ABSTRACT

Primary Objective: To discuss the biopsychosocial factors that affect being overweight or obese after acquired brain injury (ABI)

Research Design: Narrative review

Methods and Procedures: Based on the biopsychosocial model, we discuss the unique injury-specific factors that can affect bring overweight or obese among individuals with ABI including: (1) biological, (2) psychological and (3) social/ecological factors.

Main Outcomes and Results: Injury-specific factors that impact being overweight or obese following ABI include endocrine dysfunction, pain, bowel and bladder incontinence, balance problems and motor impairment, medications, sleep quality and fatigue, alcohol and tobacco use, psychological disorders and symptoms, cognitive changes, social support, isolation, participation, transportation, independence, and knowledge. These factors may also compound general factors impacting weight management, making it difficult for individuals with ABI to maintain a healthy lifestyle.

Conclusions: It is important to recognize the biopsychosocial factors that impact weight-loss and lifestyle change after ABI so that interventions can be tailored to meet individuals’ unique needs. Empirical research is needed to better understand how biopsychosocial factors interact and impact overweight/ obesity after ABI.

摘要

主要目的：讨论影响​​获得性脑损伤 (ABI) 后超重或肥胖的生物心理社会因素

研究设计：叙事评论

方法和程序：基于生物心理社会模型，我们讨论了可能影响 ABI 个体超重或肥胖的独特伤害特定因素，包括：（1）生物学、（2）心理和（3）社会/生态因素。

主要结果和结果：影响 ABI 后超重或肥胖的特定伤害因素包括内分泌功能障碍、疼痛、肠和膀胱失禁、平衡问题和运动障碍、药物、睡眠质量和疲劳、酒精和烟草使用、心理障碍和症状、认知变化、社会支持、孤立、参与、交通、独立和知识。这些因素也可能会影响体重管理的一般因素，使 ABI 患者难以保持健康的生活方式。

结论：重要的是要认识到影响 ABI 后体重减轻和生活方式改变的生物心理社会因素，以便可以定制干预措施以满足个人的独特需求。需要进行实证研究以更好地了解 ABI 后生物心理社会因素如何相互作用并影响超重/肥胖。