{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:49:56Z","timestamp":1775148596634,"version":"3.50.1"},"reference-count":126,"publisher":"American Spinal Injury Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Individuals living with spinal cord injury (SCI) have a high prevalence of obesity and unique barriers to healthy lifestyle.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To examine barriers and facilitators to engagement and weight loss among SCI participants enrolled in the Group Lifestyle Balance Adapted for individuals with Impaired Mobility (GLB-AIM), a 12-month intensive lifestyle intervention.\n                    <jats:bold>Methods:<\/jats:bold>\n                    SCI participants\n                    <jats:italic>(N<\/jats:italic>\n                    = 31) enrolled in a wait-list, randomized controlled trial where all participants received intervention between August 2015 and February 2017. Analyses of pooled data occurred in 2020 to examine cross-sectional and prospective associations of hypothesized barriers and facilitators with (1) intervention engagement, comprised of attendance and self-monitoring, and (2) percent weight change from baseline to 12 months. We performed multivariable linear regression on variables associated with outcomes at\n                    <jats:italic>p<\/jats:italic>\n                    &lt; .05 in bivariate analyses and controlled for intervention group.\n                    <jats:bold>Results:<\/jats:bold>\n                    Participants were middle-aged (mean age, 48.26 \u00b1 11.01 years), equally male (50%) and female, White (80.7%), and unemployed (65.6%). In participants who completed baseline surveys (\n                    <jats:italic>n<\/jats:italic>\n                    = 30), dietary self-efficacy explained 26% of variance in engagement (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; .01); among the 12-month study completers (\n                    <jats:italic>n<\/jats:italic>\n                    = 22, 71.0%), relationship issues explained 23% of variance in engagement (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; .01). Money problems, health issues unrelated to SCI, lack of motivation, and experimental group explained 57% of variance in weight loss (\n                    <jats:italic>p<\/jats:italic>\n                    for model &lt; .01), with lack of motivation uniquely explaining 24% of variance\n                    <jats:italic>(p<\/jats:italic>\n                    &lt; .01).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Improving engagement and weight loss for persons with SCI in the GLBAIM program may be achieved by addressing lack of motivation, relationship issues, and nutrition self-efficacy.\n                  <\/jats:p>","DOI":"10.46292\/sci20-00025","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T13:49:15Z","timestamp":1616161755000},"page":"135-148","source":"Crossref","is-referenced-by-count":3,"title":["Barriers and Facilitators to Lifestyle Intervention Engagement and Weight Loss in People Living With Spinal Cord Injury"],"prefix":"10.46292","volume":"27","author":[{"given":"Andrea C.","family":"Betts","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston, School of Public Health, Dallas, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christa","family":"Ochoa","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Institute for Rehabilitation, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Institute for Rehabilitation, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Sikka","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Institute for Rehabilitation, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Froehlich-Grobe","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Institute for Rehabilitation, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"issue":"1","key":"i1082-0744-27-1-135-b1","series-title":"Am J Phys Med Rehabil","first-page":"22","article-title":"Prevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders","volume":"86","year":"2007","unstructured":"Weaver\n              FM,\n            \n            \n              Collins\n              EG,\n            \n            \n              Kurichi\n              J,\n            \n          \n          .