A 3-year follow-up study of inpatients with lower limb ulcers: evidence of an obesity paradox?

Simple item page
dc.contributor.authorMiller, Michelle Deanne
dc.contributor.authorDelaney, Christopher
dc.contributor.authorPenna, Deanna
dc.contributor.authorLiang, Lilian
dc.contributor.authorThomas, Jolene Marie
dc.contributor.authorPuckridge, Phillip
dc.contributor.authorSpark, James I
dc.date.accessioned2013-03-26T03:39:21Z
dc.date.available2013-03-26T03:39:21Z
dc.date.issued2012-08-09
dc.description.abstractObjectives: To determine whether body composition is related to long-term outcomes amongst vascular inpatients with lower limb ulcers. Design: Prospective study with 3 years follow-up. Materials and methods: Body mass index (BMI), fat, and fat-free mass were measured and associations with readmission to hospital (number, cause, length of stay) and all-cause mortality were explored. Results: Thirty patients (22 men, 8 women) participated in the study. Ten patients (33%) had a BMI ≥ 30 kg/m2. 18/20 (90%) patients with a BMI < 30 kg/m2 and 9/10 (90%) patients with a BMI ≥ 30 kg/m2 were admitted to hospital in the 3 years of follow-up. Patients with a BMI < 30 kg/m2 were admitted more frequently, earlier and for longer compared to those with BMI ≥ 30 kg/m2 but these did not reach statistical significance. The 3 year mortality rate for patients with BMI ≥ 30 kg/m2 was 20% (n = 2/10) compared to 70% (n = 14/20) with a BMI <30 kg/m2, P = 0.019. Conclusion: This preliminary study suggests that higher BMI may have a protective effect against mortality in vascular patients with lower limb ulcers. These findings contradict the universal acceptance that obesity leads to poor health outcomes. Further work is required to confirm these findings and explore some of the potential mechanisms for this effect.en
dc.identifier.citationMiller, M., Delaney, C., Penna, D., Liang, L., Thomas, J., Puckridge, P., and Spark, J.I., 2012. A 3-year follow-up study of inpatients with lower limb ulcers: evidence of an obesity paradox? Journal of Multidisciplinary Healthcare, 2012:5, 181-186.en
dc.identifier.issn1178-2390
dc.identifier.urihttp://hdl.handle.net/2328/26659
dc.language.isoen
dc.oaire.license.condition.licenseCC-BY-NC
dc.publisherDove Pressen
dc.subjectNutrition and Dietetics
dc.subjectObesity
dc.subjectBody mass index
dc.titleA 3-year follow-up study of inpatients with lower limb ulcers: evidence of an obesity paradox?en
dc.typeArticleen
local.contributor.authorOrcidLookupThomas, Jolene Marie: https://orcid.org/0000-0002-3264-843Xen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Miller 3year.pdf
Size:
292.84 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Nutrition and Dietetics - Collected Works
Flinders Open Access Research