Evidence map›Paper›PMID 32523306›Full record

ReviewWorld journal of gastroenterology2020

Diet in neurogenic bowel management: A viewpoint on spinal cord injury.

Marco Bernardi, Anna Lucia Fedullo, Elisabetta Bernardi, Diego Munzi, Ilaria Peluso, Jonathan Myers, Florigio Romano Lista, Tommaso Sciarra

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Marco BernardiDepartment of Physiology and Pharmacology "V. Erspamer", Sapienza University of Rome, Rome 00185, Italy.
Anna Lucia FedulloFederazione Italiana Pallacanestro In Carrozzina (FIPIC), Rome 00188, Italy.
Elisabetta BernardiDepartment of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari "Aldo Moro", Bari 70121, Italy.
Diego MunziJoint Veteran Center, Scientific Department, Army Medical Center, Rome 00184, Italy.
Ilaria PelusoResearch Centre for Food and Nutrition, Council for Agricultural Research and Economics (CREA-AN), Rome 00178, Italy. ilaria.peluso@crea.gov.it.
Jonathan MyersVA Palo Alto Health Care System and Stanford University, Cardiology Division, Palo Alto, CA 94025, United States.
Florigio Romano ListaScientific Department, Army Medical Center, Rome 00184, Italy.
Tommaso SciarraJoint Veteran Center, Scientific Department, Army Medical Center, Rome 00184, Italy.
Stanford University · USSapienza University of Rome · ITUniversity of Bari Aldo Moro · ITVA Palo Alto Health Care System · US

Funding

RRD VA IK6 RX002477
6 · The paper itself

Abstract

The aim of this review is to offer dietary advice for individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction. With this in mind, we consider health conditions that are dependent on the level of lesion including skeletal muscle atrophy, autonomic dysreflexia and neurogenic bladder. In addition, SCI is often associated with a sedentary lifestyle, which increases risk for osteoporosis and diseases associated with chronic low-grade inflammation, including cardiovascular and chronic kidney diseases. The Mediterranean diet, along with exercise and dietary supplements, has been suggested as an anti-inflammatory intervention in individuals with SCI. However, individuals with chronic SCI have a daily intake of whole fruit, vegetables and whole grains lower than the recommended dietary allowance for the general population. Some studies have reported an increase in neurogenic bowel dysfunction symptoms after high fiber intake; therefore, this finding could explain the low consumption of plant foods. Low consumption of fibre induces dysbiosis, which is associated with both endotoxemia and inflammation. Dysbiosis can be reduced by exercise and diet in individuals with SCI. Therefore, to summarize our viewpoint, we developed a Mediterranean diet-based diet and exercise pyramid to integrate nutritional recommendations and exercise guidelines. Nutritional guidelines come from previously suggested recommendations for military veterans with disabilities and individuals with SCI, chronic kidney diseases, chronic pain and irritable bowel syndrome. We also considered the recent exercise guidelines and position stands for adults with SCI to improve muscle strength, flexibility and cardiorespiratory fitness and to obtain cardiometabolic benefits. Finally, dietary advice for Paralympic athletes is suggested.

Indexed as

Diet, MediterraneanAdultCardiorespiratory FitnessCombined Modality TherapyDietary FiberExercise TherapyFruitHumansNeurogenic BowelPara-AthletesRecommended Dietary AllowancesSedentary BehaviorSpinal Cord InjuriesVegetablesWhole GrainsDietary FiberBody compositionFood–drug interactionsMediterranean dietMicrobiotaNeurogenic bowel dysfunctionParalympic athletes

Identifiers

PMID32523306
PMCPMC7265150
OpenAlexW3032638242

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.