\n\t\t\t\t\tPrevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders.\n\t\t\t\t\tAm J Phys Med 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individuals with spinal cord injury.\n\t\t\t\t\tOccup Ther Health Care.\n\t\t\t\t\t2016;\n\t\t\t\t\t30(\n\t\t\t\t\t3):\n\t\t\t\t\t215\u2013\n\t\t\t\t\t230."},{"issue":"1","key":"i1082-0744-27-1-135-b31","series-title":"Spinal Cord","first-page":"27","article-title":"Exercise participation barrier prevalence and association with exercise participation status in individuals with spinal cord injury","volume":"51","year":"2013","unstructured":"Cowan\n              RE,\n            \n            \n              Nash\n              MS,\n            \n            \n              Anderson\n              KD.\n            \n          \n          Exercise participation barrier prevalence and association with exercise participation status in individuals with spinal cord injury.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2013;\n\t\t\t\t\t51(\n\t\t\t\t\t1):\n\t\t\t\t\t27\u2013\n\t\t\t\t\t32."},{"issue":"6","key":"i1082-0744-27-1-135-b32","series-title":"Am J Prev 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McWilliams\n              JR,\n            \n            \n              Chen\n              HY,\n            \n            \n              Siminerio\n              LM.\n            \n          \n          A community-based diabetes prevention program: evaluation of the group lifestyle balance program delivered by diabetes educators.\n\t\t\t\t\tDiabetes Educ.\n\t\t\t\t\t2011;\n\t\t\t\t\t37(\n\t\t\t\t\t5):\n\t\t\t\t\t659\u2013\n\t\t\t\t\t668."},{"issue":"6","key":"i1082-0744-27-1-135-b34","series-title":"Am J Prev Med","first-page":"805","article-title":"The Group Lifestyle Balance Adapted for individuals with Impaired Mobility (GLB-AIM): outcomes of 6-month RCT and combined groups at 12 months","volume":"59","year":"2020","unstructured":"Froehlich-Grobe\n              K,\n            \n            \n              Betts\n              AC,\n            \n            \n              Driver\n              S,\n            \n          \n          .\n\t\t\t\t\tThe Group Lifestyle Balance Adapted for individuals with Impaired Mobility (GLB-AIM): outcomes of 6-month RCT and combined groups at 12 months.\n\t\t\t\t\tAm J Prev Med.\n\t\t\t\t\t2020;\n\t\t\t\t\t59(\n\t\t\t\t\t6):\n\t\t\t\t\t805\u2013\n\t\t\t\t\t817."},{"issue":"9","key":"i1082-0744-27-1-135-b35","series-title":"Circulation","first-page":"1081","article-title":"Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association","volume":"116","year":"2007","unstructured":"Haskell\n              WL,\n            \n            \n              Lee\n              IM,\n            \n            \n              Pate\n              RR,\n            \n          \n          .\n\t\t\t\t\tPhysical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association.\n\t\t\t\t\tCirculation.\n\t\t\t\t\t2007;\n\t\t\t\t\t116(\n\t\t\t\t\t9):\n\t\t\t\t\t1081\u2013\n\t\t\t\t\t1093."},{"key":"i1082-0744-27-1-135-b36","series-title":"Social Foundations of Thought and Action: Social Cognitive Theory.","year":"1986","unstructured":"Bandura\n              A.\n            \n          \n          \n            Social Foundations of Thought and Action: Social Cognitive Theory.\n          \n          Englewood Cliffs, NJ:\n\t\t\t\t\tPrentice Hall;\n\t\t\t\t\t1986."},{"issue":"1","key":"i1082-0744-27-1-135-b37","series-title":"Disabil Health J","first-page":"139","article-title":"Accessible weight loss: adapting a lifestyle intervention for adults with impaired mobility","volume":"10","year":"2017","unstructured":"Betts\n              AC,\n            \n            \n              Froehlich-Grobe\n              K.