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Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society
Open accessAbstract
Obesity causes serious medical complications and impairs quality of life. Moreover, in older persons, obesity can exacerbate the age-related decline in physical function and lead to frailty. However, appropriate treatment for obesity in older persons is controversial because of the reduction in relative health risks associated with increasing body mass index and the concern that weight loss could have potential harmful effects in the older population. This joint position statement from the American Society for Nutrition and the NAASO, The Obesity Society reviews the clinical issues related to obesity in older persons and provides health professionals with appropriate weight-management guidelines for obese older patients. The current data show that weight-loss therapy improves physical function, quality of life, and the medical complications associated with obesity in older persons. Therefore, 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.
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“With ageing, fat preferentially accumulates both viscerally and ectopically rather than as abdominal subcutaneous fat.”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [186]
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“Rapid accumulation of intra-abdominal fat is exacerbated by physical inactivity, hormonal changes, reduced responsiveness to thyroid hormone and leptin resistance186.”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [186]
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“intentional weight loss in older adults improves morbidity and physical function186”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [186]
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“It has been recommended that fried and high-fat foods be avoided to decrease gastrointestinal side effects associated with AOMs [71,72].”
From Nutritional considerations with antiobesity medications (2024) · cites this paper as [71]
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“Obesity is defined as an unhealthy excess body fat that increases the risk of medical illness and mortality186.”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [186]
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“To date, the American Association of Clinical Endocrinologists187, the Endocrine Society425 and the Obesity Society186 have not recommended testosterone supplementation as a treatment for sarcopenia or obesity.”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [186]
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“Currently, various scientific societies such as the Obesity Society or the American Association of Clinical Endocrinologists, do not recommend the administration of testosterone in the management of obesity and/or sarcopenia (89, 90).”
From Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management (2023) · cites this paper as [89]
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“an estimated 30–40% of weight lost may derive from fat-free mass, which is of particular concern for older adults and individuals with sarcopenic obesity [4, 5].”
From Bridging the nutrition guidance gap for GLP-1 receptor agonist therapy assisted weight loss: Lessons from bariatric surgery (2026) · cites this paper as [5]
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Self-citationSarcopenic obesity: A new category of obesity in the elderly
Zamboni, M., Mazzali, G., Fantin, F., Rossi, A., & Di Francesco, V. (2008) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2007.10.002 · Cited by 953
Metadata
- Authors
- Villareal, D. T., Apovian, C. M., Kushner, R. F., & Klein, S.
- Affiliations
- Boston University (US)
- Corresponding author
- Klein, Samuel
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 82
- Issue
- 5
- Pages
- 923-934
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1890921467
- Cited by
- 880
- References
- 209
- Citations by year
- 2026: 38 · 2025: 29 · 2024: 34 · 2023: 38 · 2022: 52 · 2021: 58 · 2020: 44 · 2019: 33 · 2018: 40 · 2017: 43 · 2016: 51 · 2015: 62 · 2014: 56 · 2013: 60 · 2012: 44
- FWCI
- 14.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (DK56341)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK56341, P30DK056341)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity in older adults, weight loss treatment, physical function, frailty, quality of life, body mass index
- MeSH terms
- Aged, Aging, Body Composition, Female, Humans, Male, Middle Aged, Obesity, Quality of Life, United States, Weight Loss, Exercise, Bone Density
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