Cited by 100Nutrition and Health in AgingFrailty in Older AdultsAging, Health, and Disability

Obesity and diabetes as accelerators of functional decline: Can lifestyle interventions maintain functional status in high risk older adults?

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Anton, Stephen D., Karabetian, Christy, Naugle, Kelly, Buford, Thomas W.·2013·Experimental Gerontology

Abstract

Obesity and diabetes are known risk factors for the development of physical disability among older adults. With the number of seniors with these conditions rising worldwide, the prevention and treatment of physical disability in these persons have become a major public health challenge. Sarcopenia, the progressive loss of muscle mass and strength, has been identified as a common pathway associated with the initial onset and progression of physical disability among older adults. A growing body of evidence suggests that metabolic dysregulation associated with obesity and diabetes accelerates the progression of sarcopenia, and subsequently functional decline in older adults. The focus of this brief review is on the contributions of obesity and diabetes in accelerating sarcopenia and functional decline among older adults. We also briefly discuss the underexplored interaction between obesity and diabetes that may further accelerate sarcopenia and place obese older adults with diabetes at particularly high risk of disability. Finally, we review findings from studies that have specifically tested the efficacy of lifestyle-based interventions in maintaining the functional status of older persons with obesity and/or diabetes.

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Crossref · 10.1016/j.exger.2013.06.007

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  • The majority of published RT studies in older adults (≥65 y of age) have been conducted in normal-weight or nonobese individuals.

    “The majority of published RT studies in older adults ($65 y of age) have been conducted in normal-weight or nonobese individuals (8,24).”

    From Effects of resistance training with and without caloric restriction on physical function and mobility in overweight and obese older adults: a randomized controlled trial (2015) · cites this paper as [24]

    In “Effects of Lifestyle Interventions on Physical Function in Obese Older Adults” (page unavailable), the review says few studies have examined exercise interventions alone in obese older adults. That supports the general point that this population is understudied, but it does not establish that a majority of published resistance-training studies in adults aged 65 or older enrolled normal-weight or nonobese participants. (LLM, conf=0.78)

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Research works printed but not linked: 3

  1. Davidson LE Hudson R Kilpatrick K Kuk JL McMillan K Janiszewski PM Lee S Lam M Ross R 2009 Effects of exercise modality on insulin resistance and functional limitation in older adults Arch Intern Med 169 2 122 131 19171808
  2. Taijiri Y Kato T Nakayama H Tamada K 2010 Reduction of skeletal muscle, especially in lower limbs, in Japanese type 2 diabetic patients with insulin resistance and cardiovascular risk factors Metab Syndr Relat Disord 8 2 137 142 19900156
  3. Tsang T Orr R Lam P Comino EJ Singh MF 2007 Health benefits of Tai Chi for older patients with diabetes: The “Move It for Diabetes Study Clin Interv Aging 2 3 429 439 18044193 PMC2685274

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Authors
Anton, S. D., Karabetian, C., Naugle, K., & Buford, T. W.
Affiliations
University of Florida (US)
Corresponding author
  • Anton, Stephen D.
  • Buford, Thomas W.
Venue
Experimental Gerontology
Publisher
Elsevier BV
Published
2013-09
Volume
48
Issue
9
Pages
888-897
ISSN
0531-5565 (ISSN-L)
OpenAlex
W2062831962
Cited by
100
References
114
Citations by year
2026: 1 · 2025: 6 · 2024: 6 · 2023: 8 · 2022: 3 · 2021: 5 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 14 · 2016: 11 · 2015: 14 · 2014: 9 · 2013: 1
FWCI
1.29
Type
journal article
Language
en
Open access
Locations
  • Experimental Gerontology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
University of Florida Claude D. Pepper Older Americans Independence Center (P30AG028740)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
obesity, diabetes mellitus, functional decline, sarcopenia, physical disability, older adults, lifestyle intervention, metabolic dysfunction, muscle mass and strength
MeSH terms
Aged, Aging, Diet, Humans, Life Style, Obesity, Risk Factors, Exercise, Disease Progression, Diabetes Complications, Sarcopenia

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