Changes in weight after traumatic brain injury in adult patients: A longitudinal study. - Archive ouverte HAL Access content directly
Journal Articles Clinical Nutrition Year : 2014

Changes in weight after traumatic brain injury in adult patients: A longitudinal study.

(1) , (2) , (2) , (1, 2) , (1, 2) , (1, 2)
1
2

Abstract

BACKGROUND & AIMS: Although changes in weight have been reported after traumatic brain injury (TBI), their frequency and underlying factors are little known. Our aim was to determine the prevalence of weight changes and the associated factors during the recovery phase after TBI. METHODS: Longitudinal follow-up of adults with TBI. Multivariate analysis was carried out on weight change, demographic data, dysexecutive syndrome, eating behavior, physical activity, therapeutic classes and metabolic complications. RESULTS: 107 patients (81 males/26 females), age 36 ± 13 yrs, baseline BMI 23.3 ± 3.9, followed for 38 (8-66) months, were included. In intensive care, patients lost a mean 11 ± 6 kg. End of follow-up, mean BMI was not different to pre-TBI BMI, but patients could be categorized in 3 groups: stable (30%), loss (28%, -8 ± 7 kg) and gain (42%, +9 ± 6 kg). Sex, age, severity of TBI, intensive care weight loss, physical activity, therapeutic classes and the occurrence of metabolic syndrome did not differ between the groups. Factors related to weight gain were hyperphagia, OR 4.5 (IC95%, 1.6-12.1) and presence of a dysexecutive syndrome, OR 2.5 (IC95%, 1.03-6.3). Factors related to weight loss were hypophagia, OR 4.1 (IC95%, 1.5-10.9) and higher pre-TBI BMI, OR 4.9 (IC95%, 1.7-14.0). CONCLUSIONS: Over a median period of 38 months, 42% of TBI patients gained and 28% lost weight. Factors associated with these changes were the presence of a behavioral dysexecutive syndrome for weight gain, oral food intake and initial BMI, which were inversely associated with weight at end of follow-up. These findings highlight the importance of evaluating the time course of weight changes and providing specific nutritional care.
Fichier principal
Vignette du fichier
TCeatingweightV12.pdf (157.66 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Loading...

Dates and versions

inserm-00924236 , version 1 (06-01-2014)

Identifiers

Cite

Pascal Crenn, Sabrina Hamchaoui, Aliette Bourget-Massari, Mouna Hanachi, Jean-Claude Melchior, et al.. Changes in weight after traumatic brain injury in adult patients: A longitudinal study.. Clinical Nutrition, 2014, epub ahead of print. ⟨10.1016/j.clnu.2013.06.003⟩. ⟨inserm-00924236⟩

Collections

INSERM UVSQ
831 View
2703 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More