Abstract
Data from the first National Health and Nutrition Examination Survey Epidemiologic
Followup Survey were used to examine whether weight change was associated with an
increased relative risk of nursing care facility admission. Hazard ratios were calculated
with Cox proportional hazards models and stratified by overweight status at baseline.
Moderate and large weight loss was associated with an increased risk of nursing care
facility admission in overweight and non-overweight subjects. Large weight gain was
associated with an increased relative risk in only overweight subjects. In the process
of functional decline that results in nursing care facility admission, weight loss
may be a sign of acute illness, starvation, or aging. Preventing weight loss may help
delay this process of decline. In overweight subjects, preventing weight gain may
also be important in delaying this process of decline.
Keywords
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Article info
Publication history
Accepted:
May 5,
2003
Identification
Copyright
© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
