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P. de Souto Barreto, V. Zanandrea, M. Lapeyre-Mestre, M. Cesari, B. Vellas, Y. Rolland

Jour Nursing Home Res 2015;1:6-10

Background: Obesity in older people is a growing health problem in developed countries including among nursing home (NH) patients. However, little is known about the characteristics of obese NH residents and the specific organization of care devoted for these patients. Methods: Data are from 4168 patients recruited among the 175 NHs from Midi-Pyrénées, South-Western, France. Patient’s characteristics (e.g., demographics, weight changes, comorbidities, treatments, diet) are explored according to the body mass index (BMI) groups and NH specificities (e.g., ownership, number of beds, number of NH staff). Results: About 18.5% of NH residents were obese. Obese patients were significantly younger and less disabled than non-obese. They had a significantly higher prevalence of hypertension, diabetes, peripheral vascular disease, psychiatric diseases and pain than non-obese residents, and had a lower prevalence of dementia and stroke. No weight change and weight gain in the past two months were significantly more prevalent in the obese group than in the non-obese one, despite of the higher rate of low salt, diabetic and hypo-caloric diet among obese people. Higher prevalence of obesity was found in NHs who less often had both dietitian and physical activity professional as a member of the staff. Conclusions: Very old and obese people living in NHs are a particular population, with specific care needs. Further studies are needed in order to define the optimal management of obesity in the NH resident.

P. de Souto Barreto ; V. Zanandrea ; M. Lapeyre-Mestre ; M. Cesari ; B. Vellas ; Y. Rolland (2015): Obesity in nursing home residents: a cross-sectional study. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2015.2

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