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Challenges in the Management of Geriatric Obesity in High Risk Populations

The global prevalence of obesity in the older adult population is growing, an increasing concern in both the developed and developing countries of the world. The study of geriatric obesity and its management is a relatively new area of research, especially pertaining to those with elevated health ri...

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Autores principales: Porter Starr, Kathryn N., McDonald, Shelley R., Weidner, Julia A., Bales, Connie W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882675/
https://www.ncbi.nlm.nih.gov/pubmed/27153084
http://dx.doi.org/10.3390/nu8050262
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author Porter Starr, Kathryn N.
McDonald, Shelley R.
Weidner, Julia A.
Bales, Connie W.
author_facet Porter Starr, Kathryn N.
McDonald, Shelley R.
Weidner, Julia A.
Bales, Connie W.
author_sort Porter Starr, Kathryn N.
collection PubMed
description The global prevalence of obesity in the older adult population is growing, an increasing concern in both the developed and developing countries of the world. The study of geriatric obesity and its management is a relatively new area of research, especially pertaining to those with elevated health risks. This review characterizes the state of science for this “fat and frail” population and identifies the many gaps in knowledge where future study is urgently needed. In community dwelling older adults, opportunities to improve both body weight and nutritional status are hampered by inadequate programs to identify and treat obesity, but where support programs exist, there are proven benefits. Nutritional status of the hospitalized older adult should be optimized to overcome the stressors of chronic disease, acute illness, and/or surgery. The least restrictive diets tailored to individual preferences while meeting each patient’s nutritional needs will facilitate the energy required for mobility, respiratory sufficiency, immunocompentence, and wound healing. Complications of care due to obesity in the nursing home setting, especially in those with advanced physical and mental disabilities, are becoming more ubiquitous; in almost all of these situations, weight stability is advocated, as some evidence links weight loss with increased mortality. High quality interdisciplinary studies in a variety of settings are needed to identify standards of care and effective treatments for the most vulnerable obese older adults.
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spelling pubmed-48826752016-05-27 Challenges in the Management of Geriatric Obesity in High Risk Populations Porter Starr, Kathryn N. McDonald, Shelley R. Weidner, Julia A. Bales, Connie W. Nutrients Review The global prevalence of obesity in the older adult population is growing, an increasing concern in both the developed and developing countries of the world. The study of geriatric obesity and its management is a relatively new area of research, especially pertaining to those with elevated health risks. This review characterizes the state of science for this “fat and frail” population and identifies the many gaps in knowledge where future study is urgently needed. In community dwelling older adults, opportunities to improve both body weight and nutritional status are hampered by inadequate programs to identify and treat obesity, but where support programs exist, there are proven benefits. Nutritional status of the hospitalized older adult should be optimized to overcome the stressors of chronic disease, acute illness, and/or surgery. The least restrictive diets tailored to individual preferences while meeting each patient’s nutritional needs will facilitate the energy required for mobility, respiratory sufficiency, immunocompentence, and wound healing. Complications of care due to obesity in the nursing home setting, especially in those with advanced physical and mental disabilities, are becoming more ubiquitous; in almost all of these situations, weight stability is advocated, as some evidence links weight loss with increased mortality. High quality interdisciplinary studies in a variety of settings are needed to identify standards of care and effective treatments for the most vulnerable obese older adults. MDPI 2016-05-04 /pmc/articles/PMC4882675/ /pubmed/27153084 http://dx.doi.org/10.3390/nu8050262 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Porter Starr, Kathryn N.
McDonald, Shelley R.
Weidner, Julia A.
Bales, Connie W.
Challenges in the Management of Geriatric Obesity in High Risk Populations
title Challenges in the Management of Geriatric Obesity in High Risk Populations
title_full Challenges in the Management of Geriatric Obesity in High Risk Populations
title_fullStr Challenges in the Management of Geriatric Obesity in High Risk Populations
title_full_unstemmed Challenges in the Management of Geriatric Obesity in High Risk Populations
title_short Challenges in the Management of Geriatric Obesity in High Risk Populations
title_sort challenges in the management of geriatric obesity in high risk populations
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882675/
https://www.ncbi.nlm.nih.gov/pubmed/27153084
http://dx.doi.org/10.3390/nu8050262
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