Patients with spinal cord injury (SCI) appear to be at higher risk of becoming overweight after their injury. This 12 month study aimed to assess the effectiveness of a dietitian-led clinic. Thirty-eight patients with chronic SCI with a body mass index (BMI) range of 26.4 - 46.4 kg/m2 were referred for three consultations over a three month period for dietetic advice covering nutrition, exercise and behaviour change. Body composition was estimated by anthropometric meas-urements of BMI, mid upper-arm circumference (MUAC), triceps-skinfold thickness (TSF), mid-arm muscle circumfer-ence (MAMC) and sitting blood pressure. Nineteen individuals completed the three month intervention. There were sig-nificant reductions in weight (kg: 103.1 v 97.8, P