Obesity in Older Adults: A Systematic Review of the Evidence for Diagnosis and Treatment

  title={Obesity in Older Adults: A Systematic Review of the Evidence for Diagnosis and Treatment},
  author={Kathleen M McTigue and Rachel Hess and Jennifer Ziouras},
Objective: Although obesity is increasing in older U.S. adults, treatment is controversial in this age group. We sought to examine evidence concerning obesity's health‐related risks, diagnostic methods, and treatment outcomes in older individuals. 

Weight Loss Interventions in Older Adults with Obesity: A Systematic Review of Randomized Controlled Trials Since 2005

To identify geriatric obesity interventions that can guide clinical recommendations, a large number of interventions have been found to be effective in relation to weight loss in older adults.

Obesity in Older Adults.

Evaluation, Co-morbidity and Management of Obesity in the Elderly

When managing obesity in the elderly group, caution should be taken not to decrease their bone density or muscle volume.

Obesity and Older Adults: To Lose or Not to Lose???

The purposes of this chapter are to provide an overview of the prevalence of obesity in older individuals, to review the adverse and beneficial health impacts of obesity as the authors age, and to provide treatment recommendations for obesity among older adults.

Is there an obesity paradox in the Japanese elderly population? A community‐based cohort study of 13 280 men and women

This work aimed to verify this phenomenon among community‐dwelling older adults in Japan and found that obese older adults have a survival advantage of being obese.

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Whether to treat and how to treat obesity in the elderly is controversial because of a paucity of established guidelines, but also because of the obesity paradox, the apparently protective effect of obesity with age.

Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life.

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The findings of this review indicate that the current WHO-recommended body mass index, waist circumference and waist-to-hip ratio obesity thresholds for the general adult population may not be appropriate for older adults and that a combination of aerobic and resistance exercise appears to be the most effective strategy.

Obesity as a Disease: Current Policies and Implications for the Future

How obesity meets the definition of a disease is described, its interpretation in current health policies is explained, and implications for obesity in future health policy adoption and development are explored.



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It is shown that weight-loss therapy that minimizes muscle and bone losses is recommended for older persons who are obese and who have functional impairments or medical complications that can benefit from weight loss.

Obesity Is Associated with Functional Decline in Community‐Dwelling Rural Older Persons

This investigation sought to examine potential gender differences in the relationship between body mass index (BMI) and functional decline and found no differences between men and women.

An evidence-based assessment of federal guidelines for overweight and obesity as they apply to elderly persons.

Federal guideline standards for ideal weight (BMI 18.7 to <25) may be overly restrictive as they apply to the elderly, and future guidelines should consider the evidence for specific age groups when establishing standards for healthy weight.

Screening and Interventions for Obesity in Adults: Summary of the Evidence for the U.S. Preventive Services Task Force

An analytic framework of obesity screening components with key questions and eligibility criteria was developed and the conscious measurement of weight status to clinically address body weightand treatment was reviewed to determine the effectiveness of adult obesity screening.

The clinical effectiveness and cost-effectiveness of surgery for people with morbid obesity: a systematic review and economic evaluation.

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Periodic health examination, 1999 update: 1. Detection, prevention and treatment of obesity

The evidence relating to the effectiveness of methods to prevent and treat obesity is evaluated and recommendations for the prevention and treatment of obesity in adults aged 18 to 65 years and for the measurement of the body mass index (BMI) as part of a periodic health examination are provided.

Screening for Obesity in Adults: Recommendations and Rationale

The USPSTF concluded that the benefits of screening and behavioral interventions outweigh potential harms, and the evidence is insufficient to recommend for or against the use of moderate- or low-intensity counseling together with behavioral interventions to promote sustained weight loss in obese adults.

Epidemiology of weight loss in humans with special reference to wasting in the elderly.

Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life.

Results revealed that the combined diet and exercise intervention had the most consistent, positive effect on HRQL compared with the control group; however, findings were restricted to measures of physical health or psychological outcomes that are related to the physical self.

Waist Circumference, Body Mass Index, and Risk for Stroke in Older People

To investigate waist circumference and body mass index at age 70 as risk factors for stroke, a large number of patients with a high WC and high BMI are recruited for the study.