Body mass index and hospitalization in the elderly.
OBJECTIVE
To explore the association between body mass index (BMI) and hospital usage in the elderly.


METHODS
Retrospective cohort study.


METHODS
Medicare Current Beneficiary Survey (1992-94).


METHODS
Eight thousand seven hundred fifty-four noninstitutionalized individuals aged 65 to 100 without cancer at baseline and with available data on height and weight.


METHODS
BMI categorized by quintiles and by the 1998 National Heart Lung and Blood Institute (NHLBI) BMI classification. Poisson regression was used for multivariate analyses relating BMI to number of hospitalizations, adjusting for sex, age, smoking status, and heart disease.


RESULTS
During 20464 years of observation, 1199 individuals had 4096 hospitalizations and 34190 hospital days. Individuals in the lowest BMI quintile had a higher risk of hospitalization than those in the middle BMI quintile (RR=1.22; 95% confidence interval=1.1-1.4); stratified analyses by age revealed that this association remained for individuals aged 65 to 75. Using the NHLBI classification, underweight, overweight, mild obesity, and moderate to severe obesity were related to higher risk of hospitalizations than normal BMI in individuals aged 65 to 75. In individuals older than 75, underweight, overweight, and mild obesity were not related to a higher risk of hospitalizations. Moderate to severe obesity was related to a higher risk of hospitalization in individuals aged 75 to 89, which represented only 1.5% of the sample.


CONCLUSIONS
BMI is not a predictor of hospitalization for most individuals aged 75 and older.
Luchsinger
José A
JA
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
Lee
Wei-nch
WN
Carrasquillo
Olveen
O
Rabinowitz
Daniel
D
Shea
Steven
S
D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000704:Analysis of Variance; D015992:Body Mass Index; D016009:Chi-Square Distribution; D015331:Cohort Studies; D005260:Female; D006306:Health Surveys; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology; D012189:Retrospective Studies; D018570:Risk Assessment; D011795:Surveys and Questionnaires