Abstract
Objective
To check hypothesis that overweight can influence the stroke functional outcome and that rehabilitation is less effective in overweight and obese patients compared to normal weight patients in terms of functional independence measure (FIM) improvement in first-event stroke patients.
Design
Retrospective comparative study.
Setting
Inpatient rehabilitation facility.
Participants
102 first-time stroke male and female patients admitted to the 52-bed acute neurology rehabilitation department in a rehabilitation hospital were included in the study.
Intervention
Body mass index (BMI) and FIM were fixed. Statistical tests were performed to find out the correlation between parameters.
Main Outcome Measures
BMI, FIM on admission and at discharge, as well as the delta-FIM (FIM on admission – FIM at discharge) were evaluated.
Results
A statistically significant negative correlation (r=-0.27 p=0.014) was found between FIM change and BMI.
Conclusions
Acute post stroke patients’ rehabilitation effectiveness is negatively associated with the patients’ BMI in terms of improvement of functional parameters according to FIM measurements. Patients’ weight should be taken into consideration when predicting rehabilitation outcome for stroke patients. Further investigations are needed to identify the functional parameters affected by the patients’ weight. New rehabilitation strategies should be designed to improve functional outcomes of rehabilitation in obese patients.
To check hypothesis that overweight can influence the stroke functional outcome and that rehabilitation is less effective in overweight and obese patients compared to normal weight patients in terms of functional independence measure (FIM) improvement in first-event stroke patients.
Design
Retrospective comparative study.
Setting
Inpatient rehabilitation facility.
Participants
102 first-time stroke male and female patients admitted to the 52-bed acute neurology rehabilitation department in a rehabilitation hospital were included in the study.
Intervention
Body mass index (BMI) and FIM were fixed. Statistical tests were performed to find out the correlation between parameters.
Main Outcome Measures
BMI, FIM on admission and at discharge, as well as the delta-FIM (FIM on admission – FIM at discharge) were evaluated.
Results
A statistically significant negative correlation (r=-0.27 p=0.014) was found between FIM change and BMI.
Conclusions
Acute post stroke patients’ rehabilitation effectiveness is negatively associated with the patients’ BMI in terms of improvement of functional parameters according to FIM measurements. Patients’ weight should be taken into consideration when predicting rehabilitation outcome for stroke patients. Further investigations are needed to identify the functional parameters affected by the patients’ weight. New rehabilitation strategies should be designed to improve functional outcomes of rehabilitation in obese patients.
| Original language | English |
|---|---|
| Pages | S123 |
| DOIs | |
| State | Published - 18 Sep 2014 |