Changes in Cardiometabolic Risk Among Older Adults with Obesity: An Ancillary Analysis of a Randomized Controlled Trial Investigating Exercise Plus Weight Maintenance and Exercise Plus Intentional Weight Loss by Caloric Restriction

Bragg, Anna; Crowe-White, Kristi; Ellis, Amy; Studer, Matthew; Phillips, Frank; Samsel, Steven; Parton, Jason; Locher, Julie L.; Ard, Jamy D.

doi:10.1016/j.jand.2021.07.009

Cited by 6 publications

(4 citation statements)

References 23 publications

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“…The cardiometabolic risk scores (Framingham Risk Score, National Cholesterol Education Program Adult Treatment Panel, International Diabetes Federation Score, and Cardiometabolic Disease Staging Score) were reported by Bragg et al (2022) (Figure S16). 91 …”

Section: Resultsmentioning

confidence: 99%

Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map

et al. 2022

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Obesity and sarcopenic obesity (SO) are characterized by excess body fat with or without low muscle mass affecting bio-psycho-social health, functioning, and subsequently quality of life in older adults. We mapped outcomes addressed in randomized controlled trials (RCTs) on lifestyle interventions in community-dwelling older people with (sarcopenic) obesity. Systematic searches in Medline, Embase, Cochrane Central, CINAHL, PsycInfo, Web of Science were conducted. Two reviewers independently performed screening and extracted data on outcomes, outcome domains, assessment

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Section: Resultsmentioning

confidence: 99%

Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map

et al. 2022

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“…Participants A4 and A8 lost 0.2 kg, which favors a decrease in BMI (A4 = 0.07 kg/m 2 /A8 = 0.08 kg/m 2 ) for both. According to Bragg et al (2022), physical exercise or caloric restriction with diet can help achieve weight loss, thou the rear could represent a threat to health. Constantly doing physical activity, in turn, renders a more gradual and milder weight loss and diminishes cardiometabolic risk factors.…”

Section: Resultsmentioning

confidence: 99%

Regular practice of Kung Fu and Taekwondo improve Chilean adults’ health and quality of life during the COVID-19

Hsu

2023

WWOP

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Purpose This study aims to investigate the impact of regular Kung Fu and Taekwondo practice on the health and quality of life among elderly individuals in the Maule region, Chile. Design/methodology/approach The authors designed a 12-week Kung Fu and Taekwondo workshop with activities suitable for their age. Through semistructured interviews (at the beginning and the end of the workshop), along with periodic monitoring of vital signs and cardiovascular components, the authors observed an improvement in participants’ physical (strength, speed of reaction and flexibility) and psychological conditions (self-esteem and resilience), quality of life (relationships with family and friends and ability to deal with stressful events in working life) and health (waist circumference, percentage of oxygen saturation in blood, blood pressure, among other values). Findings From these results, the authors affirm that this workshop improves health and physical condition and helps the participants develop the coping capacity to deal with stressful situations and complicated interpersonal relationships. In this sense, the authors conclude that Kung Fu and Taekwondo as regular sports activities can benefit senior citizens’ aging process. Originality/value This research is based on an original study project.

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“…Examples include the DASH and Mediterranean diets. 12,[26][27][28][29] • Aim for a 5% weight loss over 1 year, at a rate of about 0.25-1 kg per week. 12,22 • Do not prescribe medications for weight loss as the evidence does not currently support the use of weight loss medications in this age group.…”

Section: Recommendations For Promoting Safe Voluntary Weight Loss In ...mentioning

confidence: 99%

“…Notably, the advantages of combining moderate caloric restriction with exercise have become more evident 20,22 . For example, 1 analysis suggested that older adults with obesity can significantly lower cardiometabolic risk by engaging in 12 months of either exercise plus weight maintenance, or exercise plus weight loss through moderate caloric restriction, with no significant changes in total lean mass or total BMD 26 . Nevertheless, questions remain as to the long-term effects of intervention, the most effective dietary composition and level of caloric restriction, and the most effective types and amounts of exercise utilized 19 …”

Section: Recommendations For Promoting Safe Voluntary Weight Loss In ...mentioning

confidence: 99%

How to Help My Older Patient With Obesity Lose Weight Safely When the Evidence Is Not Clear

et al. 2022

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Until recently, despite the deleterious the health consequences of their obesity, intentional weight loss by older adults usually was not recommended. Factors such as maladaptive metabolic changes and declines in physiologic function predispose this population to sarcopenic obesity, frailty, and impaired mobility, while accumulation of chronic comorbidities often results in polypharmacy. These considerations and more complicate both the decision to pursue weight loss and the safest method of doing so. Currently, specific guidelines for managing weight loss in older adults with obesity are widely lacking. We present a case from our Family Medicine practice of an older woman with obesity struggling with weight management. We present our recommendations for safely navigating the weight loss she desires using an evidence-based approach that incorporates a medically supervised calorie restricted diet, improved diet quality, and healthy physical activity recommendations that include resistance exercise.

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Changes in Cardiometabolic Risk Among Older Adults with Obesity: An Ancillary Analysis of a Randomized Controlled Trial Investigating Exercise Plus Weight Maintenance and Exercise Plus Intentional Weight Loss by Caloric Restriction

Cited by 6 publications

References 23 publications

Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map

Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map

Regular practice of Kung Fu and Taekwondo improve Chilean adults’ health and quality of life during the COVID-19

How to Help My Older Patient With Obesity Lose Weight Safely When the Evidence Is Not Clear

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