\n            \n          \n          Accessible weight loss: adapting a lifestyle intervention for adults with impaired mobility.\n\t\t\t\t\tDisabil Health J.\n\t\t\t\t\t2017;\n\t\t\t\t\t10(\n\t\t\t\t\t1):\n\t\t\t\t\t139\u2013\n\t\t\t\t\t144."},{"key":"i1082-0744-27-1-135-b38","series-title":"International Classification of Functioning, Disability and Health","year":"2001","unstructured":"World Health Organization.\n          \n          \n            International Classification of Functioning, Disability and Health\n          .\n\t\t\t\t\tGeneva:\n\t\t\t\t\tWorld Health Organization;\n\t\t\t\t\t2001."},{"issue":"5","key":"i1082-0744-27-1-135-b39","series-title":"Qual Life Res","first-page":"751","article-title":"Measuring health-related quality of life for persons with mobility impairments: An enabled version of the short-form 36 (SF\u201336E)","volume":"17","year":"2008","unstructured":"Froehlich-Grobe\n              K,\n            \n            \n              Andresen\n              EM,\n            \n            \n              Caburnay\n              C,\n            \n            \n              White\n              GW.\n            \n          \n          Measuring health-related quality of life for persons with mobility impairments: An enabled version of the short-form 36 (SF\u201336E).\n\t\t\t\t\tQual Life Res.\n\t\t\t\t\t2008;\n\t\t\t\t\t17(\n\t\t\t\t\t5):\n\t\t\t\t\t751\u2013\n\t\t\t\t\t770."},{"issue":"2","key":"i1082-0744-27-1-135-b40","series-title":"Int J Rehabil Res","first-page":"127","article-title":"Social consequences of long term impairments and disabilities: Conceptual approach and assessment of handicap","volume":"21","year":"1998","unstructured":"Fougeyrollas\n              P,\n            \n            \n              Noreau\n              L,\n            \n            \n              Bergeron\n              H,\n            \n            \n              Cloutier\n              R,\n            \n            \n              Dion\n              SA,\n            \n            \n              St-Michel\n              G.\n            \n          \n          Social consequences of long term impairments and disabilities: Conceptual approach and assessment of handicap.\n\t\t\t\t\tInt J Rehabil Res.\n\t\t\t\t\t1998;\n\t\t\t\t\t21(\n\t\t\t\t\t2):\n\t\t\t\t\t127\u2013\n\t\t\t\t\t141."},{"issue":"4","key":"i1082-0744-27-1-135-b41","series-title":"J Appl Measure","first-page":"309","article-title":"Rasch modeling and the measurement of social participation","volume":"4","year":"2003","unstructured":"Dumont\n              C,\n            \n            \n              Bertrand\n              R,\n            \n            \n              Fougeyrollas\n              P,\n            \n            \n              Gervais\n              M.\n            \n          \n          Rasch modeling and the measurement of social participation.\n\t\t\t\t\tJ Appl Measure.\n\t\t\t\t\t2003;\n\t\t\t\t\t4(\n\t\t\t\t\t4):\n\t\t\t\t\t309\u2013\n\t\t\t\t\t325."},{"issue":"5","key":"i1082-0744-27-1-135-b42","series-title":"Health 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Enabling Function and Well-being.","first-page":"379","article-title":"The influence of the social environment on the social participation of people with disabilities","year":"1997","unstructured":"Fougeyrollas\n              P.\n            \n          \n          The influence of the social environment on the social participation of people with disabilities.\n\t\t\t\t\tIn:ChristiansenC,BaumC,\n\t\t\t\t\teds.Occupational Therapy. Enabling Function and Well-being.2nd ed.\n\t\t\t\t\tThorofare, NJ:\n\t\t\t\t\tSLACK Inc.;\n\t\t\t\t\t1997:\n\t\t\t\t\t379\u2013\n\t\t\t\t\t390."