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Weight Change Trajectories After Incident Lower-Limb Amputation.

Erin D Bouldin1, Mary Lou Thompson2, Edward J Boyko3

  • 1Health Services Research and Development, Department of Veterans Affairs Medical Center, Seattle, WA; Department of Epidemiology, University of Washington, Seattle, WA.

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Summary

Weight change after lower-limb amputation varies significantly. Some men lose weight, while others experience slow or rapid weight gain, impacting rehabilitation and prosthetic needs.

Keywords:
AmputationBody weight changesLower extremityRehabilitationVeterans

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Biostatistics

Background:

  • Lower-limb amputation (LLA) significantly impacts patient health and rehabilitation.
  • Understanding post-amputation weight changes is crucial for effective patient management.

Purpose of the Study:

  • To identify distinct weight change trajectories in men following LLA.
  • To characterize factors associated with these weight change patterns.

Main Methods:

  • Retrospective cohort study utilizing administrative data.
  • Group-based trajectory modeling applied to weight and BMI changes.
  • Analysis included 759 male veterans with incident LLA.

Main Results:

  • Four weight change trajectories were identified: weight loss (13%), stable weight (47%), slow weight gain (33%), and rapid weight gain (7%).
  • Toe/foot amputations were associated with stable weight, while transtibial/transfemoral amputations correlated with slow weight gain.
  • Weight loss was more prevalent in men who died during follow-up.

Conclusions:

  • Significant heterogeneity exists in weight change following LLA.
  • Identifying predictors of weight gain/loss can optimize rehabilitation and prosthetic prescription.
  • Further research is needed to link weight change patterns with long-term health outcomes.