Goal setting for nutrition and body weight in rehabilitation nutrition: position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication)

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  • Hidetaka Wakabayashi
    Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital Tokyo Japan
  • Yoshihiro Yoshimura
    Center for Sarcopenia and Malnutrition Research Kumamoto Rehabilitation Hospital Kumamoto Japan
  • Keisuke Maeda
    Department of Geriatric Medicine National Center for Geriatrics and Gerontology Obu Japan
  • Dai Fujiwara
    Department of Rehabilitation Medicine Saka General Hospital Shiogama Japan
  • Shinta Nishioka
    Department of Clinical Nutrition and Food Services Nagasaki Rehabilitation Hospital Nagasaki Japan
  • Ayano Nagano
    Department of Nursing Nishinomiya Kyoritsu Neurosurgical Hospital Nishinomiya Japan

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<jats:title>Abstract</jats:title><jats:p>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.</jats:p>

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