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Cited by 105Geriatric Care and Nursing HomesObesity, Physical Activity, DietNutrition and Health in Aging

Obesity Affects Nursing‐Care Facility Admission among Whites but Not Blacks

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Zizza, Claire A., Herring, Amy, Stevens, June, Popkin, Barry M.·2002·Obesity Research
DOI 10.1038/oby.2002.110
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Abstract

Objective:This study examines whether obese individuals have a greater rate of nursing care facility admission than normal weight individuals. Research Methods and Procedures:Data from the National Health and Nutrition Examination Survey Epidemiological Follow‐up Survey were analyzed. Cox proportional hazards models were used to examine the relationship between baseline weight status and subsequent time to first nursing home admission while adjusting for sex, age, race, marital status, height, presence of children, smoking status, education, region, urban residence, income, and physical activity. Results:Of 5960 adults 45 to 74 years old, 989 individuals were admitted to a nursing care facility over the subsequent 20 years. Body mass index (BMI) was studied using five categories: < 18.5, 18.5 to <25, 25.0 to <30, 30.0 to <35, ≥35 kg/m 2. The effects of BMI differed by race: compared with those with a BMI of 18.5 to < 25 kg/m 2, adults with a BMI ≥30 kg/m 2 or a BMI <18.5 kg/m 2 had a greater rate of nursing home admission in whites, whereas no relationship was found in blacks. The inclusion of time to death with nursing home admission as a joint outcome yielded similar results. Discussion:The large increase in the prevalence of obesity coupled with the rapid expansion of the number of older Americans will likely increase the demand for nursing facility use. More research is needed to understand differences in factors related to nursing home admission among ethnic groups.

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  • Elevated BMI is associated with admission to a nursing home.

    “an elevated BMI is associated with admission to a nursing home240”

    From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [240]

    The Results section reports increased nursing-home admission risk for white adults with BMI of 30 or higher, but not for those with BMI of 25 to under 30. It reports no significant increased risk among Black adults. The claim omits these limits and therefore overgeneralizes the association. (LLM, conf=0.89)

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  • Participants with obesity in NHANES showed a higher likelihood of nursing facility use.

    “For instance, participants with obesity (BMI ≥30 kg/m2) in the NHANES showed a higher likelihood of nursing facility use (51).”

    From Health Consequences of Sarcopenic Obesity: A Narrative Review (2020) · cites this paper as [51]

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Research works printed but not linked: 4

  1. [15]15. Cerami A. Geriatric bioscience hypotheses: glucose as a mediator of aging. J Am Geriatr Soc. 1985;33:626 -34.
  2. [29]29. Andersen R. Revisiting the behavioral model and access to medical care. J Health Soc Behav. 1995;36:1-10.
  3. [36]36. Rothman KSG. Modern Epidemiology. Philadelphia, PA: Lippincott-Raven; 1998.
  4. [37]37. Heymsfield SB, Allison DB, Wang ZM, Baumgartner RN, Ross R. Evaluation of total and regional body composition. In: Bray GA, Bouchard C, James WPT, eds. Handbook of Obe- sity. New York, NY: Marcel Dekker, Inc.; 1998, pp. 41-78.

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Authors
Zizza, C. A., Herring, A., Stevens, J., & Popkin, B. M.
Affiliations
University of North Carolina at Chapel Hill (US)
Corresponding author
Popkin, Barry M.
ORCID
Venue
Obesity Research
Publisher
Wiley
Published
2002-08
Volume
10
Issue
8
Pages
816-823
ISSN
  • 1071-7323 (ISSN-L)
  • 1550-8528
DOI
10.1038/oby.2002.110
OpenAlex
W1976010025
Cited by
105
References
57
Citations by year
2026: 1 · 2025: 2 · 2023: 5 · 2022: 2 · 2021: 8 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 4 · 2015: 7 · 2014: 5 · 2013: 6 · 2012: 2
FWCI
6.20
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3689 d)
Locations
  • Obesity Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • University of North Carolina at Chapel Hill
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD039183, HD39183)
Topics
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
obesity, nursing home admission, body mass index, racial differences, older adults, health disparities
MeSH terms
Aged, Female, Homes for the Aged, Humans, Male, Middle Aged, Mortality, Nursing Homes, Nutrition Surveys, Obesity, Time Factors, Body Mass Index, Black People, White People

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