1 / 5

Lower-limb amputation and body weight changes in men

Lower-limb amputation and body weight changes in men. Alyson J. Littman, PhD; Mary Lou Thompson, PhD; David E. Arterburn, MD, MPH; Erin Bouldin, PhD; Jodie K. Haselkorn, MD; Bruce J. Sangeorzan, MD; Edward J. Boyko, MD. Aim

ashbrook
Télécharger la présentation

Lower-limb amputation and body weight changes in men

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Lower-limb amputation and body weight changes in men Alyson J. Littman, PhD; Mary Lou Thompson, PhD; David E. Arterburn, MD, MPH; Erin Bouldin, PhD; Jodie K. Haselkorn, MD; Bruce J. Sangeorzan, MD; Edward J. Boyko, MD

  2. Aim • Evaluate relationship between lower-limb amputation (LLA) and body weight change over 3 yr. • Examine extent to which weight change varies by level of amputation and body-mass index before surgery. • Relevance • Excess body weight is a major concern for people with LLA, but little is known about relationship between LLA and subsequent changes in weight.

  3. Method • Retrospective cohort study using clinical and administrative databases: • 759 males with amputation. • 3,790 nondisabled persons frequency-matched on age, body mass index, diabetes, and calendar year from 8 Pacific Northwest VA medical facilities. • Estimated and compared longitudinal % weight change from baseline up to 39 mo of follow-up.

  4. Results • Weight gain in the 2 yr after amputation was significantly more in: • Men with amputation than without. • Men with transtibial or transfemoral amputation (8%–9% increase) than in men with partial foot amputation (3%–6% increase). • Generally, % weight gain peaked at 2 yr, followed by some weight loss in 3rd year.

  5. Conclusion • LLA is often followed by clinically important weight gain. • Future studies are needed to: • Understand reasons for weight gain. • Identify intervention strategies to prevent excess weight gain and its deleterious consequences.

More Related