Evidence map›Paper›PMID 38300306›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

The association between lower limb fractures and weight gain in adults: a prospective analysis of body mass index trends.

Ali Lari, Abdullah Haidar, Hussain Mohammad, Mohammad Makhseed, Mejbel Alajmi, Retaj Bahbahani, Majed Almutairi, Naser Alnusif, Eisa Lari

Open access · hybridAbstract read
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 38% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Ali LariDepartment of Orthopedic Surgery, AlRazi National Orthopedic Hospital, Kuwait City, Kuwait. Dr.alilari@gmail.com.ORCID http://orcid.org/0000-0002-2070-6727
Abdullah HaidarDepartment of Orthopedic Surgery, Mubarak Al Kabeer Hospital, Kuwait City, Kuwait.
Hussain MohammadDepartment of Orthopedic Surgery, AlRazi National Orthopedic Hospital, Kuwait City, Kuwait.
Mohammad MakhseedDepartment of Orthopedic Surgery, AlRazi National Orthopedic Hospital, Kuwait City, Kuwait.
Mejbel AlajmiDepartment of Orthopedic Surgery, Jaber Al Ahmad Hospital, Kuwait City, Kuwait.
Retaj BahbahaniDepartment of Orthopedic Surgery, AlRazi National Orthopedic Hospital, Kuwait City, Kuwait.
Majed AlmutairiSchool of Medicine, Kuwait University, Kuwait City, Kuwait.
Naser AlnusifDepartment of Orthopedic Surgery, AlRazi National Orthopedic Hospital, Kuwait City, Kuwait.
Eisa LariDepartment of Surgery, Jaber Al Ahmad Hospital, Kuwait City, Kuwait.
Amiri Hospital · KWKuwait University · KWMubarak Al Kabeer Hospital · KW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite understanding the connection between obesity and fracture risk, there is limited research on the implications of lower limb fractures on subsequent changes in body mass index (BMI). Our study aimed to assess the impact of lower limb fractures on BMI alterations over an 18-month period.

methodsA multi-center, prospective cohort study was conducted between January 2021 to June 2023, involving 494 adults with lower limb fractures. Participants were recruited within 2 weeks post-injury and were assessed for demographics, injury details, and weight at seven distinct time points. By 18 months, the primary outcome was the mean weight gain.

resultsThe average age of the participants was 39 (± 12.7) with a baseline weight and BMI of 80.4 kg and 27.6, respectively. At the 18-month follow-up, 75% of patients experienced an average weight increase in 4 kg (± 5.39 kg), equating to a BMI rise of 1.39 (± 1.88). Most patients attributed weight changes to their injury, with nearly half expressing distress from their weight change. Only 37% believed that they had resumed their previous activity levels by the final follow-up. Approximately 31% of the patients sought some form of external weight management care in the form of nutritionist advice, training programs, medication and weight management procedures.

conclusionsLower limb fractures significantly affect weight gain over an 18-month period, with substantial psychological and physical consequences. Healthcare providers should anticipate potential weight gain post-fracture and incorporate strategies addressing both physical and mental aspects of rehabilitation to enhance recovery outcomes. Early and even immediate weight bearing may play a pivotal role in mitigating weight changes and returning the patient to their previous level of activity. Further detailed studies focusing on different fractures and postoperative interventions are recommended.

Indexed as

Fractures, BoneLeg InjuriesAdultBody Mass IndexHumansLower ExtremityProspective StudiesWeight GainBody mass indexFracturesLower limb TraumaObesityWeight gain

Identifiers

PMID38300306
PMCPMC10980615
OpenAlexW4391449334

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.