Overweight, obesity and type 2-diabetes is markedly present in Danish nursing home residents

Anja Weirsøe Dynesen; Sara Fokdal Lehn; Tenna Christoffersen; Margit Annie Dall Aaslyng; Hannah Holt Bentz; Line Elisabeth Lindahl-Jacobsen; Janne Lorenzen; Solvejg Gram

Abstract

Introduction: Overweight and obesity (Ow/O) and type 2-diabetes (T2D) in older adults may be associated with functional disability and increased need of care (1,2). Focus in nursing home residents (NHRs) has mainly been on underweight, while knowledge about prevalence of Ow/O and T2D in NHRs is limited. The aim of the study was to investigate prevalence of Ow/O and T2D in NHRs.
Material and methods: National prevalence of T2D in NHRs was analysed based on data from various Danish registers. In addition, data on Body Mass Index (BMI) and T2D was collected in a cross sectional study including NRHs in three municipalities, Region Zealand.
Results: National register data revealed that 19 % of the 37,891 NHRs in Denmark in 2018 lived with T2D. Results from the three municipalities including 749 NHRs showed that prevalence of T2D in these municipalities was 16 % and that 55 % had a BMI ≥ 25 kg/m2 with 23 % being categorized as obese (BMI ≥ 30 kg/m2). In comparison, 7 % were underweight (BMI ≤ 18.5 kg/m2). The association between BMI categories and T2D was significant (P < 0.001) with the highest prevalence (29 %) of T2D observed in NHRs with BMI ≥ 30 kg/m2.
Conclusions: Ow/O and T2D is markedly present in NHRs in Denmark, which call for increased attention and effective interventions to maintain a healthy weight allowing for high functional ability and independence and thus secure a high health related quality of life in this group of vulnerable older adults.

1) Harris JA, Castle NG. Obesity and nursing home care in United States: A systematic review. Gerontologist 2019; 59(3):e196-e206
2) Sinclair AJ, Abdelhafiz AH, Rodríguez-Mañas L. Frailty and sarcopenia – newly emerging and high impact complications of diabetes. J Diabetes Complications 2017;31:1465-1473

Original language	English
Publication date	8 Jun 2022
Publication status	Published - 8 Jun 2022
Event	26th Nordic Congress of Gerontology - Odeon, Odense, Denmark Duration: 8 Jun 2022 → 10 Jun 2022 Conference number: 26 https://www.26nkg.dk/index.html https://26nkg.dk/ https://www.26nkg.dk/

Conference

Conference	26th Nordic Congress of Gerontology
Number	26
Location	Odeon
Country/Territory	Denmark
City	Odense
Period	08/06/22 → 10/06/22
Other	On behalf of the Danish Society of Gerontology, the Danish Geriatric Society, and the Nordic Gerontological Federation, we invite you to join the 26th Nordic Congress of Gerontology (NKG) to share our engagement in ageing and later life.<br/><br/>
Internet address	https://www.26nkg.dk/index.html https://26nkg.dk/ https://www.26nkg.dk/

Overvægt, type 2-diabetes hos ældre på plejecentre
Dynesen, A. W. (Principle researcher), Christoffersen, T. (Co-researcher), Bentz, H. H. (Co-researcher), Aaslyng, M. A. D. (Co-researcher), Lindahl-Jacobsen, L. E. (Co-researcher), Lorenzen, J. (Co-researcher) & Gram, S. (Co-researcher)
01/12/20 → 31/12/21
Project: Research

26th Nordic Congress of Gerontology
Dynesen, A. W. (Paricipant) & Nielsen, M. K. (Paricipant)
8 Jun 2022 → 10 Jun 2022
Activity: Participating in or organising an event types › Conference

Cite this

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title = "Overweight, obesity and type 2-diabetes is markedly present in Danish nursing home residents",

abstract = "Introduction: Overweight and obesity (Ow/O) and type 2-diabetes (T2D) in older adults may be associated with functional disability and increased need of care (1,2). Focus in nursing home residents (NHRs) has mainly been on underweight, while knowledge about prevalence of Ow/O and T2D in NHRs is limited. The aim of the study was to investigate prevalence of Ow/O and T2D in NHRs. Material and methods: National prevalence of T2D in NHRs was analysed based on data from various Danish registers. In addition, data on Body Mass Index (BMI) and T2D was collected in a cross sectional study including NRHs in three municipalities, Region Zealand. Results: National register data revealed that 19 % of the 37,891 NHRs in Denmark in 2018 lived with T2D. Results from the three municipalities including 749 NHRs showed that prevalence of T2D in these municipalities was 16 % and that 55 % had a BMI ≥ 25 kg/m2 with 23 % being categorized as obese (BMI ≥ 30 kg/m2). In comparison, 7 % were underweight (BMI ≤ 18.5 kg/m2). The association between BMI categories and T2D was significant (P < 0.001) with the highest prevalence (29 %) of T2D observed in NHRs with BMI ≥ 30 kg/m2. Conclusions: Ow/O and T2D is markedly present in NHRs in Denmark, which call for increased attention and effective interventions to maintain a healthy weight allowing for high functional ability and independence and thus secure a high health related quality of life in this group of vulnerable older adults. 1) Harris JA, Castle NG. Obesity and nursing home care in United States: A systematic review. Gerontologist 2019; 59(3):e196-e2062) Sinclair AJ, Abdelhafiz AH, Rodr{\'i}guez-Ma{\~n}as L. Frailty and sarcopenia – newly emerging and high impact complications of diabetes. J Diabetes Complications 2017;31:1465-1473",

author = "Dynesen, {Anja Weirs{\o}e} and Lehn, {Sara Fokdal} and Tenna Christoffersen and Aaslyng, {Margit Annie Dall} and Bentz, {Hannah Holt} and Lindahl-Jacobsen, {Line Elisabeth} and Janne Lorenzen and Solvejg Gram",