},{"key":"i1082-0744-27-1-135-b44","series-title":"Life Habits Measure \u2013 shortened version (LIFE-H 3.0)","year":"2001","unstructured":"Fougeyrollas\n              P,\n            \n            \n              Noreau\n              L,\n            \n            \n              St-Michel\n              G.\n            \n          \n          \n            Life Habits Measure \u2013 shortened version (LIFE-H 3.0).\n\t\t\t\t\tLac St-Charles,\n\t\t\t\t\tQuebec, Canada;\n\t\t\t\t\t2001."},{"issue":"6","key":"i1082-0744-27-1-135-b45","series-title":"Disabil Rehabil","first-page":"346","article-title":"Measuring social participation: reliability of the LIFE-H in older adults with disabilities","volume":"26","year":"2004","unstructured":"Noreau\n              L,\n            \n            \n              Desrosiers\n              J,\n            \n            \n              Robichaud\n              L,\n            \n            \n              Fougeyrollas\n              P,\n            \n            \n              Rochette\n              A,\n            \n            \n              Viscogliosi\n              C.\n            \n          \n          Measuring social participation: reliability of the LIFE-H in older adults with disabilities.\n\t\t\t\t\tDisabil Rehabil.\n\t\t\t\t\t2004;\n\t\t\t\t\t26(\n\t\t\t\t\t6):\n\t\t\t\t\t346\u2013\n\t\t\t\t\t352."},{"issue":"1","key":"i1082-0744-27-1-135-b46","series-title":"BMC Women's Health","first-page":"59","article-title":"Experiences of barriers and facilitators to weight-loss in a diet intervention-a qualitative study of women in Northern Sweden","volume":"14","year":"2014","unstructured":"Hammarstr\u00f6m\n              A,\n            \n            \n              Wiklund\n              AF,\n            \n            \n              Lindahl\n              B,\n            \n            \n              Larsson\n              C,\n            \n            \n              Ahlgren\n              C.\n            \n          \n          Experiences of barriers and facilitators to weight-loss in a diet intervention-a qualitative study of women in Northern Sweden.\n\t\t\t\t\tBMC Women's Health.\n\t\t\t\t\t2014;\n\t\t\t\t\t14(\n\t\t\t\t\t1):\n\t\t\t\t\t59."},{"issue":"1","key":"i1082-0744-27-1-135-b47","series-title":"Int J Sociol Family","first-page":"25","article-title":"Body weight and relationship quality among women: associations of obesity and underweight with relationship communication, conflict, and happiness","volume":"35","year":"2009","unstructured":"Sobal\n              J,\n            \n            \n              Rauschenbach\n              BS,\n            \n            \n              Frongillo\n              EA.\n            \n          \n          Body weight and relationship quality among women: associations of obesity and underweight with relationship communication, conflict, and happiness.\n\t\t\t\t\tInt J Sociol Family.\n\t\t\t\t\t2009;\n\t\t\t\t\t35(\n\t\t\t\t\t1):\n\t\t\t\t\t25\u2013\n\t\t\t\t\t44."},{"issue":"1","key":"i1082-0744-27-1-135-b48","series-title":"Obesity Rev","first-page":"67","article-title":"Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain","volume":"6","year":"2005","unstructured":"Elfhag\n              K,\n            \n            \n              R\u00f6ssner\n              S.\n            \n          \n          Who succeeds in maintaining weight loss? 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Exercise vs. dietary self-efficacy and treatment attendance","volume":"58","year":"2012","unstructured":"Byrne\n              S,\n            \n            \n              Barry\n              D,\n            \n            \n              Petry\n              NM.\n            \n          \n          Predictors of weight loss success. Exercise vs. dietary self-efficacy and treatment attendance.\n\t\t\t\t\tAppetite.\n\t\t\t\t\t2012;\n\t\t\t\t\t58(\n\t\t\t\t\t2):\n\t\t\t\t\t695\u2013\n\t\t\t\t\t698."