Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury
Abstract
:1. Introduction
2. Methods
2.1. Participants
2.2. Procedures
2.3. Statistical Analysis
3. Results
3.1. Sex Comparison
3.2. Age Comparison
4. Discussion
4.1. Weight Concerns
4.2. Appetite and Under Fueling
4.3. Sex- and Age-Related Differences
4.4. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Question | All | Female | Male |
---|---|---|---|
1. Do you have any food allergies/intolerances or avoid any food groups? | |||
Yes | 43 (9.0) | 22 (9.6) | 21 (8.4) |
No | 434 (91.0) | 206 (90.4) | 228 (91.6) |
2. Have you experienced any recent changes in appetite? | |||
Yes | 60 (12.6) | 32 (14.0) | 28 (11.2) |
No | 417 (87.4) | 196 (86.0) | 221 (88.8) |
3. Do you regularly skip at least one a meal a day? | |||
Yes | 142 (29.8) | 69 (30.3) | 73 (29.3) |
No | 335 (70.2) | 159 (69.7) | 176 (70.7) |
4. Do you wish you better understood nutrition for your recovery? | |||
Yes | 198 (41.5) | 80 (35.1) | 118 (47.4) |
No | 279 (58.5) | 148 (64.9) | 131 (52.6) |
5. Have you experienced any recent intentional or unintentional changes in your weight? | |||
Yes | 63 (13.2) | 22 (9.6) | 41 (16.5) |
No | 414 (86.8) | 206 (90.4) | 208 (83.5) |
6. Are you trying or has someone recommended that you change your body composition or weight? | |||
Yes | 81 (17.0) | 36 (15.8) | 45 (18.1) |
No | 396 (83.0) | 192 (84.2) | 204 (81.9) |
7. Do you have a history of stress fractures? | |||
Yes | 21 (4.4) | 12 (5.3) | 9 (3.6) |
No | 456 (95.6) | 216 (94.7) | 240 (96.4) |
8. Do you struggle with dizziness or fatigue during games, practices or with exercise? | |||
Yes | 36 (7.5) | 31 (13.6) | 5 (2.0) |
No | 441 (92.5) | 197 (86.4) | 244 (98.0) |
Question | All | Female | Male |
---|---|---|---|
To optimize your return to sport rehabilitation, would you like to meet with our sports dietitian? (% of prompted) | |||
Yes | 103 (32.3) | 45 (30.2) | 58 (34.1) |
No | 216 (67.7) | 104 (69.8) | 112 (65.9) |
Please list the reason(s) for choosing not to have a sports dietitian consult. (% of declined) | |||
I don’t feel like this applies to me | 124 (57.4) | 63 (60.6) | 61 (54.4) |
Time | 31 (14.3) | 13 (12.5) | 18 (16.1) |
No Response | 28 (13.0) | 12 (11.5) | 16 (14.3) |
Other | 19 (8.8) | 11 (10.6) | 8 (7.1) |
Financial Concern | 11 (5.1) | 4 (3.8) | 7 (6.3) |
Transportation | 3 (1.4) | 1 (1.0) | 2 (1.8) |
Q2 | Q3 | Q4 | Q5 | Q6 | Q7 | Q8 | Consult? | |
---|---|---|---|---|---|---|---|---|
Q1: Food allergies/intolerances | 1.40 | 0.60 | 1.70 | 2.18 | 1.13 | 2.52 | 1.29 | 1.22 |
95% CI [lower, upper] | [0.59, 3.30] | [0.28, 1.28] | [0.71, 3.19] | [1.02, 4.68] | [0.50, 2.54] | [0.81, 7.85] | [0.43, 3.83] | [0.63, 2.37] |
p-value | 0.287 | 0.123 | 0.066 | 0.042 | 0.451 | 0.110 | 0.411 | 0.338 |
