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Our study aimed to assess the impact of lower limb fractures on BMI alterations over an 18-month period.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A multi-center, prospective cohort study was conducted between January 2021 to June 2023, involving 494 adults with lower limb fractures. Participants were recruited within 2 weeks post-injury and were assessed for demographics, injury details, and weight at seven distinct time points. By 18\u00a0months, the primary outcome was the mean weight gain.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The average age of the participants was 39 (\u00b1\u200912.7) with a baseline weight and BMI of 80.4\u00a0kg and 27.6, respectively. At the 18-month follow-up, 75% of patients experienced an average weight increase in 4\u00a0kg (\u00b1\u20095.39\u00a0kg), equating to a BMI rise of 1.39 (\u00b1\u20091.88). Most patients attributed weight changes to their injury, with nearly half expressing distress from their weight change. Only 37% believed that they had resumed their previous activity levels by the final follow-up. Approximately 31% of the patients sought some form of external weight management care in the form of nutritionist advice, training programs, medication and weight management procedures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Lower limb fractures significantly affect weight gain over an 18-month period, with substantial psychological and physical consequences. Healthcare providers should anticipate potential weight gain post-fracture and incorporate strategies addressing both physical and mental aspects of rehabilitation to enhance recovery outcomes. Early and even immediate weight bearing may play a pivotal role in mitigating weight changes and returning the patient to their previous level of activity. Further detailed studies focusing on different fractures and postoperative interventions are recommended.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00590-024-03832-x","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T13:02:18Z","timestamp":1706792538000},"page":"1563-1569","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The association between lower limb fractures and weight gain in adults: a prospective analysis of body mass index trends"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2070-6727","authenticated-orcid":false,"given":"Ali","family":"Lari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Haidar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussain","family":"Mohammad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Makhseed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mejbel","family":"Alajmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Retaj","family":"Bahbahani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majed","family":"Almutairi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naser","family":"Alnusif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eisa","family":"Lari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,1]]},"reference":[{"key":"3832_CR1","doi-asserted-by":"publisher","first-page":"33","DOI":"10.5604\/01.3001.0013.1078","volume":"21","author":"M de Andrade Fonseca","year":"2019","unstructured":"de Andrade Fonseca M, Cordeiro Matias AG, de Lourdes de Freitas Gomes M, Almeidamatos M (2019) Impact of lower limb fractures on the quality of life. 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