Open AccessGoal setting for nutrition and body weight in rehabilitation nutrition: position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication)
Author(s) -
Wakabayashi Hidetaka,
Yoshimura Yoshihiro,
Maeda Keisuke,
Fujiwara Dai,
Nishioka Shinta,
Nagano Ayano
Publication year - 2022
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.509
Subject(s) - rehabilitation , medicine , body weight , set (abstract data type) , medical nutrition therapy , physical therapy , body position , physical medicine and rehabilitation , clinical nutrition , association (psychology) , gerontology , psychology , intensive care medicine , computer science , psychotherapist , programming language
The most important nutrition goals in rehabilitation nutrition are improving function and quality of life, and they are useful to set body weight goals to further improve these aspects. In this paper, we clarified our position, as the Japanese Association of Rehabilitation Nutrition, on body weight goal setting. Body weight goals should be SMART (Specific, Measurable, Achievable, Realistic/Relevant, and Timed). The standard amount of energy accumulation/deficit needed to gain/lose 1 kg body weight is 7500 kcal. In other words, if the nutrition goal is set at 1 kg body weight gain per month, daily energy accumulation can be calculated as approximately 250 kcal. It is necessary to reconcile the rehabilitation goal setting, the content, quantity, and quality of physical activity and exercise therapy, and the patient's general condition and intentions to set nutrition goals. Body weight goal setting is more variable than rehabilitation goal setting, and it is important to confirm the degree of achievement through rehabilitation nutrition monitoring.