Limitations of body mass index for counseling individuals with unilateral lower extremity amputation
| Autor: | Tracy Norman Giest, Allison A Ruta, Alexandra P Frost, Teresa K. Snow, Mindy L. Millard-Stafford |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Counseling Male 030506 rehabilitation medicine.medical_specialty Hip disarticulation Lower extremity amputation Artificial Limbs Body adiposity index Health Professions (miscellaneous) Body Mass Index 03 medical and health sciences Absorptiometry Photon 0302 clinical medicine Amputees Risk Factors Classification of obesity Prosthesis Fitting Humans Medicine Obesity 030212 general & internal medicine Dual-energy X-ray absorptiometry Leg medicine.diagnostic_test business.industry Patient Selection Rehabilitation Middle Aged medicine.disease Cross-Sectional Studies Treatment Outcome Body Composition Physical therapy Female 0305 other medical science business Limb loss Body mass index |
| Zdroj: | Prosthetics & Orthotics International. 41:186-193 |
| ISSN: | 0309-3646 |
| Popis: | Body composition is important for health screening, but appropriate methods for unilateral lower extremity amputees have not been validated.To compare body mass index adjusted using Amputee Coalition equations (body mass index-Amputee Coalition) to dual-energy X-ray absorptiometry in unilateral lower limb amputees.Cross-sectional, experimental.Thirty-eight men and women with lower limb amputations (transfemoral, transtibial, hip disarticulation, Symes) participated. Body mass index (mass/heightBody mass index-Amputee Coalition increased body mass index (by ~ 1.1 kg/mBody mass index (despite correction) underestimates health risk for obese patients and overestimates lean, muscular individuals with lower limb amputation. Clinical relevance Clinical recommendations for an ideal body mass based on body mass index-Amputee Coalition should not be relied upon in lower extremity amputees. This is of particular concern for obese lower extremity amputees whose health risk might be significantly underestimated based on body mass index despite a "correction" formula for limb loss. |
| Databáze: | OpenAIRE |
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