Abstract
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.
Keywords
List of abbreviations:
BMI (body mass index)To read this article in full you will need to make a payment
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References
- Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010.JAMA. 2012; 307: 491-497
- Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis.JAMA. 2013; 309: 71-82
- Impact of overweight on the risk of developing common chronic diseases during a 10-year period.Arch Intern Med. 2001; 161: 1581-1586
- Impact of body mass index on outcome after percutaneous coronary intervention (the obesity paradox).Am J Cardiol. 2002; 90: 42-45
- The effect of body mass index on patient outcomes in a medical ICU.Chest. 2005; 127: 2125-2131
- Impact of body mass index on outcome in patients undergoing carotid stenting.Am J Cardiol. 2005; 96: 1743-1745
- The obesity paradox: body mass index and outcomes in patients with heart failure.Arch Intern Med. 2005; 165: 55-61
World Health Organization. Obesity and overweight, fact sheet N°311. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed December 2013.
- Body weight and mortality. A 27-year follow-up of middle-aged men.JAMA. 1993; 270: 2823-2828
- Moderate overweight is beneficial and severe obesity detrimental for patients with documented atherosclerotic heart disease.Heart. 2013; 99: 655-660
- Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies.Lancet. 2006; 368: 666-678
- Does body mass index adequately convey a patient's mortality risk?.JAMA. 2013; 309: 87-88
- Body weight and mortality among men and women in China.JAMA. 2006; 295: 776-783
- The impact of obesity on the outcomes of 1,153 critically injured blunt trauma patients.J Trauma. 2005; 59 (discussion 1051): 1048-1051
- Impact of obesity on intensive care morbidity and mortality: a metaanalysis.Chest. 2007; 132 (441b-2)
- Body mass index and the risk of stroke in men.Arch Intern Med. 2002; 162: 2557-2562
- Excess body weight and incidence of stroke: meta-analysis of prospective studies with 2 million participants.Stroke. 2010; 41: e418-e426
- Body mass index and ischemic and hemorrhagic stroke: a prospective study in Korean men.Stroke. 2004; 35: 831-836
- Body mass index in midlife and late-life as a risk factor for dementia: a meta-analysis of prospective studies.Obes Rev. 2011; 12: e426-e437
- Obesity and increased mortality in blunt trauma.J Trauma. 1991; 31: 1253-1257
- Impact of obesity in the critically ill trauma patient: a prospective study.J Am Coll Surg. 2006; 203: 533-538
- Management of the obese trauma patient.Anesthesiol Clin. 2007; 25: 91-98
- Obesity is an independent risk factor of mortality in severely injured blunt trauma patients.Arch Surg. 2004; 139: 983-987
- Excess deaths associated with underweight, overweight, and obesity.JAMA. 2005; 293: 1861-1867
- Effect of obesity on inpatient rehabilitation outcomes after total hip arthroplasty.Obesity (Silver Spring). 2007; 15: 522-530
- Impact of body mass index on functional performance after total knee arthroplasty.J Arthroplasty. 2010; 25: 1104-1109
- Impact of patient's weight on stroke rehabilitation results.Am J Phys Med Rehabil. 2007; 86: 650-655
Article info
Publication history
Published online: February 06, 2014
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
