Obesity and nursing home: A review and an update

ESPEN guideline on clinical nutrition and hydration in geriatrics

“…Presently, RCTs on possible benefits and harms of weight loss in more vulnerable groups of obese older individuals, e.g. in nursing homes or hospitals, are lacking and are required in future since an increasing number of obese older patients is found in these settings, and obesity contributes to their dependence, complicates care procedures and therefore impacts their quality of life [16,276].…”

Screening for Malnutrition in Older People

“…In France, 18% of residents are obese within 12% experienced a weight loss at the time of initial assessment. 19 According to the guidelines produced by the French General Directorate of Health, 13 "screening for malnutrition is recommended in all elderly subjects and must be carried out at least once a year in general practice, on admission and then once monthly in institutions, and during each hospital stay. Elderly persons at risk of malnutrition should be screened more frequently, according to the subject's clinical status and the degree of risk."…”

Effect of weight loss on mortality in overweight and obese nursing home residents during a 5-year follow-up

“…[5][6][7][8][9][10][11][12] This trend was confirmed by different studies in the NH setting, in which a lower mortality risk coincided with a higher body mass index (BMI). [13][14][15] Weight changes might have a key role in explaining the unexpected relationship between BMI and mortality in old people. Unintentional short-term weight loss in NH residents can often be a sign of wasting diseases, such as end-stage renal failure, heart failure, chronic obstructive pulmonary disease, cancer and inflammatory conditions, 16 that gradually lead to a state of malnutrition that worsens the prognosis.…”