Obesity and diabetes as accelerators of functional decline: Can lifestyle interventions maintain functional status in high risk older adults?
Open accessAbstract
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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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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- 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)
- PMC
- PMC3817488
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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