title: The association between health-related quality of life/dietary satisfaction and perceived food environment among Japanese individuals with spinal cord injury.
abstract: METHODS
  Cross-sectional.
  
  
  OBJECTIVE
  To examine the association between health-related quality of life (HRQOL)/dietary satisfaction and perceived food environment in community-dwelling individuals with spinal cord injury (SCI).
  
  
  METHODS
  Members of the Spinal Injuries Japan organization.
  
  
  METHODS
  Subjects were 2007 Japanese individuals with SCI. A questionnaire conducted in 2015 included items addressing sociodemographic characteristics, HRQOL, dietary satisfaction and eight perceived food environment items. Responses from 506 individuals were analyzed (valid response rate=25%). Dependent variables were the physical and mental summary scores of the HRQOL and dietary satisfaction. The independent variable was the perceived food environment. We used a univariate analysis (in Model 1) and a multivariate analysis (in Models 2 and 3) as part of a binominal logistic regression analysis. In Model 3, we divided and analyzed the perceived food environment variable into 'access to food' and 'access to information'.
  
  
  RESULTS
  Both physical and mental summary scores were related to 'dietary information acquisition in the community'. Dietary satisfaction was related to 'balanced meals in the household', 'food and health information available from family' and 'right health and dietary information acquisition from the media'.
  
  
  CONCLUSIONS
  HRQOL and dietary satisfaction were differentially associated with perceived food environment factors in community-dwelling individuals with SCI. HRQOL was positively related to dietary information of perceived food environment in the community. Dietary satisfaction was positively related to perceived food environment in the household.
authors.affiliation: Department of Health Promotion Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.|Department of Nutrition, Aomori University of Health and Welfare, Aomori, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Hata
authors.affiliation: Department of Health Promotion Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Inayama
authors.affiliation: Department of Nutrition, Aomori University of Health and Welfare, Aomori, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Yoshiike
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D004032:Diet; D004777:Environment; D005260:Female; D006801:Humans; D057187:Independent Living; D007564:Japan; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010465:Perception; D010549:Personal Satisfaction; D011788:Quality of Life; D013119:Spinal Cord Injuries / Q000523:psychology*; D011795:Surveys and Questionnaires