Association between body mass index and activities of daily living in homecare patients

Öztürk, Güzin Zeren; Eğici, Memet Taşkın; Bukhari, Mulazim Hussain; Toprak, Dilek

doi:10.12669/pjms.336.13748

Cited by 15 publications

(14 citation statements)

References 16 publications

(17 reference statements)

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“…(2) The greater the BMI, the lower the ADL score, which is consistent with related research conducted both in China and abroad [24,25]. BMI has become an internationally recognized standard for assessing health status, as well as an important factor influencing physical health [26]. Obesity can not only lead to costly consequences for the individual and the state [27,28], but it also seriously affects the ADL (i.e., dressing, eating, and bathing) and daily life instrumental activities of daily living (IADLs), such as preparing meals, doing housework, and shopping [29,30,31].…”

Section: Discussionsupporting

confidence: 75%

Health Status of the Elderly and Its Influence on Their Activities of Daily Living in Shangrao, Jiangxi Province

Zhou

Cao

et al. 2019

IJERPH

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To investigate the activities of daily living (ADL) and influencing factors, this survey study was conducted in Shangrao of Jiangxi. A total of 1087 elderly subjects in a long-term care (LTC) program participated in this study and their physical function, cognitive ability, self-rated health, and chronic disease were recorded during March 2017 and April 2018. The ADL scale was used to evaluate the health status of the elderly. F-test and multiple linear regression showed that the average ADL of the participants was 15.12 ± 17.59. The incidence of visual and verbal impairment was 68.6% and 14.1%, respectively. Over 74% of the elderly had severe cognitive impairment; and the prevalence of chronic disease was 84.5%. Multivariate analysis revealed that age, education, BMI (Body Mass Index), low income, verbal and cognitive ability, visual status, health self-evaluation, and some chronic diseases were related to self-care ability (p < 0.05). In summary, this study revealed that the ADL score is lower in this region and identified several influencing factors. These new findings will be useful for the local government to enhance the current LTC program for the elderly population.

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Section: Discussionsupporting

confidence: 75%

Health Status of the Elderly and Its Influence on Their Activities of Daily Living in Shangrao, Jiangxi Province

Zhou

Cao

et al. 2019

IJERPH

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“…This 100-point clinical rating index includes 10 items related to self-care ability (i.e., bowels, bladder, grooming, toilet use, feeding, dressing, and bathing) and mobility (i.e., transfer, mobility, and stairs), with a higher score indicating a lower level of physical dependence. The Barthel index scores are classified as follows: 0–20 points: total dependency; 21–60 points: high-level dependency; 61–90 points: mid-level dependency; 91–99 points: low-level dependency; 100 points: total independence ( 26 ).…”

Section: Methodsmentioning

confidence: 99%

Determinants of Urinary Incontinence and Subtypes Among the Elderly in Nursing Homes

Tai

Liu

Wang

et al. 2021

Front. Public Health

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Urinary incontinence (UI) is a common problem among older adults. This study investigated the prevalence of UI in nursing home residents aged ≥75 years in China and examined potential risk factors associated with UI and its subtypes. Data were collected during face-to-face interviews using a general questionnaire, the International Consultation Incontinence Questionnaire Short-Form, and the Barthel Index. A total of 551 participants aged ≥75 years residing in Changsha city were enrolled from June to December 2018. The UI prevalence rate among nursing home residents aged ≥75 years was 24.3%. The most frequent subtype was mixed (M) UI (38.1%), followed by urge (U) UI (35.1%), stress (S) UI (11.9%), and other types (14.9%). In terms of severity, 57.5% had moderate UI, while 35.1% had mild and 7.5% had severe UI. Constipation, immobility, wheelchair use, cardiovascular disease (CVD), and pelvic or spinal surgery were significant risk factors for UI. Participants with a history of surgery had higher risks of SUI (odds ratio [OR] = 4.87, 95% confidence interval [CI]: 1.55–15.30) and UUI (OR = 1.97, 95% CI: 1.05–3.71), those who were immobile or used a wheelchair had higher rates of MUI (OR = 11.07, 95% CI: 4.19–29.28; OR = 3.36, 95% CI: 1.16–9.78) and other UI types (OR = 7.89, 95% CI: 1.99–31.30; OR = 14.90, 95% CI: 4.88–45.50), those with CVD had a higher rate of UUI (OR = 2.25, 95% CI: 1.17–4.34), and those with diabetes had a higher risk of UUI (OR = 2.250, 95% CI: 1.14–4.44). Use of oral antithrombotic agents increased UUI risk (OR = 4.98, 95% CI: 2.10–11.85) whereas sedative hypnotic drug use was associated with a higher risk of MUI (OR = 3.62, 95% CI: 1.25–10.45). Each UI subtype has distinct risk factors, and elderly residents of nursing homes with a history of CVD and pelvic or spinal surgery who experience constipation should be closely monitored. Reducing time spent in bed and engaging in active rehabilitation including walking and muscle strengthening may aid in UI prevention and treatment.

