Weight Loss and Physical Activity for Disease Prevention in Obese Older Adults: an Important Role for Lifestyle Management
Abstract
Weight loss in older adults has been a controversial topic for more than a decade. An obesity paradox has been previously described and the issue of weight status on health outcomes remains a highly debated topic. However, there is little doubt that physical activity (PA) has a myriad of benefits in older adults, especially in obese individuals who are inactive and have a poor cardiometabolic profile. In this review, we offer a critical view to clarify misunderstandings regarding the obesity paradox, particularly as it relates to obese older adults. We also review the evidence on PA and lifestyle interventions for the improvement of cardiorespiratory fitness, which can prevent disease and provide benefits to obese older adults, independent of weight changes.
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People with obesity are at increased risk for hypertension, dyslipidemia, type 2 diabetes mellitus, cardiovascular disease, and several cancers.
“People with obesity are at increased risk for a variety of medical disorders including hypertension, dyslipidemia, type 2 diabetes mellitus, cardiovascular disease (CVD), and several cancers [4–6]”
From Mediterranean Diet and Obesity-related Disorders: What is the Evidence? (2022) · cites this paper as [6]
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References 86 · Cited by 37
- Authors
- Valencia, W. M., Stoutenberg, M., & Florez, H.
- Affiliations
- University of Miami (US)
- Corresponding author
- Valencia, Willy Marcos
- Venue
- Current Diabetes Reports
- Published
- 2014-09-03
- Volume
- 14
- Issue
- 10
- Pages
- 539-539
- ISSN
- 1534-4827 (ISSN-L)
- 1539-0829
- OpenAlex
- W2056884994
- Cited by
- 37
- References
- 86
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 6 · 2016: 4 · 2015: 1
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Diabetes Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (KL2TR000461)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity paradox, weight loss, physical activity, older adults, obesity, lifestyle intervention, cardiorespiratory fitness, disease prevention, cardiometabolic profile, weight status
- MeSH terms
- Adult, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Dyspnea, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Motor Activity, Obesity, Physical Fitness, Quality of Life, Weight Loss, Exercise, Evidence-Based Medicine, Risk Reduction Behavior, Sarcopenia, Sedentary Behavior
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