A systematic review of the impact of obesity on stroke inpatient rehabilitation functional outcomes.

BACKGROUND: Obesity is a known risk factor for stroke, but its impact on functional recovery is less clear. Understanding the effect of obesity on functional recovery during inpatient rehabilitation will aid clinicians in patient counselling and help administrators with program planning. OBJECTIVE:...

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Publicado en:NeuroRehabilitation Vol. 46; no. 3; pp. 403 - 416
Autores principales: MacDonald, Shannon L., Journeayc, W. Shane, Uleryk, Elizabeth
Formato: research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2020
      vid: 46
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-192979
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        atl: A systematic review of the impact of obesity on stroke inpatient rehabilitation functional outcomes.
      aug:
        au:
          MacDonald, Shannon L.
          Journeayc, W. Shane
          Uleryk, Elizabeth
        affil: Bridgeport Active Healthcare, Sinai Health, Toronto, Canada
      sug:
        subj:
          Obesity Risk Factors
          Stroke Rehabilitation
          Functional Status In Adulthood
          Human
          Systematic Review
          Inpatients
          Stroke Patients
          Adult
          Medline
          Embase
          CINAHL Database
          Cochrane Library
          Barthel Index
          Body Mass Index
          Recovery
          Adult: 19-44 years
      ab: BACKGROUND: Obesity is a known risk factor for stroke, but its impact on functional recovery is less clear. Understanding the effect of obesity on functional recovery during inpatient rehabilitation will aid clinicians in patient counselling and help administrators with program planning. OBJECTIVE: To determine if obesity affects the functional outcomes of adults undergoing inpatient stroke rehabilitation. METHODS: MEDLINE, Embase, CINAHL, and Cochrane databases were searched using the subject headings and text word terms for stroke, rehabilitation, and obesity. Two independent reviewers screened the articles against pre-defined eligibility criteria and extracted the data. Outcomes of interest included FIM. mRS, Fugl-Meyer Assessment of Sensorimotor Recovery after Stroke, and Barthel Index. RESULTS: Seven studies from five countries with a total of 3070 participants were included. There was significant heterogeneity among the studies in the BMI cut-off points and functional outcome measures used. Two studies found a positive association between obesity and functional outcome, two studies found no association, and three studies reported a negative relationship. CONCLUSIONS: No conclusions could be drawn regarding whether the functional outcome of adults undergoing inpatient stroke rehabilitation differ between individuals with and without obesity.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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