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“…Longitudinal [ 10 – 14 ] and cross-sectional [ 15 – 18 ] studies involving community-dwelling adults (≥65 years) found obesity to be an independent risk factor for functional disability. In contrast, studies focusing on older adults (≥ 60 years) in nursing home residents [ 19 – 21 ] and one study of community-based older adults aged ≥80 years [ 22 ] reported that a higher BMI significantly decreases the risk of disability in ADL. The controversy in findings may be linked to age, setting, health and nutritional status [ 18 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data

et al. 2022

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Background Obesity is a well-established risk factor for multi-morbidity and disability among older adults in the community and acute care settings. However, nursing home residents with body mass index (BMI) below 18.5 kg/m2 and above 25.0 kg/m2 have been understudied. We examined the prevalence of multi-morbidity and disability in activities of daily living (ADL) by BMI category and further investigated the association between BMI, multi-morbidity, and disability of ADL in a large cohort of older adults in nursing homes in New Zealand. Methods A retrospective review of nursing home residents’ data obtained from the New Zealand International Resident Assessment Instrument national dataset from 2015 to 2018. One hundred ninety-eight thousand seven hundred ninety older adults (≥60 years) living in nursing homes were included. BMI was calculated as weight in kilograms (kg) divided by height in meters squared (m2). Multimorbidity was defined as the presence of ≥2 health conditions. The risk of disability was measured by a 4-item ADL self-performance scale. The prevalence ratio (PR) of the association between BMI and multi-morbidity and between BMI and disability in ADL was assessed using Poisson regression with robust variance. Results Of the 198,790 residents, 10.6, 26.6, 11.3 and 5.4% were underweight, overweight, obese, and extremely obese, respectively. 26.4, 31.3 and 21.3% had one, two and three disease conditions, respectively, while 14.3% had four or more conditions. 24.1% could perform only one ADL, and 16.1% could perform none. The prevalence of multi-morbidity increased with increasing BMI, whereas mean disability in ADL decreased with increasing BMI. The risk of multi-morbidity was higher for the overweight (PR, 95%CI: 1.03, 1.02–1.03) and obese (PR, 95% CI: 1.07, 1.06–1.08) compared to normal weight after controlling for age, sex, ethnicity, and region. BMI was inversely associated with mean ADL; β, 95% CI for overweight (− 0.30, − 0.32, − 0.28) and obese − 0.43, − 0.45, − 0.40 compared to normal weight. Conclusion Being underweight was associated with a decline in the performance of ADL in nursing home residents. In contrast, being overweight and obese positively affected functional performance, demonstrating that the obesity paradox plays an important role in this population. The observed associations highlight areas where detection and management of underweight and healthy aging initiatives may be merited.

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Association between body mass index and activities of daily living in homecare patients

Cited by 15 publications

References 16 publications

Health Status of the Elderly and Its Influence on Their Activities of Daily Living in Shangrao, Jiangxi Province

Health Status of the Elderly and Its Influence on Their Activities of Daily Living in Shangrao, Jiangxi Province

Determinants of Urinary Incontinence and Subtypes Among the Elderly in Nursing Homes

Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data

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