Evidence map›Paper›PMID 26685024›Full record

Trial reportBMJ open2015

Effect of obesity on functional outcomes at 6 months post-stroke among elderly Koreans: a prospective multicentre study.

Shin Yi Jang, Yong-Il Shin, Deog Young Kim, Min Kyun Sohn, Jongmin Lee, Sam-Gyu Lee, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, Eun Young Han and 3 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03402451 (Korean Stroke Cohort for Functioning and Rehabilitation), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03402451 unknown statusnot on this map

Korean Stroke Cohort for Functioning and Rehabilitation

TypeobservationalSponsorSamsung Medical CenterRan2012 to 2021Enrolled7,858ConditionsStroke, Disability, Function, Rehabilitation
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Genetic and lifestyle predictors of ischemic stroke severity and outcome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Shin Yi JangHeart Vascular Stroke Imaging Center, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Korea.
Yong-Il ShinDepartment of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Pusan, Korea.
Deog Young KimDepartment and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
Min Kyun SohnDepartment of Rehabilitation Medicine, School of Medicine, Chungnam National University, Daejeon, Korea.
Jongmin LeeDepartment of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, Korea.
Sam-Gyu LeeDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea.
Gyung-Jae OhDepartment of Preventive Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Yang-Soo LeeDepartment of Rehabilitation Medicine, Kyungpook National University School of Medicine, Kyungpook National University Hospital, Daegu, Korea.
Min Cheol JooDepartment of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Eun Young HanDepartment of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University, School of Medicine, Jeju, Korea.
Won Hyuk ChangDepartment of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Chung KangDepartment of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yun-Hee KimHeart Vascular Stroke Imaging Center, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Korea Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe examined whether obesity based on body mass index (BMI) was a predictor of functional independence measure (FIM) at 6 months after ischaemic stroke onset while adjusting for stroke risk factors and covariates and stratifying by age group.

designThis is an interim report of the Korean Stroke Cohort for Functioning and Rehabilitation that was designed as a nested case study within a nationwide hospital-based cohort.

settingWe identified all patients who were admitted to nine representative hospitals in Korea from 2012 until 2014 under a diagnosis of acute first-ever ischaemic stroke. The hospitals were selected from the metropolitan district, mid-sized cities and a small-sized city.

participantsThe sample included 2057 patients with acute ischaemic stroke who were at least 18 years old. PRIMARY AND SECONDARY OUTCOME MEASURES: We divided participants into two age levels (<65 and ≥ 65 years). Participants were classified into five groups according to their baseline BMI at admission: underweight (BMI<18.5), normal (18.5 ≤ BMI<23), overweight (23 ≤ BMI<25), obese (25 ≤ BMI<30) and extremely obese (30 ≤ BMI).

resultsThe proportion of patients who were aged ≥ 65 years was 55.0%. The proportions of underweight, normal, overweight, obese and extremely obese patients were 2.6%, 24.3%, 29.6%, 37.2% and 6.3%, respectively, in the <65 years group and 5.5%, 34.5%, 27.9%, 28.8% and 3.3%, respectively, in the ≥ 65 years group. In a multiple linear regression, the 6-month FIM after stroke in the elderly group was significantly associated with being extremely obese (7.95, p<0.05) after adjusting for confounding variables. In the <65 years group, the 6-month FIM was not associated with any weight category.

conclusionsThis nationwide hospital-based cohort study showed that extreme obesity is a predictor of a good 6-month FIM, especially in patients with ischaemic stroke who are at least 65 years of age.

Indexed as

Recovery of FunctionStroke RehabilitationAdolescentAdultAgedAged, 80 and overBody Mass IndexFemaleFollow-Up StudiesHumansLinear ModelsMaleMiddle AgedObesityProspective StudiesRepublic of Koreabody mass indexelderlyfunctional independence measureischemic strokeobese

Identifiers

PMID26685024
PMCPMC4691741

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.