},{"issue":"3","key":"i1082-0744-27-1-135-b51","series-title":"Disabil Health J","first-page":"325","article-title":"Weight loss intention, dietary behaviors, and barriers to dietary change in veterans with lower extremity amputations","volume":"8","year":"2015","unstructured":"Littman\n              AJ,\n            \n            \n              McFarland\n              LV,\n            \n            \n              Thompson\n              ML,\n            \n          \n          .\n\t\t\t\t\tWeight loss intention, dietary behaviors, and barriers to dietary change in veterans with lower extremity amputations.\n\t\t\t\t\tDisabil Health J.\n\t\t\t\t\t2015;\n\t\t\t\t\t8(\n\t\t\t\t\t3):\n\t\t\t\t\t325\u2013\n\t\t\t\t\t335."},{"key":"i1082-0744-27-1-135-b52","series-title":"Annals of Child Development. Vol. 6. 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Six Theories of Child Development.Greenwich, CT:\n\t\t\t\t\tJAI Press;\n\t\t\t\t\t1989."},{"key":"i1082-0744-27-1-135-b53","series-title":"Annu Rev Psychol","first-page":"1","article-title":"Social cognitive theory: an agenic perspective","volume":"52","year":"2001","unstructured":"Bandura\n              A.\n            \n          \n          Social cognitive theory: an agenic perspective.\n\t\t\t\t\tAnnu Rev Psychol.\n\t\t\t\t\t2001;\n\t\t\t\t\t52:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t26."},{"issue":"2","key":"i1082-0744-27-1-135-b54","series-title":"Curr Diab Rep","first-page":"138","article-title":"Necessary components for lifestyle modification interventions to reduce diabetes risk","volume":"12","year":"2012","unstructured":"Venditti\n              EM,\n            \n            \n              Kramer\n              MK.\n            \n          \n          Necessary components for lifestyle modification interventions to reduce diabetes risk.\n\t\t\t\t\tCurr Diab 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suppl):\n\t\t\t\t\t222s\u2013\n\t\t\t\t\t225s."},{"issue":"4","key":"i1082-0744-27-1-135-b62","series-title":"Disabil Health J","first-page":"547","article-title":"Development of the barriers to physical activity questionnaire for people with mobility impairments","volume":"8","year":"2015","unstructured":"Vasudevan\n              V,\n            \n            \n              Rimmer\n              JH,\n            \n            \n              Kviz\n              F.\n            \n          \n          Development of the barriers to physical activity questionnaire for people with mobility impairments.\n\t\t\t\t\tDisabil Health J.\n\t\t\t\t\t2015;\n\t\t\t\t\t8(\n\t\t\t\t\t4):\n\t\t\t\t\t547\u2013\n\t\t\t\t\t556."},{"issue":"5","key":"i1082-0744-27-1-135-b63","series-title":"Am J Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1097\/01.Phm.0000124441.78275.C9","article-title":"Use of the SF-36 among persons with spinal cord injury","volume":"83","year":"2004","unstructured":"Forchheimer\n              M,\n            \n            \n              McAweeney\n              M,\n            \n            \n              Tate\n              DG.\n            \n          \n          Use of the SF-36 among persons with spinal cord injury.\n\t\t\t\t\tAm J Phys Med Rehabil.\n\t\t\t\t\t2004;\n\t\t\t\t\t83(\n\t\t\t\t\t5):\n\t\t\t\t\t390\u2013\n\t\t\t\t\t395.\n\t\t\t\t\tdoi:10.1097\/01.Phm.0000124441.78275.C9"},{"issue":"1","key":"i1082-0744-27-1-135-b1","series-title":"Am J Phys Med Rehabil","first-page":"22","article-title":"Prevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders","volume":"86","year":"2007","unstructured":"Weaver\n              FM,\n            \n            \n              Collins\n              EG,\n            \n            \n              Kurichi\n              J,\n            \n          \n          .\n\t\t\t\t\tPrevalence of obesity and high blood pressure in veterans with spinal cord injuries and disorders.\n\t\t\t\t\tAm J Phys Med Rehabil.\n\t\t\t\t\t2007;\n\t\t\t\t\t86(\n\t\t\t\t\t1):\n\t\t\t\t\t22\u2013\n\t\t\t\t\t29."