Prevalence and factors associated with obesity among the oldest old

Hajek, André; Brettschneider, Christian; Leeden, Carolin van der; Lühmann, Dagmar; Oey, Anke; Wiese, Birgitt; Weyerer, Siegfried; Werle, Jochen; Fuchs, Ângela; Pentzek, Michael; Röhr, Susanne; Löbner, Margrit; Mösch, Edelgard; Bickel, Horst; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel‐Heller, Steffi G.; König, Hans‐Helmut

doi:10.1016/j.archger.2020.104069

Cited by 15 publications

(49 citation statements)

References 31 publications

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“…Similar prevalence rates for the oldest old were reported in Finland [10] and Canada [11], whereas higher prevalence rates were observed in Italy [12] and Spain [13]. Longitudinal studies, for example, have shown that the probability of obesity decreases with age [8,9], severe walking impairments [8] and less chronic conditions [9]. For example, the negative association between age and the probability of obesity can, among other things, be explained by the decrease in lean body mass (sarcopenia) [14].…”

Section: Introductionsupporting

confidence: 61%

“…More precisely, previous studies reported prevalence rates of obesity of about 10% among the oldest old in Germany [9], Finland [10] and Canada [11]. In contrast, somewhat higher prevalence rates were documented in Spain (women: 29.2%, men: 19.4%) and Italy (women: 25.4%, men: 7.7%).…”

Section: Discussionmentioning

confidence: 87%

“…While some previous studies [8][9][10][11][12][13] have reported the prevalence of obesity among the oldest old, no study has systematically synthesized the prevalence of obesity, and the factors associated with it, among the oldest old. Therefore, our aim is to close this gap in knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, somewhat higher prevalence rates were documented in Spain (women: 29.2%, men: 19.4%) and Italy (women: 25.4%, men: 7.7%). Factors associated with a higher likelihood of obesity among the oldest old include, among other things, more chronic conditions [9] or limitations in daily living activities [10]. Chronic conditions such as arthrosis can reduce the mobility of individuals, which in turn can contribute to obesity [22].…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has demonstrated that mean body weight continuously increases with age [7]. However, recent research has shown that the prevalence of obesity drops in individuals aged 75+ [8] (13.7% in total) or 85+ (oldest old: 10.2% in total) [9] in Germany. Similar prevalence rates for the oldest old were reported in Finland [10] and Canada [11], whereas higher prevalence rates were observed in Italy [12] and Spain [13].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence Of, and Factors Associated with, Obesity among the Oldest Old. A Study Protocol for a Systematic Review

2020

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Some empirical studies have identified the prevalence of, and factors associated with, obesity among the oldest old. However, there is a lack of a systematic review synthesizing the existing evidence. Therefore, the purpose of our upcoming systematic review is to provide an overview of the evidence provided by observational studies. The current paper presents the protocol for this systematic review. We will search four electronic databases (Medline, PsycINFO, CINAHL, and Cochrane Library). Furthermore, we will perform a manual search (searching reference lists of included studies). Cross-sectional and longitudinal observational studies identifying the prevalence and preferably the factors associated with obesity among the oldest old (80 years and over) will be included. Data extraction will concentrate on study design, assessment of obesity and its associated factors, statistical analysis, sample characteristics, and key findings. We will evaluate the quality of the included studies. Two individuals will perform study selection, data extraction, and evaluation of study quality. We will present the results in figures, summary tables and narrative summaries. If data permits, a meta-analysis will be conducted.

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Section: Introductionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence Of, and Factors Associated with, Obesity among the Oldest Old. A Study Protocol for a Systematic Review

2020

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A needs-based perspective on long-term care, obesity, and old age

Hansen,

Preuß,

Frisina Doetter

2024

Ethik Med

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Definition of the problem Obesity is a burgeoning challenge for healthcare systems worldwide. In times of demographic change, it also affects an increasing number of older persons, presenting substantial challenges to delivering health and nursing care in both acute and long-term care (LTC) settings. So far, a detailed analysis of the diverse group of 65+ in this field is missing, particularly in the area of LTC. The needs of neither care recipients, nor those of nurses and institutions are monitored, analyzed, or systematically evaluated. Moreover, ethical implications of professional care for older persons with obesity have not yet been discussed in research and policy. Arguments We argue that a needs-based approach is appropriate to address these ethical complexities. We further argue that a comprehensive mapping of the ethical terrain is best from an interdisciplinary and mixed methods perspective. For this, we conduct a scoping review to synthesize the state-of-the-art in both the healthcare and LTC settings; and we focus on challenges reported in case studies from professional care settings in European and North American institutions. Conclusion Our findings point to a lack of research on ethical issues related to the LTC needs of older persons living with obesity and the challenges faced by their professional carers. From the limited number of (case) studies that can be found, however, a series of ethical concerns emerge that have direct import for access, utilization, and quality of care. Accordingly, a new research agenda is needed to inform an ethical approach for policy and practice. It must be rooted in a concern for both care recipients and caregivers in mixed methods studies. Future research should provide criteria for balancing needs, allocating resources and developing practical solutions for people who are confronted with multiple stigma.

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Prevalence of Obesity and Malnutrition in Four Cohorts of Very Old Adults, 2000–2017

Burman

Hörnsten

Öhlin

et al. 2022

The Journal of nutrition, health and aging

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Objectives Investigate trends in the prevalence of obesity and malnutrition among very old adults (age ≥ 85 years) between 2000 and 2017. Design, Setting, Participants, Measurements A study with data from the Umeå 85+/Gerontological regional database population-based cohort study of very old adults in northern Sweden. Every 5 years from 2000–2002 to 2015–2017, comprehensive assessments of participants were performed during home visits (N=1602). Body mass index (BMI) classified participants as underweight (<18.5 kg/m2), normal weight (18.5–24.9 kg/m2), overweight (25.0–29.9 kg/m2), and obese (≥30.0 kg/m2). Mini Nutritional Assessment (MNA) scores classified participants as malnourished (0 to <17), at risk of malnutrition (17–23.5), and having good nutritional status (24–30). Prevalence and trends were examined using analysis of variance and chi-squared tests, including subgroup analyses of nursing home residents. Results Between 2000–2002 and 2015–2017, the mean BMI increased from 24.8± 4.7 to 26.0± 4.7 kg/m2. The prevalence of obesity and underweight were 13.4% and 7.6%, respectively, in 2000–2002 and 18.3% and 3.0%, respectively, in 2015–2017. The mean MNA score increased between 2000–2002 and 2010–2012 (from 23.2± 4.7 to 24.2± 3.6), and had decreased (to 23.3± 4.2) by 2015–2017. The prevalence of malnutrition was 12.2%, 5.1%, and 8.7% in 2000–2002, 2010–2012, and 2015–2017, respectively. Subgroup analyses revealed similar BMI and MNA score patterns among nursing home residents. Conclusions Among very old adults, the mean BMI and prevalence of obesity seemed to increase between 2000–2002 and 2015–2017. Meanwhile, the nutritional status (according to MNA scores) seemed to improve between 2000–2002 and 2010–2012, it declined by 2015–2017.

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Prevalence and factors associated with obesity among the oldest old

Cited by 15 publications

References 31 publications

Prevalence Of, and Factors Associated with, Obesity among the Oldest Old. A Study Protocol for a Systematic Review

Prevalence Of, and Factors Associated with, Obesity among the Oldest Old. A Study Protocol for a Systematic Review

A needs-based perspective on long-term care, obesity, and old age

Prevalence of Obesity and Malnutrition in Four Cohorts of Very Old Adults, 2000–2017

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