Abstract
OVERNUTRITION AMONG OLDER NURSING HOME RESIDENTS: MAY SOME BENEFIT FROM A NUTRITIONAL INTERVENTION? – A CROSS-SECTIONAL STUDY
Rationale: The obesity paradox indicates that not all older adults will benefit from weight loss interventions. A risk screening approach has been developed to identify older adults with overnutrition who may benefit from a nutritional intervention (1). The aim was to apply risk screening among nursing home residents to characterize those who may benefit from an intervention.
Methods: Participants were from six nursing homes. Data were collected including body composition (Bioelectrical impedance), physical function (chair stand test, and non-communicable disease (NCD). The residents were classified according to the approach, which includes a BMI≥25 and the presence of a minimum one physical function criterion, or one metabolic criterion (NCD). With analysis of covariates adjusted for sex and age, variables between groups were compared.
Results: A total of 116 residents participated. In total 52% had BMI ≥ 25 kg/m2. All residents with a BMI ≥25 kg/m2 had a minimum of one criterion present; 11.5% of participants had either NCD or low function and 88.5% had combined NCD and low function. Compared to residents with normal weight (≥18.5˂24.9 kg/m2), this group had lower Fat-Free Mass percentage (FFM%) (31.7 vs. 33.8 %, p= .005) and FFM Index (16.4 vs. 17.2, p=.0004). This group had a higher fat mass (FM) (25.1 vs. 15.2 kg) and FM% (32.8 vs. 23.9 %), (all p < .0005).
Conclusion: Overnutrition is highly prevalent among nursing home residents and according to a new approach all might benefit from an intervention. The presence of NCD, lower FFM%, and FFMI, and higher FM, and FM% represent the complexity of overnutrition among residents and indicate that developing nutritional interventions are important next step for healthy aging.
References: 1. Christoffersen et al 2022: Development of an approach for overnutrition among older adults in community health care settings: - an opinion paper. Clin Nutr Open.
Rationale: The obesity paradox indicates that not all older adults will benefit from weight loss interventions. A risk screening approach has been developed to identify older adults with overnutrition who may benefit from a nutritional intervention (1). The aim was to apply risk screening among nursing home residents to characterize those who may benefit from an intervention.
Methods: Participants were from six nursing homes. Data were collected including body composition (Bioelectrical impedance), physical function (chair stand test, and non-communicable disease (NCD). The residents were classified according to the approach, which includes a BMI≥25 and the presence of a minimum one physical function criterion, or one metabolic criterion (NCD). With analysis of covariates adjusted for sex and age, variables between groups were compared.
Results: A total of 116 residents participated. In total 52% had BMI ≥ 25 kg/m2. All residents with a BMI ≥25 kg/m2 had a minimum of one criterion present; 11.5% of participants had either NCD or low function and 88.5% had combined NCD and low function. Compared to residents with normal weight (≥18.5˂24.9 kg/m2), this group had lower Fat-Free Mass percentage (FFM%) (31.7 vs. 33.8 %, p= .005) and FFM Index (16.4 vs. 17.2, p=.0004). This group had a higher fat mass (FM) (25.1 vs. 15.2 kg) and FM% (32.8 vs. 23.9 %), (all p < .0005).
Conclusion: Overnutrition is highly prevalent among nursing home residents and according to a new approach all might benefit from an intervention. The presence of NCD, lower FFM%, and FFMI, and higher FM, and FM% represent the complexity of overnutrition among residents and indicate that developing nutritional interventions are important next step for healthy aging.
References: 1. Christoffersen et al 2022: Development of an approach for overnutrition among older adults in community health care settings: - an opinion paper. Clin Nutr Open.
| Translated title of the contribution | Overernæring hos ældre plejecenterbeboere: Har nogle beboere brug for en ernæringsindsats?: - et tværsnitsstudie |
|---|---|
| Original language | English |
| Publication date | 12 May 2023 |
| Publication status | Published - 12 May 2023 |
Keywords
- health, nutrition and quality of life
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