Abstract
Spinal cord injury (SCI) profoundly influences human body composition due to an obligatory sarcopenia, drastically reduced basal metabolism and subsequent development of neurogenic obesity. This chapter will review the pathophysiology of SCI and adipose tissue, report on the current state of the science for body composition assessment in this vulnerable population and reflect upon the literature demonstrating body composition changes through exercise for persons with SCI. Recommendations for future investigations will also be provided.