The relationship between weight status and the need for health care assistance in nursing home residents.

    Abstract

    Objective: The purpose of this study was to evaluate the relationship between underweight status and weight loss events
    on the need for health care assistance among a sample of Danish nursing home residents over 12-months. Design: Longitudinal,
    repeated measures design with three data collection points at baseline (2004) and six and 12 months post baseline. Setting: 11
    Danish nursing home facilities. Participants: 441 Danish nursing home residents over the age of 65. Measurements: Resident
    Assessment Instrument (RAI-NH) data were abstracted for each participant at each of three data collection points. RAI-NH data
    related to facility staff ratings of residents’ physical functioning (Activities of Daily Living, ADL) status and their need for health
    care staff assistance related to ADLs were collected at each time point in addition to the resident weight status and experience of
    weight loss according to three criterion (i.e., > 1%, >5% or >10% of baseline body weight at 6 or 12 months) and Body Mass Index
    (BMI) values. Results: Low BMI (< 18.5) and weight loss were both significantly associated with the need for staff assistance with
    ADLs during a 12-month timeframe. Conclusion: The results of this study suggest that elderly nursing home residents with a low
    BMI or weight loss may add to the substantial and costly burden of nursing home care due to the associated need for higher levels
    of ADL assistance.
    Original languageEnglish
    JournalJournal of Aging Research & Clinical Practice
    Volume1
    Issue number2
    Pages (from-to)173-177
    Number of pages5
    Publication statusPublished - 2012

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