Effect of Body Mass Index on Stroke Rehabilitation

被引：50

作者：

Burke, David T. ^{[1
]}

Al-Adawi, Samir ^{[2
]}

Bell, Regina B. ^{[1
]}

Easley, Kirk ^{[3
]}

Chen, Shou ^{[3
]}

Burke, Daniel P. ^{[4
]}

机构：

[1] Emory Univ, Sch Med, Dept Rehabil Med, Atlanta, GA 30322 USA

[2] Sultan Qaboos Univ, Coll Med & Hlth Sci, Dept Behav Med, Muscat, Oman

[3] Emory Univ, Rollins Sch Publ Hlth, Dept Biostat & Bioinformat, Atlanta, GA 30322 USA

[4] Georgia Coll & State Univ, Milledgeville, GA USA

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2014年 / 95卷 / 06期

关键词：

Body mass index; CVA (cerebrovascular accident); Outcome; Rehabilitation; Stroke; RISK-FACTOR; OBESITY; MORTALITY; IMPACT; OVERWEIGHT; OUTCOMES; WEIGHT; METAANALYSIS; ASSOCIATION; PATIENT;

D O I：

10.1016/j.apmr.2014.01.019

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To investigate the association between body mass index (BMI) and the functional progress of patients with stroke, admitted to a rehabilitation hospital. Design: A retrospective cohort study. Setting: A freestanding university rehabilitation hospital stroke unit. Participants: All patients (N=819) admitted to the stroke unit of a rehabilitation hospital during the study. Interventions: Not applicable. Main Outcome Measures: The primary study outcome measure was the FIM efficiency of patients by BMI category. Results: For the 819 patients admitted during the observation period, BMI was compared with FIM score changes per day (FIM efficiency). After adjusting for age and sex, the FIM efficiency differed by BMI The underweight group had the lowest FIM efficiency, followed by the obese and normal-weight subgroups. The overweight group had the highest FIM efficiency (P=.05) when compared with the obese subgroup. Conclusions: Among patients admitted to an acute rehabilitation hospital for stroke rehabilitation, overweight patients had better functional progress than did patients in the other weight categories. (C) 2014 by the American Congress of Rehabilitation Medicine

引用

页码：1055 / 1059

页数：5

共 26 条

[1]

Akinnusi ME, 2007, CHEST, V132, p441S

[2] Body mass index in midlife and late-life as a risk factor for dementia: a meta-analysis of prospective studies [J].

Anstey, K. J. ;

Cherbuin, N. ;

Budge, M. ;

Young, J. .

OBESITY REVIEWS, 2011, 12 (501) :e426-e437

[3] Moderate overweight is beneficial and severe obesity detrimental for patients with documented atherosclerotic heart disease [J].

Azimi, Aziza ;

Charlot, Mette Gitz ;

Torp-Pedersen, Christian ;

Gislason, Gunnar H. ;

Kober, Lars ;

Jensen, Lisette Okkels ;

Thayssen, Per ;

Ravkilde, Jan ;

Tilsted, Hans-Henrik ;

Lassen, Jens Flensted ;

Thuesen, Leif .

HEART, 2013, 99 (09) :655-660

[4] Impact of obesity in the critically ill trauma patient: A prospective study [J].

Bochicchio, Grant V. ;

Joshi, Manjari ;

Bochicchio, Kelly ;

Nehman, Shelly ;

Tracy, J. Kathleen ;

Scalea, Thomas M. .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2006, 203 (04) :533-538

[5] The impact of obesity on the outcomes of 1,153 critically injured blunt trauma patients [J].

Brown, CVR ;

Neville, AL ;

Rhee, P ;

Salim, A ;

Velmahos, GC ;

Demetriades, D .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2005, 59 (05) :1048-1051

[6] OBESITY AND INCREASED MORTALITY IN BLUNT TRAUMA [J].

CHOBAN, PS ;

WEIRETER, LJ ;

MAYNES, C .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1991, 31 (09) :1253-1257

[7] The obesity paradox - Body mass index and outcomes in patients with heart failure [J].

Curtis, JP ;

Selter, JG ;

Wang, YF ;

Rathore, SS ;

Jovin, IS ;

Jadbabaie, F ;

Kosiborod, M ;

Portnay, EL ;

Sokol, SI ;

Bader, F ;

Krumholz, HM .

ARCHIVES OF INTERNAL MEDICINE, 2005, 165 (01) :55-61

[8] Impact of overweight on the risk of developing common chronic diseases during a 10-year period [J].

Field, AE ;

Coakley, EH ;

Spadano, JL ;

Laird, N ;

Dietz, WH ;

Rimm, E ;

Colditz, GA .

ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (13) :1581-1586

[9] Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index Categories A Systematic Review and Meta-analysis [J].

Flegal, Katherine M. ;

Kit, Brian K. ;

Orpana, Heather ;

Graubard, Barry I. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 309 (01) :71-82

[10] Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010 [J].

Flegal, Katherine M. ;

Carroll, Margaret D. ;

Kit, Brian K. ;

Ogden, Cynthia L. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (05) :491-497

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