Obesity in Nursing Homes: An Escalating Problem

Lapane, Kate L.; Resnik, Linda

doi:10.1111/j.1532-5415.2005.53420.x

Cited by 78 publications

(54 citation statements)

References 21 publications

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“…Increases in diabetes prevalence in NHRs have been accompanied by an increased prevalence of obesity. In turn, the increasing prevalence of obesity in NHRs in the United States has been associated with several comorbidities, including diabetes [30,31], pressure ulcers [32], and recurrent venous thromboembolism [33], and obese NHRs or hospitalized patients experience poorer outcomes of infections compared with normal-weight individuals [34]. In this study, >40% of NHRs with diabetes were obese.…”

Section: Discussionmentioning

confidence: 83%

Type 2 diabetes mellitus treatment patterns in US nursing home residents

Zarowitz¹,

Allen²,

O’Shea³

et al. 2015

Postgraduate Medicine

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Background. The prevalence of type 2 diabetes mellitus (diabetes) in nursing home residents (NHRs) is increasing, concurrently with obesity and other comorbid conditions. NHR would benefit greatly from antidiabetic medications that would improve glycemic control and give a lower risk of hypoglycemia but that do not contribute to weight gain in obese individuals. Objective. To examine the prescription patterns to NHRs with diabetes, including the use of newer injectable therapies such as glucagon-like peptide-1 (GLP-1) receptor agonists. Methods. Treatment patterns of diabetes in NHR were analyzed using Minimum Data Set records and prescription claims from the Omnicare Senior Health Outcomes data repository (May 2011-September 2012). Results. The prevalence of diabetes in this population of 229,283 NHRs was 35.4%. Among the 44,665 NHRs with diabetes and prescription claims data, the prevalence of obesity (40.3%) and multiple comorbidities (100%) was high. Approximately 20% of the NHRs with diabetes were aged <65 years. Overall, 20% of NHRs had diabetes that was untreated with medications during the study period. Insulin was the mainstay of treatment (>80%), followed by oral agents (54%). GLP-1 receptor agonist use was low (0.5%) and associated with poor treatment persistence. Conclusion. Considerations other than glycemic control may drive prescribing decisions, contrary to recommendations

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Section: Discussionmentioning

confidence: 83%

Type 2 diabetes mellitus treatment patterns in US nursing home residents

Zarowitz¹,

Allen²,

O’Shea³

et al. 2015

Postgraduate Medicine

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“…30,31 Physical frailty is common in obese older adults, 8,9 and obesity is associated with increased admissions to nursing homes. [10][11][12] Four previous randomized, controlled trials examined the effect of weight loss on physical function in obese older adults, 14 but these studies were either short-term 19,32,33 or limited to participants with specific health conditions. 34 The current study suggests that weight loss alone or exercise alone can reverse frailty but that the combination of weight loss and exercise is more effective than either individual intervention.…”

Section: Discussionmentioning

confidence: 99%

Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults

Villareal

Chode

Parimi

et al. 2011

Obstetrical &Amp; Gynecological Survey

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“…Additionally, the problem of obesity in the oldest old is recognized as a growing problem in nursing homes/long-term care residences [32]. In the USA, the proportion of obese nursing home residents has rapidly increased from <15% in 1992 to >25% in 2002 [33].…”

Section: Overweight and Obesity: A New Challenge In Geriatricsmentioning

confidence: 99%

Body Mass Trajectory, Energy Balance, and Weight Loss as Determinants of Health and Mortality in Older Adults

Bales¹,

Buhr²

2009

Obes Facts

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The relationship between body mass (usually measured as BMI in kg/m²) and healthy longevity is a major focus of study in the nutrition and aging field. Over-nutrition now rivals frailty as the major nutritional concern; the number of older adults who are obese has increased dramatically in the past 3 decades. While obesity exacerbates a host of life-threatening, age-related chronic diseases, a somewhat paradoxical finding is that being somewhat overweight in old age appears to be a benefit with regard to longevity. In our recently completed systematic review of randomized controlled weight reduction trials, we found that weight loss interventions in overweight/obese older subjects led to significant benefits for those with osteoarthritis, coronary heart disease, and type 2 diabetes mellitus, while having slightly negative effects on bone mineral density and lean body mass. In contrast to this finding, the preponderance of epidemiological evidence indicates that higher BMIs are associated with increased survival after age 65 years. Because of this contradictory state of the science, there is a critical need for further study of the relationship of weight and weight loss/gain to health in the later years of life.

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Obesity in Nursing Homes: An Escalating Problem

Abstract: Increasing prevalence of obesity in nursing homes and substantial variation of obesity prevalence within facilities raise concerns about nursing home preparedness and access.

Cited by 78 publications

References 21 publications

Type 2 diabetes mellitus treatment patterns in US nursing home residents

Type 2 diabetes mellitus treatment patterns in US nursing home residents

Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults

Body Mass Trajectory, Energy Balance, and Weight Loss as Determinants of Health and Mortality in Older Adults

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