title: Lower-limb amputation and body weight changes in men.
abstract: Little is known about the relationship between lower-limb amputation (LLA) and subsequent changes in body weight. We conducted a retrospective cohort study using clinical and administrative databases to identify and follow weight changes in 759 males with amputation (partial foot amputation [PFA], n = 396; transtibial amputation [TTA], n = 267; and transfemoral amputation [TFA], n = 96) and 3,790 nondisabled persons frequency-matched (5:1) on age, body mass index, diabetes, and calendar year from eight Department of Veterans Affairs medical care facilities in the Pacific Northwest. We estimated and compared longitudinal percent weight change from baseline during up to 39 mo of follow-up in participants with and without amputation. Weight gain in the 2 yr after amputation was significantly more in men with an amputation than without, and in men with a TTA or TFA (8%-9% increase) than in men with a PFA (3%-6% increase). Generally, percent weight gain peaked at 2 yr and was followed by some weight loss in the third year. These findings indicate that LLA is often followed by clinically important weight gain. Future studies are needed to better understand the reasons for weight gain and to identify intervention strategies to prevent excess weight gain and the deleterious consequences that may ensue.
authors.affiliation: Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA;
authors.forename: Alyson J
authors.initials: AJ
authors.lastname: Littman
authors.forename: Mary Lou
authors.initials: ML
authors.lastname: Thompson
authors.forename: David E
authors.initials: DE
authors.lastname: Arterburn
authors.forename: Erin
authors.initials: E
authors.lastname: Bouldin
authors.forename: Jodie K
authors.initials: JK
authors.lastname: Haselkorn
authors.forename: Bruce J
authors.initials: BJ
authors.lastname: Sangeorzan
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Boyko
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D015992:Body Mass Index; D005500:Follow-Up Studies; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012737:Sex Factors; D015430:Weight Gain
keywords: Veterans; adult; lower-limb amputation; men; obesity; partial foot amputation; toe amputation; transfemoral amputation; transtibial amputation; weight change