Document Detail


Body mass index patterns following dysvascular lower extremity amputation.
MedLine Citation:
PMID:  23094934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Using preliminary data, we examined: (i) patterns of body mass index (BMI) over the year following amputation by amputation level and (ii) the association between BMI and mobility and prosthetic device use.
METHOD: Patients from three medical centers undergoing dysvascular amputation (N = 87; M age = 62) participated in interviews pre-surgically and at 6 weeks, 4 months, and 12 months following amputation. The main outcome was self-reported BMI, adjusting for limb weight lost due to amputation. Additional outcomes were mobility and time spent using and walking in a prosthetic device.
RESULTS: Adjusted BMI slightly decreased at 6 weeks (pre-surgery M = 31.2; 6 weeks M = 30.3) and 4 months (M = 30.7) but exceeded baseline levels by 12 months (M = 31.7). There were no significant BMI differences by amputation level. In multivariable analyses, higher pre-surgical BMI was associated with fewer hours of prosthetic device walking at month 4 (β = -0.49) and poorer overall mobility at month 12 (β = -0.22).
CONCLUSIONS: BMI increased at one year following amputation surgery. Higher pre-surgical BMI was associated with poorer mobility and prosthetic device use. Interventions are needed to prevent excess weight gain in the year following amputation.
IMPLICATIONS FOR REHABILITATION: • People undergoing lower-extremity amputation have high rates of overweight and obesity and continue to gain weight in the year following amputation. • Objective assessment of body mass index (both with and without a prosthetic device) and waist circumference would help future research efforts. • Targeting weight loss post-amputation could improve the health of people with lower-extremity amputations.
Authors:
Dori E Rosenberg; Aaron P Turner; Alyson J Littman; Rhonda M Williams; Dan C Norvell; Kevin M Hakimi; Joseph M Czerniecki
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2012-10-25
Journal Detail:
Title:  Disability and rehabilitation     Volume:  35     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-06-24     Completed Date:  2013-09-16     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1269-75     Citation Subset:  IM    
Affiliation:
Rehabilitation Care Service, VA Puget Sound Health Care System, Seattle, WA 98108, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Amputation / rehabilitation*
Body Mass Index*
Female
Follow-Up Studies
Humans
Interviews as Topic
Lower Extremity / surgery
Male
Middle Aged
Outcome Assessment (Health Care)
Time Factors
Vascular Diseases / surgery
Walking*
Weight Gain
Grant Support
ID/Acronym/Agency:
2T32HD007424-19/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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