Objective: The purpose of this pilot study was to determine the preliminary efficacy of interval functional electrical stimulation (FES) cycling combined with nutritional counseling in obese adults with SCI.

Setting: Community-based individuals with chronic SCI.

Participants: Ten participants with chronic SCI.

Interventions: Participants were divided into 2 groups (1) FES cycling and nutritional counseling (FES & Nutri) and (2) nutritional counseling only (Nutri Only). The FES & Nutri group performed high intensity interval FES cycling for 30 min 3 times per week for 8 weeks and received nutritional counseling for 30 min once per week for 8 weeks. The Nutri Only group received the nutritional counseling only.

Outcome Measures: Body composition (fat mass, lean mass, body fat percentage), blood glucose levels.

Results: Participants in the FES & Nutri group had a statistically significant greater decrease in body fat percentage (M = −1.14) compared to those in the Nutri Only group (M = +0.28) and gained more lean mass in their legs (M = +0.66 kg) compared to the Nutri Only group (M = –1.05 kg).

Discussion/Conclusion: The statistically significant decrease in body fat percentage for the FES & Nutri group provides evidence that further study is merited. Future studies should include larger numbers of participants and the possible introduction of a preliminary strengthening program before initiating interval FES cycling. In addition, an increase in exercise volume and a greater role for nutritional counseling should be considered in order to optimize the treatment for obesity.

目的：这项试点研究的目的是确定间隔功能性电刺激 (FES) 循环结合营养咨询对肥胖 SCI 成人的初步疗效。

设置：社区为基础的慢性 SCI 个体。

参与者： 10 名慢性 SCI 参与者。

干预措施：参与者被分为 2 组 (1) FES 骑行和营养咨询 (FES & Nutri) 和 (2) 仅营养咨询 (Nutri Only)。FES & Nutri 组进行高强度间歇 FES 循环，每周 3 次，每次 30 分钟，持续 8 周，并接受每周一次 30 分钟的营养咨询，持续 8 周。Nutri Only 组只接受营养咨询。

结果测量：身体成分（脂肪量、瘦体重、体脂百分比）、血糖水平。

结果： FES & Nutri 组的参与者 与 Nutri Only 组的 参与者( M = +0.28)相比，其体脂百分比 ( M = -1.14)在统计学上显着降低，腿部的瘦体重增加 ( M = +0.66 kg) 与 Nutri Only 组 ( M = –1.05 kg) 相比。

讨论/结论： FES 和 Nutri 组的体脂百分比在统计学上显着降低，这证明进一步研究是值得的。未来的研究应包括更多的参与者，并可能在开始间隔 FES 循环之前引入初步强化计划。此外，应考虑增加运动量和在营养咨询中发挥更大作用，以优化肥胖症的治疗。