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Weight Loss and Physical Activity for Disease Prevention in Obese Older Adults: an Important Role for Lifestyle Management

  • Lifestyle Management to Reduce Diabetes/Cardiovascular Risk (EM Venditti, Section Editor)
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Abstract

Weight loss in older adults has been a controversial topic for more than a decade. An obesity paradox has been previously described and the issue of weight status on health outcomes remains a highly debated topic. However, there is little doubt that physical activity (PA) has a myriad of benefits in older adults, especially in obese individuals who are inactive and have a poor cardiometabolic profile. In this review, we offer a critical view to clarify misunderstandings regarding the obesity paradox, particularly as it relates to obese older adults. We also review the evidence on PA and lifestyle interventions for the improvement of cardiorespiratory fitness, which can prevent disease and provide benefits to obese older adults, independent of weight changes.

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Acknowledgments

We would like to thank Dr. Maria van Zuilen for her review of this manuscript. The work contributed by Dr. Mark Stoutenberg was supported by Grant Number 1KL2TR000461 from the Miami Clinical and Translational Science Institute, the National Center for Advancing Translational Sciences, and the National Institute on Minority Health and Health Disparities. Its contents are solely the responsibility of the author and do not necessarily represent the official views of the NIH.

We would like to thank the Health Foundation of South Florida and its Healthy Aging Regional Collaborative, which supported the grant that allowed us to implement the Enhance Fitness exercise program at Miami VAHS.

We would also like to thank the Department of Human and Health Services, which supported our grant NIH grant 1R18AE000049-01, “Peer-lead and Telehealth Activated Care (PACT) in Diabetes Prevention and Management.”

We would like to thank the support of the Geriatric Research, Education and Clinical Center at Miami VAHS.

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Conflict of Interest

Willy Marcos Valencia, Mark Stoutenberg, and Hermes Florez declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Geriatrics Research, Education and Clinical Center (GRECC), Miami VA Healthcare System, Miami, FL, USA

    Willy Marcos Valencia & Hermes Florez

  2. Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA

    Willy Marcos Valencia, Mark Stoutenberg & Hermes Florez

  3. Department of Medicine – Division of Geriatric Medicine and Endocrinology, University of Miami Miller School of Medicine, Miami, FL, USA

    Hermes Florez

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  1. Willy Marcos Valencia
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  2. Mark Stoutenberg
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  3. Hermes Florez
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Correspondence to Willy Marcos Valencia.

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This article is part of the Topical Collection on Lifestyle Management to Reduce Diabetes/Cardiovascular Risk

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Valencia, W.M., Stoutenberg, M. & Florez, H. Weight Loss and Physical Activity for Disease Prevention in Obese Older Adults: an Important Role for Lifestyle Management. Curr Diab Rep 14, 539 (2014). https://doi.org/10.1007/s11892-014-0539-4

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