},{"key":"i1082-0744-27-1-135-b2","series-title":"Spinal Cord","first-page":"92","article-title":"Body mass index in spinal cord injury \u2013 a retrospective study","volume":"44","year":"2006","unstructured":"Gupta\n              N,\n            \n            \n              White\n              KT,\n            \n            \n              Sandford\n              PR.\n            \n          \n          Body mass index in spinal cord injury \u2013 a retrospective study.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2006;\n\t\t\t\t\t44:\n\t\t\t\t\t92\u2013\n\t\t\t\t\t94."},{"issue":"1","key":"i1082-0744-27-1-135-b3","series-title":"J Spinal Cord Med","first-page":"43","article-title":"Preventive services and health behaviors among people with spinal cord injury","volume":"28","year":"2005","unstructured":"Johnston\n              MV,\n            \n            \n              Diab\n              ME,\n            \n            \n              Chu\n              BC,\n            \n            \n              Kirshblum\n              S.\n            \n          \n          Preventive services and health behaviors among people with spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2005;\n\t\t\t\t\t28(\n\t\t\t\t\t1):\n\t\t\t\t\t43\u2013\n\t\t\t\t\t54."},{"issue":"10","key":"i1082-0744-27-1-135-b4","series-title":"Arch Phys Med Rehabil","first-page":"1957","article-title":"Racial differences in weight gain: a 5-year longitudinal study of persons with spinal cord injury","volume":"99","year":"2018","unstructured":"Wen\n              H,\n            \n            \n              Chen\n              Y,\n            \n            \n              He\n              Y,\n            \n            \n              Bickel\n              CS,\n            \n            \n              Robinson-Whelen\n              S,\n            \n            \n              Heinemann\n              AW.\n            \n          \n          Racial differences in weight gain: a 5-year longitudinal study of persons with spinal cord injury.\n\t\t\t\t\tArch Phys Med Rehabil.\n\t\t\t\t\t2018;\n\t\t\t\t\t99(\n\t\t\t\t\t10):\n\t\t\t\t\t1957\u2013\n\t\t\t\t\t1964."},{"issue":"4","key":"i1082-0744-27-1-135-b5","series-title":"Top Spinal Cord Inj Rehabil","first-page":"1","article-title":"Prevalence of obesity after spinal cord injury","volume":"12","year":"2007","unstructured":"Gorgey\n              A,\n            \n            \n              Gater\n              D.\n            \n          \n          Prevalence of obesity after spinal cord injury.\n\t\t\t\t\tTop Spinal Cord Inj Rehabil.\n\t\t\t\t\t2007;\n\t\t\t\t\t12(\n\t\t\t\t\t4):\n\t\t\t\t\t1\u2013\n\t\t\t\t\t7."},{"key":"i1082-0744-27-1-135-b6","series-title":"Spinal Cord","first-page":"466","article-title":"Coronary heart disease in individuals with spinal 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metabolic syndrome in veterans with spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2019;\n\t\t\t\t\t42(\n\t\t\t\t\t1):\n\t\t\t\t\t86\u2013\n\t\t\t\t\t93."},{"issue":"2","key":"i1082-0744-27-1-135-b10","series-title":"Phys Med Rehabil Clin N Am","first-page":"333","article-title":"Obesity after spinal cord injury","volume":"18","year":"2007","unstructured":"Gater\n              DR.\n              Jr\n            \n          \n          Obesity after spinal cord injury.\n\t\t\t\t\tPhys Med Rehabil Clin N Am.\n\t\t\t\t\t2007;\n\t\t\t\t\t18(\n\t\t\t\t\t2):\n\t\t\t\t\t333\u2013\n\t\t\t\t\t351."},{"issue":"6","key":"i1082-0744-27-1-135-b11","series-title":"J Spinal Cord Med","first-page":"699","article-title":"Longitudinal changes in body composition and metabolic profile between exercise clinical trials in men with chronic spinal cord injury","volume":"39","year":"2016","unstructured":"Gorgey\n              AS,\n            \n            \n              Martin\n              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.\n\t\t\t\t\tCardiometabolic risk in community-dwelling persons with chronic spinal cord injury.\n\t\t\t\t\tJ Cardiopulm Rehabil Prev.\n\t\t\t\t\t2011;\n\t\t\t\t\t31:\n\t\t\t\t\t73\u2013\n\t\t\t\t\t80."