Bailey Ryan R, Conroy Molly
Department of Occupational and Recreational Therapies, College of Health, University of Utah.
Division of General and Internal Medicine, Department of Internal Medicine, School of Medicine, University of Utah.
Top Stroke Rehabil. 2022 Mar;29(2):156-162. doi: 10.1080/10749357.2021.1904537. Epub 2021 Mar 28.
Stroke increases risk for disability. Obesity and diabetes also increase risk for disability in the general population, but their association with disability in stroke survivors is unknown. We examined disability risk associated with obesity and diabetes in stroke survivors across six disability types: hearing, vision, cognition, mobility, and basic and instrumental activities of daily living (ADLs).
Data from 37,955 community-dwelling US stroke survivors aged ≥18 years were analyzed from the 2017 and 2018 Behavioral Risk Factor Surveillance System. Linear regression was used to calculate prevalence of each disability type. Survivors were stratified by obesity versus normal weight and diabetes vs no diabetes, and logistic regression was used to calculate adjusted odds ratios (AOR) for each disability type, adjusted for demographic information.
Prevalences of disability types ranged from 14.2% to 36.0%. Among survivors with obesity, odds were elevated for mobility (AOR: 1.68) and basic ADL (AOR: 1.55) disability. Among survivors with diabetes, odds were elevated for all disability types (AOR range: 1.15-1.71).
Stroke survivors with obesity or diabetes experience increased risk for disability compared to survivors without these chronic conditions. Interventions for managing disability, obesity, and diabetes concomitantly may be warranted and deserve further consideration.
中风会增加残疾风险。肥胖和糖尿病在普通人群中也会增加残疾风险，但它们与中风幸存者残疾之间的关联尚不清楚。我们研究了中风幸存者中与肥胖和糖尿病相关的六种残疾类型的风险：听力、视力、认知、行动能力以及日常生活的基本和工具性活动（ADL）。
分析了2017年和2018年行为风险因素监测系统中37955名年龄≥18岁的美国社区中风幸存者的数据。采用线性回归计算每种残疾类型的患病率。幸存者按肥胖与正常体重以及糖尿病与无糖尿病进行分层，并采用逻辑回归计算每种残疾类型的调整优势比（AOR），并根据人口统计学信息进行调整。
残疾类型的患病率在14.2%至36.0%之间。在肥胖的幸存者中，行动能力（AOR：1.68）和基本ADL（AOR：1.55）残疾的几率升高。在患有糖尿病的幸存者中，所有残疾类型的几率都升高（AOR范围：1.15 - 1.71）。
与没有这些慢性病的幸存者相比，患有肥胖或糖尿病的中风幸存者残疾风险增加。同时管理残疾、肥胖和糖尿病的干预措施可能是必要的，值得进一步考虑。
