01 July 2019 : Clinical Research
Association Between Body Mass Index and Results of Rehabilitation in Patients After Stroke: A 3-Month Observational Follow-Up StudyJustyna Leszczak1ABCDEF*, Ewelina Czenczek-Lewandowska1BDF, Grzegorz Przysada12ABD, Joanna Baran1BDF, Aneta Weres1CEF, Justyna Wyszyńska1CEF, Artur Mazur12ABC, Andrzej Kwolek3ADE
Med Sci Monit 2019; 25:4869-4876
BACKGROUND: We assessed the relationship between body mass index and results of rehabilitation in stroke patients.
MATERIAL AND METHODS: The study was carried out at the Clinical Rehabilitation Ward with Early Neurological Rehabilitation Unit at the Clinical Hospital. The examinations were performed 3 times. Based on inclusion and exclusion criteria, 128 subjects were qualified for the first examination, the second examination involved 114 subjects, and 100 stroke patients participated in the third examination. Body mass was examined with an accuracy of 0.1 kg, using a Tanita MC–780 MA body composition analyser. Body mass index (BMI) was calculated for all of the subjects. Effects of rehabilitation were assessed with the Barthel index and Ashworth scale.
RESULTS: Higher functional status in daily life, measured with the Barthel scale, was found in patients with normal body mass, compared to the overweight and obese subjects (examination I, II, and II). Exam I showed that before rehabilitation the overweight patients obtained significantly higher results in assessment of upper limbs, based on the Ashworth scale (mean=0.35±0.54) compared to the obese patients (mean=0.03±0.32) and those with normal body weight (mean=0.24±0.75).
CONCLUSIONS: Following hospital-based rehabilitation, patients with normal body mass achieved greater functional efficiency. The findings also show a trend towards normalization of BMI. The positive effect of rehabilitation was sustained for 3 months (Exam III), which may contribute to decreased risk of cardiovascular diseases and complications such as stroke.
Keywords: Body Mass Index, Rehabilitation, Stroke, Activities of Daily Living, Adult, Aged, Aged, 80 and over, Body Weight, Follow-Up Studies, Middle Aged, Obesity, overweight, Poland, Recovery of Function, stroke rehabilitation, Treatment Outcome
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