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note = "26th Nordic Congress of Gerontology, 26NKG ; Conference date: 08-06-2022 Through 10-06-2022",

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TY - ABST

T1 - Overweight, obesity and type 2-diabetes is markedly present in Danish nursing home residents

AU - Dynesen, Anja Weirsøe

AU - Lehn, Sara Fokdal

AU - Christoffersen, Tenna

AU - Aaslyng, Margit Annie Dall

AU - Bentz, Hannah Holt

AU - Lindahl-Jacobsen, Line Elisabeth

AU - Lorenzen, Janne

AU - Gram, Solvejg

N1 - Conference code: 26

PY - 2022/6/8

Y1 - 2022/6/8

N2 - Introduction: Overweight and obesity (Ow/O) and type 2-diabetes (T2D) in older adults may be associated with functional disability and increased need of care (1,2). Focus in nursing home residents (NHRs) has mainly been on underweight, while knowledge about prevalence of Ow/O and T2D in NHRs is limited. The aim of the study was to investigate prevalence of Ow/O and T2D in NHRs. Material and methods: National prevalence of T2D in NHRs was analysed based on data from various Danish registers. In addition, data on Body Mass Index (BMI) and T2D was collected in a cross sectional study including NRHs in three municipalities, Region Zealand. Results: National register data revealed that 19 % of the 37,891 NHRs in Denmark in 2018 lived with T2D. Results from the three municipalities including 749 NHRs showed that prevalence of T2D in these municipalities was 16 % and that 55 % had a BMI ≥ 25 kg/m2 with 23 % being categorized as obese (BMI ≥ 30 kg/m2). In comparison, 7 % were underweight (BMI ≤ 18.5 kg/m2). The association between BMI categories and T2D was significant (P < 0.001) with the highest prevalence (29 %) of T2D observed in NHRs with BMI ≥ 30 kg/m2. Conclusions: Ow/O and T2D is markedly present in NHRs in Denmark, which call for increased attention and effective interventions to maintain a healthy weight allowing for high functional ability and independence and thus secure a high health related quality of life in this group of vulnerable older adults. 1) Harris JA, Castle NG. Obesity and nursing home care in United States: A systematic review. Gerontologist 2019; 59(3):e196-e2062) Sinclair AJ, Abdelhafiz AH, Rodríguez-Mañas L. Frailty and sarcopenia – newly emerging and high impact complications of diabetes. J Diabetes Complications 2017;31:1465-1473

AB - Introduction: Overweight and obesity (Ow/O) and type 2-diabetes (T2D) in older adults may be associated with functional disability and increased need of care (1,2). Focus in nursing home residents (NHRs) has mainly been on underweight, while knowledge about prevalence of Ow/O and T2D in NHRs is limited. The aim of the study was to investigate prevalence of Ow/O and T2D in NHRs. Material and methods: National prevalence of T2D in NHRs was analysed based on data from various Danish registers. In addition, data on Body Mass Index (BMI) and T2D was collected in a cross sectional study including NRHs in three municipalities, Region Zealand. Results: National register data revealed that 19 % of the 37,891 NHRs in Denmark in 2018 lived with T2D. Results from the three municipalities including 749 NHRs showed that prevalence of T2D in these municipalities was 16 % and that 55 % had a BMI ≥ 25 kg/m2 with 23 % being categorized as obese (BMI ≥ 30 kg/m2). In comparison, 7 % were underweight (BMI ≤ 18.5 kg/m2). The association between BMI categories and T2D was significant (P < 0.001) with the highest prevalence (29 %) of T2D observed in NHRs with BMI ≥ 30 kg/m2. Conclusions: Ow/O and T2D is markedly present in NHRs in Denmark, which call for increased attention and effective interventions to maintain a healthy weight allowing for high functional ability and independence and thus secure a high health related quality of life in this group of vulnerable older adults. 1) Harris JA, Castle NG. Obesity and nursing home care in United States: A systematic review. Gerontologist 2019; 59(3):e196-e2062) Sinclair AJ, Abdelhafiz AH, Rodríguez-Mañas L. Frailty and sarcopenia – newly emerging and high impact complications of diabetes. J Diabetes Complications 2017;31:1465-1473

M3 - Abstract

T2 - 26th Nordic Congress of Gerontology

Y2 - 8 June 2022 through 10 June 2022

ER -

Overweight, obesity and type 2-diabetes is markedly present in Danish nursing home residents

Abstract

Conference

Projects

Overvægt, type 2-diabetes hos ældre på plejecentre

Activities

26th Nordic Congress of Gerontology

Cite this