@article{MRA, author = {Julia Scarcella and Sarah Smitherman and Gary Miller}, title = { Lifestyle Behavioral Strategies for Weight Loss in Older Adults}, journal = {Medical Research Archives}, volume = {12}, number = {7}, year = {2024}, keywords = {}, abstract = {There is a rising prevalence of both obesity (defined as a body mass index of > 30.0 kg/m2) and the number of individuals over the age of 60 years.  Currently ~40% of older adults are obese and the number of individuals over the age of 65 is expected to reach 82 million by 2050.  Obesity is also estimated to affect 50% of older adults in next few decades.  This combination makes this a very concerning health issue.  While intentional weight loss benefits young- to middle- aged adults, this is not so clear with older adults.  Due to the loss of fat free mass, including skeletal muscle and bone mineral density, there is an increased risk of impaired physical function, fractures, and even mortality in this older cohort.  Complicating whether to advise older adults to attempt to lose weight or not is the fact that about 1 in 5 individuals rescind and gain back most if not all of lost weight.  This weight regain is mostly as fat and it is deposited into ectopic fat depots, potentially making cardiometabolic risk worse.  Caloric restriction using a variety of diet patterns and macronutrient distributions can be successful, at least in the short-term.  Additionally, combining resistance and aerobic exercise training with caloric restriction seems to provide the best results with regards to protecting loss of skeletal muscle and bone mineral density.  Finally, time restricted eating is a novel approach for combating the detrimental effects of obesity and aging.}, issn = {2375-1924}, doi = {10.18103/mra.v12i7.5650}, url = {https://esmed.org/MRA/mra/article/view/5650} }