Managing obesity in older adults.

Sundaresh, Shyam; Saliba, Sara; Ziyadeh, Farah; Mauer, Yael; Valencia, Willy Marcos · Cleve Clin J Med · 2025

Level V

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Abstract

Obesity should be managed in older adults. However, challenges in this age group include multimorbidity, polypharmacy, limited mobility and sensation, and, in particular, sarcopenia, a natural consequence of aging exacerbated by weight loss. Lifestyle recommendations should emphasize adequate protein intake and exercise, particularly strength training, adapted to mobility. Antiobesity medications and metabolic-bariatric surgery are useful in select patients.

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