},{"issue":"suppl 1","key":"i1082-0744-27-1-135-b13","series-title":"J Spinal Cord Med","first-page":"S24","article-title":"Altered body composition affects resting energy expenditure and interpretation of body mass index in chiloren with spinal cord injury","volume":"27","year":"2004","unstructured":"Liusuwan\n              A,\n            \n            \n              Widman\n              L,\n            \n            \n              Abresch\n              T,\n            \n            \n              McDonald\n              CM.\n            \n          \n          Altered body composition affects resting energy expenditure and interpretation of body mass index in chiloren with spinal cord injury.\n\t\t\t\t\tJ Spinal Cord Med.\n\t\t\t\t\t2004;\n\t\t\t\t\t27(\n\t\t\t\t\tsuppl 1):\n\t\t\t\t\tS24\u2013\n\t\t\t\t\tS28."},{"issue":"suppl 1","key":"i1082-0744-27-1-135-b14","series-title":"Acta Diabetol","first-page":"S183","article-title":"Body composition assessment in spinal cord injury subjects","volume":"40","year":"2003","unstructured":"Maggioni\n              M,\n            \n            \n              Bertoli\n              S,\n            \n            \n              Margonato\n              V,\n            \n            \n              Merati\n              G,\n            \n            \n              Veicsteinas\n              A,\n            \n            \n              Testolin\n              G.\n            \n          \n          Body composition assessment in spinal cord injury subjects.\n\t\t\t\t\tActa Diabetol.\n\t\t\t\t\t2003;\n\t\t\t\t\t40(\n\t\t\t\t\tsuppl 1):\n\t\t\t\t\tS183\u2013\n\t\t\t\t\t186."},{"issue":"9","key":"i1082-0744-27-1-135-b15","series-title":"Spinal Cord","first-page":"513","article-title":"A review of body mass index 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        \n              Goy\n              RE,\n            \n            \n              Group\n              SSR.\n            \n          \n          Lowering body mass index cutoffs better identifies obese persons with spinal cord injury.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2009;\n\t\t\t\t\t47(\n\t\t\t\t\t10):\n\t\t\t\t\t757\u2013\n\t\t\t\t\t762."},{"issue":"4","key":"i1082-0744-27-1-135-b17","series-title":"Top Spinal Cord Inj Rehabil","first-page":"379","article-title":"Identification and management of cardiometabolic risk after spinal cord injury: clinical practice guideline for health care providers","volume":"24","year":"2018","unstructured":"Nash\n              MS,\n            \n            \n              Groah\n              SL,\n            \n            \n              Gater\n              DR,\n              Jr\n            \n          \n          .\n\t\t\t\t\tIdentification and management of cardiometabolic risk after spinal cord injury: clinical practice guideline for health care providers.\n\t\t\t\t\tTop Spinal Cord Inj Rehabil.\n\t\t\t\t\t2018;\n\t\t\t\t\t24(\n\t\t\t\t\t4):\n\t\t\t\t\t379\u2013\n\t\t\t\t\t423."},{"key":"i1082-0744-27-1-135-b18","series-title":"Metabolic syndrome scientific statement by the American Heart Association and the National Heart, Lung, and Blood Institute.","year":"2005","unstructured":"Grundy\n              SM.\n            \n          \n          \n            Metabolic syndrome scientific statement by the American Heart Association and the National Heart, Lung, and Blood Institute.\n          \n          American Heart Association;\n\t\t\t\t\t2005."},{"issue":"17","key":"i1082-0744-27-1-135-b19","series-title":"Circ J","first-page":"2735","article-title":"Diagnosis and management of the metabolic syndrome: an American Heart Association\/National Heart, Lung, and Blood Institute Scientific Statement","volume":"112","year":"2005","unstructured":"Grundy\n              SM,\n            \n            \n              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Cord.