Table 3.
Studies on Health System Impact of Long-term Care for People With Obesity
| Author (year) | Sample size | Summary findings (statistically significant unless noted) |
|---|---|---|
| Bradway et al. (2009) | 1 (case report) | Nursing home system tried to improve care for morbidly obese through injury reduction program, competency-based education/training, proper equipment, redesign of physical environment, appropriate staffing, an interdisciplinary care model. |
| Bradway et al. (2017) | 97 discharge planners | Respondents perceiving nursing homes to have equipment concerns were 7 times more likely to report resident size as a barrier to admission. |
| Cai et al. (2013) | 22,17,961 residents | The odds of pressure ulcers were 18.9% higher for residents with moderate or severe obesity when nursing assistant staffing was in bottom quartile compared to 12.8% higher for residents when nursing assistant staffing was top quartile |
| Felix et al. (2015) | 10,538 nursing homes | Prevalence of moderate to severe obesity in U.S. nursing homes has increased from 14.7% to 23.9% from 2000 to 2010. |
| Felix et al. (2016) | 360 Nursing home administrators | 66% of respondents reported the size of morbidly obese residents was a barrier to admission to nursing home. |
| Lapane & Resnik (2005) | 22,95,647 residents | Prevalence of obesity among nursing home residents in five U.S. states increased from 15% to 25% from 1992 to 2002. |
| Miles et al. (2012) | 183 home health and nursing home administrators | 81% of nursing home and 34% and home health administrators reported special equipment as being a barrier to transitioning from acute care for morbidly obese residents. |
| Yang & Zhang (2014) | Not applicable (simulation) | Obesity and related diseases will lead to estimated 1.3 billion long-term care resident days for baby boomer generation. |
| Zhang et al. (2016) | 636 nursing homes | Residents with morbid obesity were admitted to nursing homes with four times the number deficiencies. |
| Zhang et al. (2013) | 636 nursing homes | For each 0.1 increase in staffing ratio, average obesity prevalence in nursing homes increased 4%. Presence of severe deficiencies was associated with an increase in average obesity prevalence in nursing homes of 8%. |