A call for solutions for healthy aging through a systems‐based, equitable approach to obesity

Callahan, Emily A.; Vafiadis, Dorothea K.; Cameron, Kathleen A.; Stanford, Fatima Cody

doi:10.1111/jgs.17732

Cited by 5 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nor did any interventions focus on policy, systems, and environmental change approaches (PSEs). This is a shortcoming because PSE approaches are widely considered the most effective for creating large-scale improvements to the food and physical activity environments and addressing food security, reducing diet-related diseases, and promoting health equity . Addressing disparities in eating and exercise behaviors will be fundamental to reducing heart disease, and PSE approaches offer ways to better address the social determinants of health, engage community champions, and foster long-term changes in community context with the greatest potential of positively affecting access to healthy eating and active living.…”

Section: Important Gapsmentioning

confidence: 99%

Updated USPSTF Recommendations for Behavioral Counseling Interventions

Bleich

2022

JAMA Intern Med

View full text Add to dashboard Cite

Heart disease is the leading cause of death in the US and accounted for 693 021 (or 1 in 4) deaths in 2021. 1 The US Preventive Services Task Force (USPSTF) has recently published updated recommendations on behav ioral counseling interventions to promote healthy eating and physical activity for cardiovascular disease (CVD) prevention in adults without known CVD risk factors. 2 The recommendations, which were supported by an updated evidence report and systematic review, 3 were given a grade of C based on evidence that behavioral counseling interventions provide a small benefit in improving physical activity levels and healthy eating, as well as a small improvement in CVD risk factors such as blood pressure, lowdensity lipoprotein cholesterol, and body weight, with little evidence for harm. The grade means that clinicians should individualize the decision to offer or refer adults without CVD risk factors to behavioral counseling interventions.The updated recommendations are similar to the previous ones in 2017, 4 which received the same recommendation grade and are consistent with recommendations by the American Academy of Family Physicians and the National Institute for Health and Care Excellence. However, the updated USP-STF recommendations are narrower than other organizations, including the American College of Sports Medicine, the American Heart Association, the US Department of Health and Human Services, and the US Department of Veterans Affairs. That is, these other organizations recommend that health care professionals provide behavioral counseling on eating and physical activity to all of their adult patients, regardless of chronic conditions or risk factors. Notably, the only substantive change from the 2017 USPSTF recommendations is that the updated ones did not include studies limited to adults with elevated blood pressure because this research is included in another USPSTF review among adults with known CVD risk factors. 5

show abstract

Section: Important Gapsmentioning

confidence: 99%

Updated USPSTF Recommendations for Behavioral Counseling Interventions

Bleich

2022

JAMA Intern Med

View full text Add to dashboard Cite

show abstract

Case report of a female western Indian vegetarian with obesity

Niranjan,

Ozimek

2024

Obesity Pillars

View full text Add to dashboard Cite

The risks and benefits of managing obesity in older adults

Carroll

2024

American Journal of Health-System Pharmacy

View full text Add to dashboard Cite

Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose This review discusses weight loss considerations in overweight and obese older adults. Summary Current US guidelines do not address weight loss in older adults. Waist circumference rather than body mass index (BMI) may be a more accurate assessment tool for obesity in older adults. Weight loss interventions are not recommended in overweight older adults due to the decreased mortality in this population (known as the “obesity paradox”). While weight loss in obese older adults may be beneficial, it is not without risks. The greatest risks include loss of muscle mass, decline in bone mineral density, and development of sarcopenic obesity. Weight loss interventions may be considered in older adults with a BMI of greater than 30 kg/m2 who have metabolic derangements, cardiovascular disease, and/or functional impairments after carefully weighing the risks against the benefits of weight loss and the impact of interventions on the patient’s quality of life. Medicare provides limited benefits for weight loss interventions. In older adults, there is no consensus on which lifestyle interventions are best for weight loss and there is a paucity of data on the use of weight loss medications. Careful consideration should be given before utilizing medications for weight loss in older adults given the enhanced adverse effect profiles, interactions, contraindications, and costs. Conclusion Weight loss in older adults should be approached differently from that in the general adult population. More data are needed on the efficacy and safety of weight loss medications in older adults.

show abstract

A call for solutions for healthy aging through a systems‐based, equitable approach to obesity

Cited by 5 publications

References 17 publications

Updated USPSTF Recommendations for Behavioral Counseling Interventions

Updated USPSTF Recommendations for Behavioral Counseling Interventions

Case report of a female western Indian vegetarian with obesity

The risks and benefits of managing obesity in older adults

Contact Info

Product

Resources

About