Research Reports - Nutritional intake, body mass index, and activity in postacute traumatic brain injury
Rehabil Nurs. 2014 Jan 17
Duraski SA, Lovell L, Roth EJ
PURPOSE: In the United States, traumatic brain injury (TBI) remains a serious
health problem contributing to lifelong disability. Little has been written about
nutrition problems experienced postrehabilitation discharge. Our objective was to
describe the nutrition and weight management characteristics of TBI survivors
after discharge from rehabilitation and to identify characteristics of
individuals at risk for weight control issues.
METHOD/DESIGN: Twenty-six TBI survivors admitted to a freestanding rehabilitation
hospital were followed for 1 year postdischarge. Data on height, weight,
disability rating, diet and activity were collected at admission, 3, 6, 9 and 12
months after discharge.
FINDINGS: Approximately 30% of the participants showed an increasing body mass
index from discharge to 1-year follow up. Two patients had more complete
long-term data and are highlighted.
CONCLUSION/CLINICAL RELEVANCE: The case studies provide insight into the need for
rehabilitation nurses to provide nutrition education to TBI survivors that will
accommodate changes in lifestyle and activity after discharge.