%比65%）、胃食管反流病（49%比30%）、骨质疏松症（37%比24%）、创伤后应激（35%比16%）和孤独感(31%比14%；p < 0.05)。在多变量分析中，与食物避免独立相关的变量包括：心脏病（OR = 3.09, 95%可信区间[CI]: 1.18-8.12）、胃食管反流病（OR = 1.77, 95% CI: 1.05-2.97）、肌肉骨骼疼痛（OR = 2.00, 95% CI: 1.11-3.62）、睡眠问题（OR = 1.81, 95% CI: 1.01-3.30）和孤独（OR = 2.19, 95% CI: 1.17-4.10，均p < 0.05）。结论/启示：许多SCI/D患者存在食物回避行为。食物回避可能是人们用来调整饮食以控制健康状况的一种策略，也可能是一种无序的回避性饮食行为。（PsycInfo数据库记录(c) 2026 APA，版权所有）。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.