\n\t\t\t\t\t2016;\n\t\t\t\t\t54(\n\t\t\t\t\t12):\n\t\t\t\t\t1176\u2013\n\t\t\t\t\t1182."},{"issue":"4","key":"i1082-0744-27-1-135-b21","series-title":"Top Spinal Cord Inj Rehabil","first-page":"329","article-title":"Health care provider practices, barriers, and facilitators for weight management for individuals with spinal cord injuries and disorders","volume":"20","year":"2014","unstructured":"Locatelli\n              SM,\n            \n            \n              Gerber\n              BS,\n            \n            \n              Goldstein\n              B,\n            \n            \n              Weaver\n              FM,\n            \n            \n              LaVela\n              SL.\n            \n          \n          Health care provider practices, barriers, and facilitators for weight management for individuals with spinal cord injuries and disorders.\n\t\t\t\t\tTop Spinal Cord Inj 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ED,\n            \n            \n              Tate\n              DG.\n            \n          \n          Perceived barriers to exercise in people with spinal cord injury.\n\t\t\t\t\tAm J Phys Med Rehabil..\n\t\t\t\t\t2005;\n\t\t\t\t\t84(\n\t\t\t\t\t8):\n\t\t\t\t\t576\u2013\n\t\t\t\t\t583."},{"issue":"3","key":"i1082-0744-27-1-135-b30","series-title":"Occup Ther Health Care","first-page":"215","article-title":"Barriers to leisure-time physical activities in individuals with spinal cord injury","volume":"30","year":"2016","unstructured":"Hwang\n              EJ,\n            \n            \n              Groves\n              MD,\n            \n            \n              Sanchez\n              JN,\n            \n            \n              Hudson\n              CE,\n            \n            \n              Jao\n              RG,\n            \n            \n              Kroll\n              ME.\n            \n          \n          Barriers to leisure-time physical activities in individuals with spinal cord injury.\n\t\t\t\t\tOccup Ther Health Care.\n\t\t\t\t\t2016;\n\t\t\t\t\t30(\n\t\t\t\t\t3):\n\t\t\t\t\t215\u2013\n\t\t\t\t\t230."},{"issue":"1","key":"i1082-0744-27-1-135-b31","series-title":"Spinal Cord","first-page":"27","article-title":"Exercise participation barrier prevalence and association with exercise participation status in individuals with spinal cord injury","volume":"51","year":"2013","unstructured":"Cowan\n              RE,\n            \n            \n              Nash\n              MS,\n            \n            \n              Anderson\n              KD.\n            \n          \n          Exercise participation barrier prevalence and association with exercise participation status in individuals with spinal cord injury.\n\t\t\t\t\tSpinal Cord.\n\t\t\t\t\t2013;\n\t\t\t\t\t51(\n\t\t\t\t\t1):\n\t\t\t\t\t27\u2013\n\t\t\t\t\t32."},{"issue":"6","key":"i1082-0744-27-1-135-b32","series-title":"Am J Prev 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Association.\n\t\t\t\t\tCirculation.\n\t\t\t\t\t2007;\n\t\t\t\t\t116(\n\t\t\t\t\t9):\n\t\t\t\t\t1081\u2013\n\t\t\t\t\t1093."},{"key":"i1082-0744-27-1-135-b36","series-title":"Social Foundations of Thought and Action: Social Cognitive Theory.","year":"1986","unstructured":"Bandura\n              A.\n            \n          \n          \n            Social Foundations of Thought and Action: Social Cognitive Theory.\n          \n          Englewood Cliffs, NJ:\n\t\t\t\t\tPrentice Hall;\n\t\t\t\t\t1986."},{"issue":"1","key":"i1082-0744-27-1-135-b37","series-title":"Disabil Health J","first-page":"139","article-title":"Accessible weight loss: adapting a lifestyle intervention for adults with impaired mobility","volume":"10","year":"2017","unstructured":"Betts\n              AC,\n            \n            \n              Froehlich-Grobe\n              K.\n            \n          \n          Accessible weight loss: adapting a lifestyle intervention for adults with impaired 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