Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jan 31;15(1):e0228465.
doi: 10.1371/journal.pone.0228465. eCollection 2020.

Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users

Jasmijn F M Holla  1   2 , Lizanne E van den Akker  1 , Tessa Dadema  3 , Sonja de Groot  2   4 , Michael Tieland  5 , Peter J M Weijs  5   6 , Marije Deutekom  1   5 ; WHEELS-study group
Affiliations

Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users

Jasmijn F M Holla et al. PLoS One. .

Abstract

Objective: This study aims to identify determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation, from the perspectives of both wheelchair users and rehabilitation professionals. The findings should contribute to the field of health promotion programs for wheelchair users.

Methods: Five focus groups were held with wheelchair users (n = 25), and two with rehabilitation professionals (n = 11). A thematic approach was used for data analysis in which the determinants were categorized using an integrated International Classification of Functioning, Disability and Health and Attitude, Social influence and self-Efficacy model.

Results: Reported personal factors influencing dietary behaviour in wheelchair users were knowledge, boredom, fatigue, stage of life, habits, appetite, self-control, multiple lifestyle problems, intrinsic motivation, goal setting, monitoring, risk perception, positive experiences, suffering, action planning, health condition, function impairments, attitude and self-efficacy. Reported environmental factors influencing dietary behaviour in wheelchair users were unadjusted kitchens, monitoring difficulties, eating out, costs, unfavourable food supply, nutrition education/counselling, access to simple healthy recipes, eating together, cooking for others, and awareness and support of family and friends.

Conclusions: Important modifiable determinants of dietary behaviour in wheelchair users that might be influenced in lifestyle interventions are knowledge, fatigue, habits, self-control, intrinsic motivation, risk perception, attitude and self-efficacy. It is recommended to involve relatives, since they appear to significantly influence dietary behaviour.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Summary of the focus group results displayed in the slightly adapted* Physical Activity for people with a Disability (PAD) model*.
Slightly adapted means that “physical activity” is replaced with “dietary behaviour”. The determinants assigned to each category are presented in random order. LLA = lower limb amputation; SCI = spinal cord injury.
See this image and copyright information in PMC

References

    1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional and national prevalence of overweight and obesity in children and adults 1980–2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945): 766–781. 10.1016/S0140-6736(14)60460-8 - DOI - PMC - PubMed
    1. Weil E, Wachterman M, McCarthy EP, Davis RB, O’Day B, Iezzoni LI, et al. Obesity among adults with disabling conditions. JAMA. 2002;288(10): 1265–1268. 10.1001/jama.288.10.1265 - DOI - PubMed
    1. Nevin AN, Steenson J, Vivanti A, Hickman IJ. Investigation of measured and predicted resting energy needs in adults after spinal cord injury: a systematic review. Spinal Cord. 2016;54(4): 248–253. 10.1038/sc.2015.193 - DOI - PubMed
    1. Wadey R, Day M. A longitudinal examination of leisure time physical activity following amputation in England. Psychol Sport and Exerc. 2018;37: 251–261.
    1. Bragaru M, van Wilgen CP, Geertzen JH, Ruijs SG, Dijkstra PU, Dekker R. Barriers and facilitators of participation in sports: a qualitative study on Dutch individuals with lower limb amputation. PLoS One. 2013;8(3): e59881 10.1371/journal.pone.0059881 - DOI - PMC - PubMed

Publication types