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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Rontoyanni, VG; Kudlicki, A; Palackic, A; Gibran, N; Stewart, B; Schneider, JC; Ryan, CM; Murton, AJ; Wolf, SE; Kowalske, K; Suman, OE.
Strength of association between body mass index and physical function scores in paediatric burn patients: A National Institute on Disability, Independent Living, and Rehabilitation Research Burn Model System study.
Burns. 2022; 48(4):824-832
Doi: 10.1016/j.burns.2022.03.001
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- Palackic Alen
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- Abstract:
- OBJECTIVE: Increased body weight has been associated with reduced muscle wasting in the early catabolic phase after a severe burn. Yet, overweight and obese non-burn children often exhibit impaired musculoskeletal function, which may lead to poor physical function (PF). We aimed to determine the association between body mass index (BMI) at discharge and self-reported PF and caregiver proxy-reported PF during recovery of burned children. MATERIALS AND METHODS: This is a retrospective multisite longitudinal study in paediatric burn patients ((8-17 y old at time of burn). PF outcome measures were self-reported mobility, proxy-reported mobility, and upper extremity PF evaluated using PROMIS measures at 6-, 12-, and 24-months after injury. Primary exposure variable was BMI-for-age at discharge. RESULTS: A total of 118 paediatric patients, aged 11.7 ± 3.3 y, with burns covering 37.6 ± 18.8% of their total body surface area (TBSA) and BMI-for-age of 23.1 ± 5.4 kg/m2 at discharge were analyzed. BMI at discharge was not significantly associated with self-reported mobility scores 6 months after burn (beta coefficient =-0.23, p = 0.31), had a positive effect on mobility at 12 months (beta = 0.46, p = 0.05), and no effect at 24 months after injury (beta=-0.10, p = 0.60), when adjusted for burn size. BMI did not have a significant effect on proxy-reported mobility or upper extremity PF. CONCLUSION: A greater BMI at discharge was associated with improved self-reported PF at 12 months after burn but not at 6 months or 24 months, which suggests a faster recovery of PF in paediatric patients of larger body weight. Our data suggests that a larger body weight does not compromise the recovery of PF after burn.
- Find related publications in this database (using NLM MeSH Indexing)
- Body Mass Index - administration & dosage
- Burns - complications
- Child - administration & dosage
- Humans - administration & dosage
- Independent Living - administration & dosage
- Longitudinal Studies - administration & dosage
- Obesity - complications
- Rehabilitation Research - administration & dosage
- Retrospective Studies - administration & dosage
- Find related publications in this database (Keywords)
- Obesity
- BMI
- Physical function
- Burn
- PROMIS