{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T01:57:18Z","timestamp":1784944638303,"version":"3.55.0"},"reference-count":62,"publisher":"American Spinal Injury Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"\n Background:<\/jats:title>\n Neurogenic bowel dysfunction (NBD) occurs in up to 95% of individuals with spinal cord injury (SCI) and negatively impacts the quality of life. Although diet is an important component in the management of NBD, the relationship between diet quality and NBD is understudied in the SCI population.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To assess the diet quality of individuals with chronic SCI and explore possible relationships between diet quality, especially fiber, and symptoms of NBD, and to evaluate whether individuals with SCI themselves recognize relationships between dietary intake and NBD symptoms.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Individuals with chronic SCI, recruited via their rehabilitation center, completed web-based questionnaires and 24-hour dietary recalls regarding the quality and intake of their diet and the severity of NBD. Ten individuals participated in interviews to explore their views on potential relationships between their diet and NBD.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Twenty-eight participants were recruited, of which ten were interviewed. All participants had symptoms of NBD of varying degrees and a low diet quality, but there was no difference between the NBD groups. The more severe NBD group had a lower intake of vegetables and a higher intake of salt. Almost half of the participants interviewed did not report experiencing an association between dietary intake and their NBD.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n A low diet quality was observed among individuals with chronic SCI, irrespective of their NBD symptoms. Many participants were unaware of a potential relationship between their diet and NBD. The sample size is insufficient to draw definitive conclusions; however, a potential hypothesis is that those with more severe NBD may consume not enough vegetables and too much salt. Further longitudinal prospective research is required to enhance nutritional guidelines for individuals with SCI and NBD.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci24-00055","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T11:40:30Z","timestamp":1740051630000},"page":"42-51","source":"Crossref","is-referenced-by-count":2,"title":["Influence of Dietary Quality on Neurogenic Bowel Dysfunction in Individuals With Spinal Cord Injury"],"prefix":"10.46292","volume":"31","author":[{"given":"Willemijn X.M.","family":"Faber","sequence":"first","affiliation":[{"name":"Spinal Cord Injury Unit, Heliomare Rehabilitation Center, Wijk aan Zee, Netherlands"},{"name":"Department of Research & Development, Heliomare Rehabilitation Center, Wijk aan Zee, Netherlands"},{"name":"Division of Human Nutrition and Health, Wageningen University and Research, Wageningen University, Wageningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janneke","family":"Nachtegaal","sequence":"additional","affiliation":[{"name":"Department of Research & Development, Heliomare Rehabilitation Center, Wijk aan Zee, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janneke","family":"Stolwijk","sequence":"additional","affiliation":[{"name":"Center of Excellence for Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht University, Utrecht, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben J.M.","family":"Witteman","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition and Health, Wageningen University and Research, Wageningen University, Wageningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renate","family":"Winkels","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition and Health, Wageningen University and Research, Wageningen University, Wageningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"key":"b1","series-title":"F1000Res.","article-title":"Neurogenic bowel dysfunction","author":"Emmanuel\n A","year":"2019","unstructured":"Emmanuel\n A\n \n . 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J Orthop Surg Res.2023;18(1):458."},{"issue":"9","key":"b4","series-title":"Spinal Cord.","first-page":"492","article-title":"Effective bowel management in spinal cord injury during inpatient rehabilitation: Data from the Dutch spinal cord injury database","volume":"61","author":"van der Veldt\n N","year":"2023","unstructured":"van der Veldt\n N\n , et al. Effective bowel management in spinal cord injury during inpatient rehabilitation: Data from the Dutch spinal cord injury database. Spinal Cord.2023;61(9):492-498."},{"issue":"8","key":"b5","series-title":"J Clin Med","article-title":"Faecal microbiota in patients with neurogenic bowel dysfunction and spinal cord injury or multiple sclerosis--A systematic review","volume":"10","author":"Faber\n W","year":"2021","unstructured":"Faber\n W\n , et al. Faecal microbiota in patients with neurogenic bowel dysfunction and spinal cord injury or multiple sclerosis--A systematic review. 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Nat Rev Gastroenterol Hepatol.2021;18(2):101-116."},{"issue":"10","key":"b9","series-title":"Arch Phys Med Rehabil.","first-page":"1679","article-title":"Risk factors associated with neurogenic bowel complications and dysfunction in spinal cord injury","volume":"97","author":"Tate\n DG","year":"2016","unstructured":"Tate\n DG\n , et al. Risk factors associated with neurogenic bowel complications and dysfunction in spinal cord injury. Arch Phys Med Rehabil.2016;97(10):1679-1686."},{"issue":"10","key":"b10","series-title":"World J Urol.","first-page":"1587","article-title":"Neurogenic bowel management for the adult spinal cord injury patient","volume":"36","author":"Stoffel\n JT","year":"2018","unstructured":"Stoffel\n JT\n , et al. Neurogenic bowel management for the adult spinal cord injury patient. 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Addict Biol.2000;5(2):117-125."},{"issue":"1","key":"b30","series-title":"Gut Microbes","first-page":"2197837","article-title":"Effects of dietary fibers or probiotics on functional constipation symptoms and roles of gut microbiota: A double-blinded randomized placebo trial","volume":"15","author":"Lai\n H","year":"2023","unstructured":"Lai\n H\n , et al. Effects of dietary fibers or probiotics on functional constipation symptoms and roles of gut microbiota: A double-blinded randomized placebo trial. Gut Microbes. 2023;15(1):2197837."},{"issue":"4","key":"b31","series-title":"Spinal Cord.","first-page":"323","article-title":"Management of neurogenic bowel dysfunction in the community after spinal cord injury: A postal survey in the United Kingdom","volume":"47","author":"Coggrave\n M","year":"2009","unstructured":"Coggrave\n M\n , NortonC, Wilson-BarnettJ. Management of neurogenic bowel dysfunction in the community after spinal cord injury: A postal survey in the United Kingdom. Spinal Cord.2009;47(4):323-330; quiz 331-333."},{"key":"b1","series-title":"F1000Res.","article-title":"Neurogenic bowel dysfunction","author":"Emmanuel\n A","year":"2019","unstructured":"Emmanuel\n A\n \n . Neurogenic bowel dysfunction. F1000Res.2019;8. doi:10.12688\/f1000research.20529.1"},{"issue":"10","key":"b2","series-title":"Spinal Cord.","first-page":"625","article-title":"Neurogenic bowel dysfunction score","volume":"44","author":"Krogh\n K","year":"2006","unstructured":"Krogh\n K\n , et al. Neurogenic bowel dysfunction score. Spinal Cord.2006;44(10):625-631."},{"issue":"1","key":"b3","series-title":"J Orthop Surg Res.","first-page":"458","article-title":"Effect of neurogenic bowel dysfunction symptoms on quality of life after a spinal cord injury","volume":"18","author":"Khadour\n FA","year":"2023","unstructured":"Khadour\n FA\n , et al. Effect of neurogenic bowel dysfunction symptoms on quality of life after a spinal cord injury. 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