Caruso Deborah, Chaggar Rajbir S, McDonald Scott D, Arbonies Christo X, Cifu David X
is a Physical Medicine and Rehabilitation Staff Physician, and is a Clinical Psychologist, both at Hunter Holmes McGuire Veterans Affairs Medical Center in Richmond, Virginia. is a Senior Traumatic Brain Injury Specialist for the US Department of Veterans Affairs. is a Physical Medicine and Rehabilitation Staff Physician at Ochsner Medical Center in New Orleans, Louisiana. is a Physical Medicine and Rehabilitation Resident Physician, and David Cifu is Associate Dean of Innovation and Systems Integration, both at Virginia Commonwealth University Health System in Richmond.
Fed Pract. 2021 Sep;38(9):406-410. doi: 10.12788/fp.0171. Epub 2021 Sep 12.
The prevalence of obesity is increasing in the United States. A common concern among health care providers is that prescribing a power mobility device (PMD) may decrease physical activity and lead to obesity and increasing morbidity. This study analyzes the effect of PMD prescriptions over a 2-year period on body mass index (BMI) and body weight in a population of veterans both as a whole and in BMI/age subgroups.
Prosthetics department medical records of veterans who received PMDs for the first time between January 1, 2011 and June 30, 2012 were reviewed. Of 399 records reviewed, 185 veterans met criteria for data analysis. The primary outcome measure was the change in BMI and body weight from time 1 (date of PMD prescription) to time 2 (2 years later).
There was a significant decrease in BMI and weight in the first 2 years after receiving a PMD prescription. However, age moderated the relationship between BMI and time.
PMD use does not seem to be associated with significant weight change. Further studies using control groups and assessing comorbidities are needed.
在美国，肥胖的患病率正在上升。医疗保健提供者普遍担心，开具动力移动设备（PMD）的处方可能会减少身体活动，导致肥胖并增加发病率。本研究分析了在两年时间内，PMD处方对退伍军人总体人群以及按体重指数/年龄分组的人群的体重指数（BMI）和体重的影响。
回顾了2011年1月1日至2012年6月30日期间首次接受PMD的退伍军人假肢部门的医疗记录。在审查的399份记录中，185名退伍军人符合数据分析标准。主要结局指标是从时间1（PMD处方日期）到时间2（两年后）BMI和体重的变化。
在接受PMD处方后的头两年中，BMI和体重显著下降。然而，年龄缓和了BMI与时间之间的关系。
使用PMD似乎与体重的显著变化无关。需要使用对照组并评估合并症的进一步研究。
