Effectiveness of weight loss interventions for obese older adults
Open accessAbstract
Objective.: The consequences of obesity among older adults are significant, yet few obesity interventions target this group. Unfamiliarity with weight loss intervention effectiveness and concerns that weight loss negatively affects older adults may be inhibiting targeting this group. This paper reviews the evidence on intentional weight loss and effective weight loss interventions for obese older adults to help dispel concerns and guide health promotion practice. Data Source.: PubMed articles. Study Inclusion and Exclusion Criteria.: Randomized controlled trials examining behavioral and pharmaceutical weight loss strategies with 1-year follow-up targeting obese (body mass index ≥30) older adults (mean age ≥60 years), and studies with quasi-experimental designs examining surgical weight loss strategies targeting older adults were examined. Data Extraction.: Abstracts were reviewed for study objective relevancy, with relevant articles extracted and reviewed. Data Synthesis.: Data were inserted into an analysis matrix. Results.: Evidence indicates behavioral strategies are effective in producing significant (all p < .05) weight loss without significant risk to obese older adults, but effectiveness evidence for surgical and pharmaceutical strategies for obese older adults is lacking, primarily because this group has not been targeted in trials or analyses did not isolate this group. Conclusion.: These findings support the promotion of intentional weight loss among obese older adults and provide guidance to health promotion practitioners on effective weight loss interventions to use with this group.
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The AHRQ review concluded that secondary outcomes (improved metabolic measures) could be generalized to the senior population (age ≥65 years), with evidence that weight loss intervention for older adults is effective in improving health outcomes.
“The study concluded that secondary outcomes (improved metabolic measures) could be generalized to the senior population (age ≥ 65 years), with evidence that weight loss intervention for older adults is effective in improving health outcomes [9,10].”
From Clinical and Economic Impact of a Digital, Remotely-Delivered Intensive Behavioral Counseling Program on Medicare Beneficiaries at Risk for Diabetes and Cardiovascular Disease (2016) · cites this paper as [9]
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“The study concluded that secondary outcomes (improved metabolic measures) could be generalized to the senior population (age 65 years), with evidence that weight loss intervention for older adults is effective in improving health outcomes [9,10].”
Background
- Authors
- Felix, H. C., & West, D. S.
- Affiliations
- University of Arkansas for Medical Sciences (US)
- Venue
- American Journal of Health Promotion
- Publisher
- SAGE Publications
- Published
- 2013-01
- Volume
- 27
- Issue
- 3
- Pages
- 191-199
- ISSN
- 0890-1171 (ISSN-L)
- 2168-6602
- PMC
- PMC3539224
- OpenAlex
- W2144106883
- Cited by
- 47
- References
- 77
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 2 · 2017: 3 · 2016: 8 · 2015: 9 · 2014: 4 · 2013: 3
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Health Promotion (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Research Resources (KL2RR029883, UL1RR029884)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- obesity, older adults, weight loss interventions, intentional weight loss, bariatric surgery, health promotion, intervention effectiveness
- MeSH terms
- Orlistat, Aged, Aged, 80 and over, Humans, Lactones, Middle Aged, Obesity, Weight Loss, Body Mass Index, Randomized Controlled Trials as Topic, Anti-Obesity Agents, Risk Reduction Behavior, Bariatric Surgery, Weight Reduction Programs
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