Q2: Changes in appetite | 2.15 | 2.36 | 3.93 | 2.41 | 1.68 | 3.52 | 1.31 | |
95% CI [lower, upper] | [1.24, 3.73] | [1.36, 4.10] | [2.10, 7.36] | [1.30, 4.45] | [0.55, 5.17] | [1.63, 7.59] | [0.73, 2.34] | |
p-value | 0.005 | 0.002 | <0.001 | 0.005 | 0.265 | 0.002 | 0.223 | |
Q3: Skip meals | 2.28 | 2.27 | 1.81 | 1.48 | 2.89 | 0.98 | ||
95% CI [lower, upper] | [1.53, 3.39] | [1.32, 3.90] | [1.10, 2.97] | [0.60, 3.65] | [1.45, 5.74] | [0.62, 1.56] | ||
p-value | <0.001 | 0.003 | 0.014 | 0.265 | 0.002 | 0.516 | ||
Q4: Desire better understanding | 5.63 | 4.30 | 2.96 | 1.85 | 5.00 | |||
95% CI [lower, upper] | [3.05, 10.40] | [2.56, 7.22] | [1.17, 7.47] | [0.93, 3.66] | [2.82, 8.86] | |||
p-value | <0.001 | <0.001 | 0.016 | 0.055 | <0.001 | |||
Q5: Experienced weight changes | 13.11 | 2.80 | 2.01 | 2.96 | ||||
95% CI [lower, upper] | [7.23, 23.79] | [1.04, 7.51] | [0.87, 4.62] | [1.69, 5.21] | ||||
p-value | <0.001 | 0.045 | 0.086 | <0.001 | ||||
Q6: Goal/Rec. to change weight | 1.56 | 3.10 | 1.65 | |||||
95% CI [lower, upper] | [0.56, 4.39] | [1.50, 6.42] | [0.98, 2.78] | |||||
p-value | 0.276 | 0.003 | 0.040 | |||||
Q7: History of stress fractures | 1.31 | 0.61 | ||||||
95% CI [lower, upper] | [0.29, 5.85] | [0.22, 1.70] | ||||||
p-value | 0.482 | 0.240 | ||||||
Q8: Struggle with dizziness/fatigue | 0.75 | |||||||
95% CI [lower, upper] | [0.35, 1.61] | |||||||
p-value | 0.291 |
Variable | Yes | No | p-Value |
---|---|---|---|
Food allergies/intolerances | 15.1 ± 2.1 | 15.0 ± 2.0 | 0.982 |
Changes in appetite | 15.6 ± 1.8 | 15.0 ± 2.0 | 0.022 |
Skip meals | 15.4 ± 1.7 | 14.9 ± 2.1 | 0.002 |
Desire for better understanding | 15.5 ± 1.8 | 14.8 ± 2.1 | <0.001 |
Experienced changes in weight | 15.8 ± 1.6 | 14.9 ± 2.1 | <0.001 |
Goal/Recommendation to change weight | 15.6 ± 1.8 | 14.9 ± 2.0 | 0.005 |
History of stress fractures | 15.7 ± 1.6 | 15.0 ± 2.0 | 0.066 |
Struggle with dizziness or fatigue | 15.1 ± 1.5 | 15.0 ± 2.1 | 0.684 |
Positive Response for a consult | 15.5 ± 1.7 | 15.2 ± 1.9 | 0.183 |
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Podvin, C.; Morrison, T.; Dabis, J.; McGinley, J.J.; Ellis, H.B.; Wilson, P.L.; Ulman, S. Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury. Nutrients 2024, 16, 1847. https://doi.org/10.3390/nu16121847
Podvin C, Morrison T, Dabis J, McGinley JJ, Ellis HB, Wilson PL, Ulman S. Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury. Nutrients. 2024; 16(12):1847. https://doi.org/10.3390/nu16121847
Chicago/Turabian StylePodvin, Caroline, Taylor Morrison, Jessica Dabis, James J. McGinley, Henry B. Ellis, Philip L. Wilson, and Sophia Ulman. 2024. "Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury" Nutrients 16, no. 12: 1847. https://doi.org/10.3390/nu16121847