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Obesity in nursing homes: an escalating problem.

Kate L Lapane1, Linda Resnik

  • 1Department of Community Health, Brown Medical School, Providence, Rhode Island 02912, USA. Kate_Lapane@brown.edu

Journal of the American Geriatrics Society
|August 5, 2005
PubMed
Summary

Obesity in nursing homes has significantly increased, with over 25% of residents affected by 2002. This rise in obesity prevalence highlights concerns about nursing home preparedness and resident care.

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Area of Science:

  • Gerontology
  • Public Health
  • Epidemiology

Background:

  • Obesity is a growing public health concern with significant implications for geriatric populations.
  • Nursing home residents represent a vulnerable group where obesity can exacerbate existing health issues.

Purpose of the Study:

  • To analyze trends in obesity prevalence among U.S. nursing home residents.
  • To characterize the demographic profile of obese nursing home residents.
  • To investigate geographic and facility-level variations in obesity prevalence.

Main Methods:

  • A cross-sectional study utilizing data from the Systematic Assessment of Geriatric Drug Use via Epidemiology database.
  • Analysis of Minimum Data Set (MDS) assessments for newly admitted nursing home residents (n=847,601 from 1992-2002 and n=1,448,046 in 2002).

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  • Residents were categorized by Body Mass Index (BMI) into standard weight classifications.

    • Main Results:

    • Obesity prevalence in selected nursing homes rose from under 15% in 1992 to over 25% in 2002.
    • Significant disparities in obesity prevalence were observed across different nursing home facilities.
    • Obese residents, particularly those with BMI ≥ 35 kg/m2, were disproportionately younger than 65 and non-Hispanic black.
    • Obesity was associated with a higher likelihood of comorbid conditions, including diabetes, arthritis, hypertension, depression, and allergies.

    Conclusions:

    • The escalating prevalence of obesity in nursing homes necessitates attention to facility preparedness.
    • Variations in obesity prevalence underscore the need for tailored interventions and equitable access to care within nursing home settings.