ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2014
Nutritional risk and body mass index predict hospitalization, nursing home admissions, and mortality in community-dwelling older adults: results from the UAB Study of Aging with 8.5 years of follow-up.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- The impact of underweight and obesity on outcomes in anticoagulated patients with atrial fibrillation: A systematic review and meta-analysis on the obesity paradox.Clinical cardiology · 2021Pooled it
- Obesity and Nursing Home Care in the United States: A Systematic Review.The Gerontologist · 2019Pooled it
- Sources of medication omissions among hospitalized older adults with polypharmacy.Journal of the American Geriatrics Society · 2022Trial
- Meals Enhancing Nutrition After Discharge: Findings from a Pilot Randomized Controlled Trial.Journal of the Academy of Nutrition and Dietetics · 2017Trial
- Wasting syndrome as a predictive factor for adverse health outcomes in older adults: A prospective cohort study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026Article
- Obesity and Transition to Assisted Living Services in Older Adults: An Analysis From the National Health and Aging Trends Study.Journal of the American Geriatrics Society · 2025Article
- The Longitudinal Effects of Low Body Mass Index on Unfavorable Physical Health Outcomes Among Older Adults Receiving Homecare Nursing: A Prospective Cohort Study.Research in nursing & health · 2025Article
- Data-driven frailty and reserve phenotypes in older outpatients: a cluster analysis of complementary geriatric assessment.Frontiers in aging · 2025Article
- Medical weight loss in older persons with obesity.Clinical obesity · 2024Review
- Medication Discrepancies among Older Hospitalized Adults Discharged from Post-Acute Care Facilities to Home.Journal of the American Medical Directors Association · 2024Article
- The role of functioning in predicting nursing home placement or death among older home care patients.Scandinavian journal of primary health care · 2023Article
- Blood Selenium Concentrations Are Inversely Associated with the Risk of Undernutrition in Older Adults.Nutrients · 2023Article
- Is the Utility of the GLIM Criteria Used to Diagnose Malnutrition Suitable for Bicultural Populations? Findings from Life and Living in Advanced Age Cohort Study in New Zealand (LiLACS NZ).The journal of nutrition, health & aging · 2023Article
- Nutritional status, symptom burden, and predictive validity of the Pt-Global web tool/PG-SGA in CKD patients: A hospital based cross sectional study.PLOS global public health · 2023Article
- Nutritional risk and its relationship with physical function in community-dwelling older adults.Aging clinical and experimental research · 2022Article
- Mortality risks of body mass index and energy intake trajectories in institutionalized elderly people: a retrospective cohort study.BMC geriatrics · 2022Article
- Mendelian randomization analysis of the causal impact of body mass index and waist-hip ratio on rates of hospital admission.Economics and human biology · 2022Article
- Higher Body Mass Index Values Do Not Impact Physical Function and Lower-Extremity Muscle Strength Performance in Active Older Individuals.International journal of exercise science · 2022Article
- The relationship of nutritional risk with diet quality and health outcomes in community-dwelling older adults.Aging clinical and experimental research · 2021Article
Corrections and comments
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8 authors.
Funding
Abstract
backgroundNutritional risk and low BMI are common among community-dwelling older adults, but it is unclear what associations these factors have with health services utilization and mortality over long-term follow-up. The aim of this study was to assess prospective associations of nutritional risk and BMI with all-cause, nonsurgical, and surgical hospitalization; nursing home admission; and mortality over 8.5 years.
methodsData are from 1,000 participants in the University of Alabama at Birmingham Study of Aging, a longitudinal, observational study of older black and white residents of Alabama aged 65 and older. Nutritional risk was assessed using questions associated with the DETERMINE checklist. BMI was categorized as underweight (<18.5), normal weight (18.5-24.9), overweight (25.0-29.9), class I obese (30.0-34.9), and classes II and III obese (≥35.0). Cox proportional hazards models were fit to assess risk of all-cause, nonsurgical, and surgical hospitalization; nursing home admission; and mortality. Covariates included social support, social isolation, comorbidities, and demographic measures.
resultsIn adjusted models, persons with high nutritional risk had 51% greater risk of all-cause hospitalization (95% confidence interval: 1.14-2.00) and 50% greater risk of nonsurgical hospitalizations (95% confidence interval: 1.11-2.01; referent: low nutritional risk). Persons with moderate nutritional risk had 54% greater risk of death (95% confidence interval: 1.19-1.99). BMI was not associated with any outcomes in adjusted models.
conclusionsNutritional risk was associated with all-cause hospitalizations, nonsurgical hospitalizations, and mortality. Nutritional risk may affect the disablement process that leads to health services utilization and death. These findings point to the need for more attention on nutritional assessment, interventions, and services for community-dwelling older adults.
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