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
APA StylePodvin, C., Morrison, T., Dabis, J., McGinley, J. J., Ellis, H. B., Wilson, P. L., & Ulman, S. (2024). Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury. Nutrients, 16(12), 1847. https://doi.org/10.3390/nu16121847