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44 vs. 0.29, P0.001). FFM and FM were significantly decreased from admission to discharge in the decreased group, but there was no significanct difference observed in the nondecreased group. Preserving BMI during hospitalization was associated with a positive improvement in ADL in overweight and obese stroke patients undergoing rehabilitation. Risks and benefits of weight loss should be balanced in nutritional care and rehabilitation for overweight and obese stroke patients. Risks and benefits of weight loss should be balanced in nu