Obesity in the elderly: More complicated than you think

被引:65
作者
Cetin, Derrick C. [1 ]
Nasr, Gaelle [2 ]
机构
[1] Cleveland Clin, Bariatr & Metab Inst, Cleveland, OH 44195 USA
[2] Case Western Reserve Univ, Sch Med, Dept Epidemiol & Biostat, Cleveland, OH 44106 USA
关键词
BODY-MASS INDEX; INTENTIONAL WEIGHT-LOSS; ALL-CAUSE MORTALITY; FAT-FREE MASS; OLDER-ADULTS; WAIST CIRCUMFERENCE; BARIATRIC SURGERY; KNEE OSTEOARTHRITIS; SARCOPENIC OBESITY; UNITED-STATES;
D O I
10.3949/ccjm.81a.12165
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The number of obese older adults is on the rise, although we lack a proper definition of obesity in this age group. The ambiguity is primarily related to sarcopenia, the progressive loss of muscle and gain in fat that come with aging. Whether to treat and how to treat obesity in the elderly is controversial because of a paucity of established guidelines, but also because of the obesity paradox-ie, the apparently protective effect of obesity in this age group.
引用
收藏
页码:51 / 61
页数:11
相关论文
共 70 条
[1]  
Arias Elizabeth, 2010, Natl Vital Stat Rep, V58, P1
[2]   Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life [J].
Bales, Connie W. ;
Buhr, Gwendolen .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2008, 9 (05) :302-312
[3]  
Banks M, 2005, J AM GERIATR SOC, V53, pS16
[4]   Sarcopenic obesity predicts Instrumental Activities of Daily Living disability in the elderly [J].
Baumgartner, RN ;
Wayne, SJ ;
Waters, DL ;
Janssen, I ;
Gallagher, D ;
Morley, JE .
OBESITY RESEARCH, 2004, 12 (12) :1995-2004
[5]  
Baumgartner RN, 1999, AM J EPIDEMIOL, V149, P1161
[6]   Fat and protein redistribution with aging:: metabolic considerations [J].
Beaufrère, B ;
Morio, B .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2000, 54 (Suppl 3) :S48-S53
[7]   The epidemic of obesity - A chronic disease that governments worldwide must take seriously [J].
Bray, GA ;
Macdiarmid, L .
WESTERN JOURNAL OF MEDICINE, 2000, 172 (02) :78-79
[8]   Body-mass index and mortality in a prospective cohort of US adults [J].
Calle, EE ;
Thun, MJ ;
Petrelli, JM ;
Rodriguez, C ;
Heath, CW .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (15) :1097-1105
[9]   Emerging role of estrogen in the control of cardiometabolic disease [J].
Cignarella, Andrea ;
Kratz, Mario ;
Bolego, Chiara .
TRENDS IN PHARMACOLOGICAL SCIENCES, 2010, 31 (04) :183-189
[10]   Hypogonadism, ED, metabolic syndrome and obesity: a pathological link supporting cardiovascular diseases [J].
Corona, G. ;
Mannucci, E. ;
Forti, G. ;
Maggi, M. .
INTERNATIONAL JOURNAL OF ANDROLOGY, 2009, 32 (06) :587-598