Association between body mass index and outcome in Japanese ischemic stroke patients

Geriatrics & Gerontology International
Shinya KawaseKenji Nakashima

Abstract

An association between body mass index (BMI) and stroke outcome have been reported, but the results are controversial. The aim of the present study was to evaluate whether BMI is associated with ischemic stroke outcome. Consecutive Japanese acute ischemic stroke patients were analyzed. BMI was categorized as underweight (BMI <18.5 kg/m2 ), normal weight (18.5-24.9 kg/m2 ) and obese (≥25 kg/m2 ). BMI and short-term and long-term outcomes were examined. Short-term outcomes were evaluated using the modified Rankin scale score at hospitalization and discharge; modified Rankin scale ≥3 was defined as a poor outcome. Long-term outcomes were evaluated by all-cause mortality. The recurrence rate was also evaluated in each BMI group. Values of P < 0.05 were considered significant. A total of 1206 acute ischemic stroke patients (760 men; mean age 72.5 years) were analyzed in the present study. There were 111 underweight cases (9.2%), 785 normal weight cases (65.1%) and 310 obese cases (25.7%). The underweight group had a significantly higher rate of poor short and long-term outcomes than the normal weight group. The outcomes of the obese group were not significantly different from those of the normal weight group. Recurrence was not sign...Continue Reading

References

Dec 1, 1992·Scandinavian Journal of Primary Health Care·I Nydevik, K Hulter-Asberg
Nov 1, 1988·Stroke; a Journal of Cerebral Circulation·R F Bloch
May 1, 1988·Stroke; a Journal of Cerebral Circulation·J C van SwietenJ van Gijn
Oct 1, 1983·American Journal of Epidemiology·B HermanB P Schulte
May 20, 1998·Journal of the American Geriatrics Society·F D WolinskyD W Bentley
Dec 10, 1999·American Journal of Respiratory and Critical Care Medicine·C LandboT P Almdal
Nov 7, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN Examination Committee of Criteria for 'Obesity Disease' in Japan, UNKNOWN Japan Society for the Study of Obesity
May 17, 2003·Stroke; a Journal of Cerebral Circulation·UNKNOWN FOOD Trial Collaboration
Mar 10, 2005·The American Journal of Clinical Nutrition·Kamyar Kalantar-ZadehTamara B Horwich
Jan 16, 2008·Archives of Neurology·Sung-Hee YooDong-Wha Kang
Feb 2, 2008·Stroke; a Journal of Cerebral Circulation·Ann-Cathrin JönssonArne Lindgren
Mar 1, 2008·Neuroepidemiology·Tom Skyhøj OlsenKlaus Kaae Andersen
Jul 1, 2008·American Heart Journal·Antigone OreopoulosFinlay A McAlister
Oct 9, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Qian-Li XueLinda P Fried
Jun 23, 2009·Stroke; a Journal of Cerebral Circulation·Amytis Towfighi, Bruce Ovbiagele
Aug 22, 2009·Stroke; a Journal of Cerebral Circulation·Sang-Wook YiHeechoul Ohrr
Sep 5, 2009·European Neurology·Yutaka SutoKenji Nakashima
Feb 27, 2010·Annals of Neurology·Lydia A BazzanoJiang He
Nov 26, 2010·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Koji YonemotoYutaka Kiyohara
Oct 1, 2011·Stroke; a Journal of Cerebral Circulation·Nadja ScherbakovWolfram Doehner
Jun 3, 2014·JAMA Neurology·Christian DehlendorffTom S Olsen
Jan 31, 2015·International Journal of Stroke : Official Journal of the International Stroke Society·Klaus Kaae Andersen, Tom Skyhøj Olsen

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Citations

Sep 27, 2018·Journal of the American College of Nutrition·Fereshteh AliasghariReza Deljavan
Apr 7, 2020·NeuroRehabilitation·Shannon L MacDonaldElizabeth Uleryk
Apr 20, 2018·Acta Neurologica Scandinavica·A C JönssonA Lindgren
Nov 30, 2019·Stroke Research and Treatment·Iyad AliHiba Rayyan
Apr 20, 2020·Translational Stroke Research·Tae Jung KimByung-Woo Yoon
Jul 10, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Casey FreemanSarah M Eickmeyer

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