title: Obesity and nursing home: a review and an update.
abstract: OBJECTIVE
  The prevalence of obese in nursing home resident is increasing, causing an important change in patient's management and health assistance. Although evidence suggests that obesity is associated with comorbidity, disability, and mortality in older persons, such relationship has rarely been explored in the nursing home population and research is still mainly conducted in community-dwelling people.
  
  
  METHODS
  A review of the literature identified 11 suitable papers that discuss current knowledge about the management of obesity in nursing home.
  
  
  RESULTS
  The specificity of the obese nursing home residents is often to be disabled survivors of previous complications related to obesity with short life expectancy. Whether nutritional treatment and physical activity can improve clinical condition and quality of life in the obese remains an open question. Strengths and weaknesses of current methodologies in the assessment of adiposity are needed to be carefully considered, especially in a clinical setting with limited resources.
  
  
  CONCLUSIONS
  More investigations are required to understand obesity as a risk factor for institutionalization and a criterion of non-admission in nursing home at the same time. Although difficulties to implement these approaches are present, effective and feasible treatments for obesity should be tested.
authors.affiliation: Clinica Geriatrica, University of Verona, Italy; Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse, France. Electronic address: valeria.zanandrea@gmail.com.
authors.forename: Valeria
authors.initials: V
authors.lastname: Zanandrea
authors.forename: Philippe
authors.initials: P
authors.lastname: Barreto de Souto
authors.forename: Matteo
authors.initials: M
authors.lastname: Cesari
authors.forename: Bruno
authors.initials: B
authors.lastname: Vellas
authors.forename: Yves
authors.initials: Y
authors.lastname: Rolland
mesh_terms: D050154:Adiposity; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D015897:Comorbidity; D004038:Diet, Reducing; D006233:Persons with Disabilities; D015577:Geriatric Assessment; D006707:Homes for the Aged; D006801:Humans; D009026:Mortality; D009043:Motor Activity; D009735:Nursing Homes; D015596:Nutrition Assessment; D009765:Obesity / Q000453:epidemiology* / Q000503:physiopathology / Q000517:prevention & control / Q000628:therapy; D015431:Weight Loss; D000078329:Workforce
keywords: Disability; Elderly; Nursing home; Obesity