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Obesity Paradox in Amputation Risk Among Nonelderly Diabetic Men

Overview of attention for article published in Obesity, September 2012
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (84th percentile)
  • Good Attention Score compared to outputs of the same age and source (67th percentile)

Mentioned by

blogs
1 blog
wikipedia
2 Wikipedia pages

Citations

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25 Dimensions

Readers on

mendeley
35 Mendeley
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Title
Obesity Paradox in Amputation Risk Among Nonelderly Diabetic Men
Published in
Obesity, September 2012
DOI 10.1038/oby.2011.301
Pubmed ID
Authors

Min‐Woong Sohn, Elly Budiman‐Mak, Elissa H. Oh, Michael S. Park, Rodney M. Stuck, Neil J. Stone, William B. Pearce

Abstract

The association between BMI and amputation risk is not currently well known. We used data for a cohort of diabetic patients treated in the US Department of Veterans Affairs Healthcare System in 2003. Men aged <65 years at the end of follow-up were examined for their amputation risk and amputation-free survival during the next 5 years (2004-2008). Compared to overweight individuals (BMI 25-29.9 kg/m(2)), the risks of amputation and treatment failure (amputation or death) were higher for patients with BMI <25 kg/m(2) and were lower for those with BMI ≥30 kg/m(2). Individuals with BMI ≥40 kg/m(2) were only half as likely to experience any (hazard ratios (HR) = 0.49; 95% confidence interval (CI), 0.30-0.80) and major amputations (HR = 0.53; 95% CI, 0.39-0.73) during follow-up as overweight individuals. While the amputation risk continued to decrease for higher BMI, amputation-free survival showed a slight upturn at BMI >40 kg/m(2). The association between obesity and amputation risk in our data shows a pattern consistent with "obesity paradox" observed in many health conditions. More research is needed to better understand pathophysiological mechanisms that may explain the paradoxical association between obesity and lower-extremity amputation (LEA) risk.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 3%
Unknown 34 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 23%
Student > Ph. D. Student 5 14%
Other 4 11%
Student > Bachelor 4 11%
Student > Doctoral Student 2 6%
Other 7 20%
Unknown 5 14%
Readers by discipline Count As %
Medicine and Dentistry 17 49%
Environmental Science 2 6%
Biochemistry, Genetics and Molecular Biology 2 6%
Social Sciences 2 6%
Sports and Recreations 1 3%
Other 3 9%
Unknown 8 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 December 2011.
All research outputs
#3,947,307
of 24,633,436 outputs
Outputs from Obesity
#1,676
of 4,245 outputs
Outputs of similar age
#26,534
of 175,059 outputs
Outputs of similar age from Obesity
#307
of 941 outputs
Altmetric has tracked 24,633,436 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,245 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 37.6. This one has gotten more attention than average, scoring higher than 60% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 175,059 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 84% of its contemporaries.
We're also able to compare this research output to 941 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 67% of its contemporaries.