A study on changes in weight and body mass index of patients post below knee amputation secondary to diabetes

Rohit Shahi, Susmitha Gulla, K Satya Kumar
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Abstract

Introduction: The number of people with lower-limb amputations (LLA) is expected to double by the year 2050, largely because of vascular disease associated with an aging population and increased incidence of diabetes and heart disease. The change in weight pattern will help us in designing linear spring based osseointegrated prosthetics for people living in hilly areas with amputation who living in hilly terrain. Methodology: N were selected for the study. We used weights and heights obtained during inpatient and outpatient clinical encounters. N going under transtibial amputation were selected and the patients were categorized under two groups Type-1 and Type -2 diabetes. Height and B.M.I. was taken from the case record form at the time of entry of a patient in the general surgery department. Percent weight change, calculated as the difference between weight at time x and weight at baseline, divided by baseline weight x 100, was the primary outcome of interest. Results: Among 20 patients selected for the study (n=100). Out of which 6 patients were Type-1 diabetic and the rest 14 were type two diabetic. The height of twenty patients ranged from 154cm-174cm. with a mean height of 163.8cm. As expected based on our matching, the distribution of ages, BMI, reference years, and presence of a diabetes: 65 percent of individuals were between the ages of 25 and 74 yr, 73 percent had diabetes, and nine patient were overweight (range 25.5-29.9) where rest eleven patients were obese, out of which nine have B.M.I. 30-35 and rest two were above 35.1.The difference in change in weight between type one and type two patient were noted. Type one patient showed mean weight increase of 5055gm, where as type two diabetic showed an increase of 4894gm within the span of three months.
糖尿病继发膝下截肢患者体重和体质指数变化的研究
导言:到2050年,下肢截肢(LLA)患者的数量预计将翻一番,主要是因为与人口老龄化相关的血管疾病以及糖尿病和心脏病发病率的增加。体重模式的变化将有助于我们为生活在丘陵地区的截肢者设计线性弹簧骨整合假肢。方法:选取N例进行研究。我们使用在住院和门诊临床接触中获得的体重和身高。选择行经胫骨截肢的患者N例,分为1型糖尿病和2型糖尿病两组。身高和体重指数取自普通外科患者入院时的病例记录表。体重变化百分比,计算为x时刻的体重与基线时的体重之差,除以基线体重x 100,是主要关注的结果。结果:入选研究的20例患者(n=100)。其中1型糖尿病6例,2型糖尿病14例。20例患者身高154cm ~ 174cm不等。平均身高163.8cm。根据我们的匹配,年龄、BMI、参考年数和糖尿病的分布预期:65%的个体年龄在25至74岁之间,73%患有糖尿病,9名患者超重(范围25.5-29.9),其余11名患者肥胖,其中9名患者BMI为30-35,其余2名患者高于35.1。注意到1型和2型患者体重变化的差异。1型糖尿病患者3个月内平均体重增加5055gm, 2型糖尿病患者平均体重增加4894gm。
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