Evidence map›Paper›PMID 26161344›Full record

ArticleAnnals of rehabilitation medicine2015

Comparison of Fat Mass Percentage and Body Mass Index in Koreans With Spinal Cord Injury According to the Severity and Duration of Motor Paralysis.

Sang Hoon Han, Bum-Suk Lee, Hyun Soo Choi, Min-Soo Kang, Bo Ra Kim, Zee-A Han, Hye Jin Lee

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Article in Annals of rehabilitation medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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3 · Its place in the literature

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8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Pathophysiology of Neurogenic Obesity After Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2021
    Review
  6. Article
  7. Article
  8. Review
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sang Hoon HanDepartment of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
Bum-Suk LeeDepartment of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
Hyun Soo ChoiDepartment of Rehabilitation Medicine, Korea University College of Medicine, Seoul, Korea.
Min-Soo KangDepartment of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
Bo Ra KimDepartment of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
Zee-A HanDepartment of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
Hye Jin LeeDepartment of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the relationship of the change in fat mass percentage (FMP) and body mass index (BMI) with the change in obesity rate according to gender, extent of spinal cord injury (SCI) and the duration.

methodsThe retrospective study was conducted with medical records of 915 patients. FMP was calculated with BMI and bioelectrical impedance analysis (BIA). Statistical analysis of the relationship between FMP and gender, extent of SCI and the duration after SCI was done.

resultsFMP increased in relation to the duration. The mean FMP was higher in the motor complete tetraplegia group, as compared to the motor incomplete group. The rate of obesity was 69.8% with cutoff FMP values of over 22% and 35% for male and female patients, respectively. Rate of obesity was correlated with the duration after SCI and degree of paralysis. The rate of obesity was 17.1% with a cutoff value of BMI 25 kg/m(2) and 51.3% with a cutoff value of 22 kg/m(2). For evaluation of the diagnostic value of BMI to predict obesity according to FMP standards, a cutoff value of 25 kg/m(2) showed a sensitivity level of 22.3% and specificity level of 94.9%. When the cutoff level for BMI was set at 22 kg/m(2), the sensitivity and specificity were 59.3% and 67.0%, respectively.

conclusionIn Korean SCI patients, FMP showed good correlation with the duration of SCI and the extent of SCI, while BMI did not. Especially in the motor complete tetraplegia group, the diagnostic value of BMI decreased as the duration after SCI increased. This study suggested that FMP could be used complementarily when evaluating the obesity of SCI patients.

Indexed as

Body mass indexElectric impedanceObesitySpinal cord injuries

Identifiers

PMID26161344
PMCPMC4496509

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