The effect of body mass index on functional outcome of patients on cardiac rehabilitation

Burke, David T.; Bell, Regina; Al‐Adawi, Samir; Burke, Daniel P.

doi:10.1016/j.rehab.2018.05.450

Cited by 2 publications

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“…In other neurological cohorts, studies have found that, among patients with stroke admitted to an IRF, those who are overweight and obese actually progress in function more quickly than do those who are normal weight. Further data in the IRF suggest a lack of ill effect of overweight or obese in IRF treatment of patient IRF treatment for primary pulmonary or cardiac related debility, as well as amputees …”

Section: Discussionmentioning

confidence: 99%

“…Further data in the IRF suggest a lack of ill effect of overweight or obese in IRF treatment of patient IRF treatment for primary pulmonary or cardiac related debility, as well as amputees. [24][25][26][27][28] Given that data from the general population have suggested a greater functional decline among those with elevated BMI, one could easily speculate that the admissions process could be altered by a reasonable concern that those with significant elevated BMI might not be able to recover sufficiently to warrant an admission to an acute care rehabilitation hospital. These patients might be redirected (or discharged) to other post-acute care facilities such as skilled nursing facilities, long-term acute care facilities, or nursing homes.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Body Mass Index on the Functional Prognosis of Traumatic Brain Injury Patients

Burke

Bell

Al‐Adawi

et al. 2019

PM&R

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Background Although many studies have demonstrated that obesity is correlated with an increased risk of chronic disease, some have reported a paradox by which those in the higher weight categories actually recover better during hospitalization. This study was designed to determine whether this obesity paradox is also reflected in the recovery of patients with traumatic brain injury (TBI) undergoing care in a rehabilitation hospital. Objective To investigate the association between body mass index (BMI) and the functional progress of patients with TBI, admitted to a rehabilitation hospital. Design Retrospective cohort study. Methods The study included all patients admitted to the brain injury unit of a rehabilitation hospital over a 6‐year period. The data used for this study included patient height and weight (measured on admission) and functional independence measurements (scored on admission and discharge). Main Outcome Measures Functional independence measure (FIM) change per day, BMI category. Results For the 444 patients admitted, the overall FIM efficiency did not differ significantly by BMI (P = .93). After adjusting for age and gender, overweight and obese patients had the lowest FIM efficiency (1.04 for both groups), followed by the underweight and normal weight groups (1.11 and 1.26, respectively). Conclusion This study demonstrated that higher BMI was not significantly correlated with the rate of functional recovery among patients admitted to a rehabilitation hospital for TBI. Level of Evidence III.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Body Mass Index on the Functional Prognosis of Traumatic Brain Injury Patients

Burke

Bell

Al‐Adawi

et al. 2019

PM&R

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“…Data from postacute IRF studies have found similar results for patients with stroke, traumatic brain injury, amputation, and debility. 29 , 30 , 31 , 32 Acute findings of marginally better but not statistically significant recovery during hospitalization of overweight as compared to normal weight patients have been found in patients hospitalized for cardiovascular disease, pulmonary disease, traumatic brain injury, and in those hospitalized for amputation. 29 , 30 , 31 , 32 , 33 Therefore, our findings seem to follow a trend noted by others, that both short- and long-term outcomes of those who are overweight are not sufficiently different from the normal weight to trigger a resistance to treatment.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Body Mass Index on Functional Outcome of Patients With Knee Replacement

Burke

Al‐Adawi

et al. 2019

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate the effects of body mass index (BMI) on the rehabilitation process in patients with a recent knee replacement. Design This retrospective cohort study included all patients admitted to a rehabilitation hospital, with a recent diagnosis of knee replacement and available hospital admission data including height and weight, between 2014 and 2017. Setting Rehabilitation hospital. Participants Study participants included patients who had undergone knee replacement surgery (N=742), with available BMI data. Interventions None. Main Outcome Measures FIM scores, including FIM change per day (FIM efficiency) by BMI category. Results The chart review identified 742 patients who had undergone knee replacement surgery, with available BMI data. The identified patients ranged in age from 58 to 85 years, with a mean age of 70 years. Of the patients included in the study, 24 were male, 49 were female, 73 were within the normal weight class, 180 in the overweight class, 189 in the obese class I, 143 in the obese class II, and 157 patients were classified as obese class III. The mean FIM efficiency was highest in the obese class II category (3.96). In a multivariate analysis after controlling for age, obese classes II and III had significantly better FIM efficiency. Conclusion This study did not demonstrate that obesity adversely affects the rate of recovery during hospitalization after knee replacement surgery.

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The effect of body mass index on functional outcome of patients on cardiac rehabilitation

Cited by 2 publications

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The Effect of Body Mass Index on the Functional Prognosis of Traumatic Brain Injury Patients

The Effect of Body Mass Index on the Functional Prognosis of Traumatic Brain Injury Patients

The Effect of Body Mass Index on Functional Outcome of Patients With Knee Replacement

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