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Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality”

Großschädl, Franziska; Schoberer, Daniela; Eglseer, Doris; Lohrmann, Christa; Everink, Irma; Gordon, Adam L.; Schols, Jos M.G.A.; Bauer, Silvia

Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality” Thumbnail


Authors

Franziska Großschädl

Daniela Schoberer

Doris Eglseer

Christa Lohrmann

Irma Everink

Adam L. Gordon

Jos M.G.A. Schols

Silvia Bauer



Abstract

Background: The prevalence of obesity has risen in recent decades and reached epidemic proportions worldwide. The proportion of those living with obesity is also increasing in nursing homes. This could impact the nursing care required, equipment and facilities provided, and morbidity in these settings. Limited evidence exists on clinical consequences of obesity in nursing home residents and their care. Objective: Therefore, the aim was to examine the rate and associated factors of obesity (BMI ≥30; class I (BMI 30.0–34.9 kg/m2), class II (BMI 35.0–39.9 kg/m2), and class III (BMI >40.0 kg/m2)) amongst older nursing home residents in European countries. Methods: We analysed data from 21,836 people who reside in nursing homes in Austria, the Netherlands, and the United Kingdom. They participated in the “International Prevalence Measurement of Care Quality”, a cross sectional study between 2016 and 2019, where trained nurses interviewed the residents, reviewed care records, and conducted clinical examinations. A tested and standardised questionnaire comprised questions on demographic data, measured BMI, medical diagnosis according to ICD‐10, and care dependency. Descriptive and logistic regression analyses were performed. Results: Obesity rates were highest in Austria (17.1%) and lowest in the UK (13.0%) (p = .006). Residents with obesity were younger and less likely to be care dependent or living with dementia and had more often diabetes mellitus, endocrine, metabolic, and skin diseases compared to residents without obesity (p < .05). Most obese residents had obesity class I. Therefore, two subgroups were built (class I vs. class II + III). Residents with obesity class II + III were more frequently care dependent for mobility, getting dressed and undressed, and personal hygiene compared to residents with class I (p < .05). Conclusions: This study identified several factors that are associated with obesity amongst older nursing home residents in selected European countries. Implications for practice: The division into obesity classes is important for planning targeted care according to the individual needs of nursing home residents.

Citation

Großschädl, F., Schoberer, D., Eglseer, D., Lohrmann, C., Everink, I., Gordon, A. L., …Bauer, S. (2023). Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality”. International Journal of Older People Nursing, 18(3), Article e12530. https://doi.org/10.1111/opn.12530

Journal Article Type Article
Acceptance Date Feb 9, 2023
Online Publication Date Feb 25, 2023
Publication Date 2023-05
Deposit Date Feb 27, 2023
Publicly Available Date Feb 27, 2023
Journal International Journal of Older People Nursing
Print ISSN 1748-3735
Electronic ISSN 1748-3743
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 18
Issue 3
Article Number e12530
DOI https://doi.org/10.1111/opn.12530
Keywords Body mass index, care dependency, Europe, nursing home, obesity, older people
Public URL https://nottingham-repository.worktribe.com/output/17904863
Publisher URL https://onlinelibrary.wiley.com/doi/10.1111/opn.12530

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