Table 2.
ADL Assistance from 2 or More Facility Staff by Level of Obesity
| Obesity Level | Bed Mobility | Transfer | ||
|---|---|---|---|---|
| n/N (%) | aRR (95% CI) | n/N (%) | aRR (95% CI) | |
| Nonobese: BMI <30.0 | 279,298/753,920 (37.0) | Referent | 310,773/746,871 (41.6) | Referent |
| Mild: BMI 30.0–34.9 | 68,197/170,807 (39.9) | 1.17(1.15, 1.18) | 73,677/169,243 (43.5) | 1.15 (1.13, 1.17) |
| Class II: BMI 35.0–39.9 | 32,191/75,912 (42.4) | 1.28(1.25, 1.31) | 34,120/75,158 (45.4) | 1.24(1.22, 1.27) |
| Class III: BMI >40.0 | 29,804/62,383 (47.8) | 1.40 (1.36, 1.43) | 31,018/61,242 (50.6) | 1.36(1.33, 1.39) |
| Walk in Room | Walk in Corridor | |||
| Nonobese: BMI <30.0 | 30,339/397,622 (7.6) | Referent | 28,117/381,422 (7.4) | Referent |
| Mild: BMI 30.0–34.9 | 6,913/90,259 (7.7) | 1.16(1.10, 1.22) | 6,307/85,986 (7.3) | 1.17 (1.10, 1.23) |
| Class II: BMI 35.0–39.9 | 3,065/39,081 (7.8) | 1.37 (1.27, 1.47) | 2,754/36,672 (7.5) | 1.36(1.25, 1.47) |
| Class III: BMI >40.0 | 2,571/29,222 (8.8) | 1.56 (1.44, 1.70) | 2,069/26,313 (7.9) | 1.44(1.31, 1.59) |
| Locomotion on Unit | Locomotion off Unit | |||
| Nonobese: BMI <30.0 | 20,876/735,118 (2.8) | Referent | 14,085/690,766 (2.0) | Referent |
| Mild: BMI 30.0–34.9 | 5,215/166,701 (3.1) | 1.17(1.10, 1.24) | 3,581/158,268 (2.3)) | 1.21 (1.12, 1.30) |
| Class II: BMI 35.0–39.9 | 2,415/73,917 (3.3) | 1.34 (1.23, 1.45) | 1,663/70,602 (2.4) | 1.34(1.21, 1.48) |
| Class III: BMI >40.0 | 2,409/59,696 (4.0) | 1.52 (1.39, 1.66) | 1,711/57,180 (3.0 | 1.55 (1.39, 1.72) |
| Dressing | Eating | |||
| Nonobese: BMI <30.0 | 96,056/753,380 (12.8) | Referent | 3,411/753,596 (0.5) | Referent |
| Mild: BMI 30.0–34.9 | 24,502/170,706 (14.4) | 1.20(1.17, 1.24) | 684/170,774 (0.4) | 1.13 (0.96, 1.34) |
| Class II: BMI 35.0–39.9 | 11,733/75,877 (15.5) | 1.40 (1.35, 1.45) | 302/75,915 (0.4) | 1.20 (0.95, 1.52) |
| Class III: BMI >40.0 | 11,690/62,334(18.8) | 1.67 (1.60, 1.73) | 251/62,409 (0.4) | 1.14(0.87, 1.51) |
| Toileting | Personal Hygiene | |||
| Nonobese: BMI <30.0 | 233,771/752,730 (31.1) | Referent | 65,103/753,572 (8.6) | Referent |
| Mild: BMI 30.0–34.9 | 57,654/170,579 (33.8) | 1.17 (1.15, 1.19) | 16,568/170,725 (9.7) | 1.21 (1.17, 1.25) |
| Class II: BMI 35.0–39.9 | 27,236/75,815 (35.9) | 1.28 (1.25, 1.32) | 7,991/75,900 (10.5) | 1.34 (1.28, 1.40) |
| Class III: BMI >40.0 | 25,272/62,317 (40.6) | 1.45 (1.41, 1.49) | 8,226/62,363 (13.2) | 1.72 (1.64, 1.80) |
aRR, Adjusted Relative Risk; CI, confidence interval., Models were adjusted for age, age-squared, female sex, nonwhite race, Medicaid eligibility, active illnesses (anemia, diabetes mellitus, cardiovascular disease, asthma or, chronic obstructive pulmonary disease, arthritis, stroke or transient ischemic attack, and dementia), Cognitive Function Scale score, ADL score, and nursing home fixed effects., aRRs are considered statistically significant when the 95% CI does not include the value 1.