Nursing Care Report: Analysis of Weight Loss and Obesity in Aging

This report examines the impact of weight loss and obesity on the aging population, drawing from current literature and research. It highlights the increasing concern of obesity among the elderly and its links to various health problems, including disease, impaired function, and premature mortality. Th...Read More

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Introduction
This report will analyze how weight loss and obesity affects aging. This review
analyzes the current literature that has highlighted the fact that aging affects the body weight
and is also one of the main factors for obesity among elderly people (Johnston et al., 2014).
This study will highlight the gaps that remain in the literature concerning the overweight that
is common in the elderly and also causes health problems. The obesity epidemic is
recognized as a public health concern for people with a 30.0 kg / m2 or higher body mass
index (BMI) and is also a growing threat to Australians aged 65 and above (Dombrowski et
al., 2014). Obesity is linked with disease and sickness, impaired function, premature
mortality, and the poor standard of life. These negative health outcomes impact not only
people's life, but also general health care expenditure. Bone loss and muscle mass loss-
induced sarcopenia and changes in the body composition that occur during aging are crucial
to prevent fast disability when labeling obesity among older adults. This review will therefore
highlight the facts that are crucial for older adults as well as the problem of obesity and
weight loss (Alpert et al., 2014).
Discussion
As per Bastis et al. (2016), weight loss is an improper target for the geriatric obesity
interventions; other findings, including standard of life, mobility, and the physical function,
need to be considered when assessing the efficacy of the various interventions related to
lifestyle. According to the writers, the main concern is the lifeline of chronic illness
management. The authors in this review aimed to give a recent status of the randomized
controlled studies (RCTs) of geriatric obesity medicines in the light of this newly developed
benefit. This research focuses not just on the loss of weight as a major consequence of
behavioral interventions that may be either non-pharmacological or non-procedural, but also
on other geriatric-specific outcomes in obese elderly adults, including the physical functions,

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the functional status, and the status of life. All respondents were 60 and above and the
research results were such that while weight loss leads to functional enhancements, the
findings show that the functional enhancements can be obtained through exercise alone. This
document also highlights the fact that, despite the necessity of this public health problem, the
quantity of randomized research published is restricted, revealing a significant need for
measures to assess the outcomes of this high-risk population (Burmeister et al., 2013). As
measured using VO2peak and muscle power, the geriatric obesity procedures analysis
generally led in the loss of weight and the enhanced status of life and physical function. This
evaluation had deliberately emphasized on the standard of life and the physical function in
relation to the loss of weight as an important health indicator among the older adults. The
procedures typically emphasized that the loss of weight is a common strategy to the
management of obesity.
The author Jura & Mozak (2016) pointed out in the next article that obesity is a
significant health issue. The increase in life expectancy is followed by the elderly's additional
susceptibility to chronic health circumstances and one of the main causes is obesity. Both
these circumstances, i.e. aging and obesity, can lead to severe health circumstances as well as
enhanced health and disease risk. The author shows the fact that ageing is related with a rise
in the abdominal obesity, which contributes significantly to insulin resistance and other
metabolic syndromes. Obesity among the elderly is therefore a severe problem and the
processes for understanding age-related diseases and aging have become a significant
problem (Ma et al., 2015). The author's aim in this article is to define similarities in the
processes connected with aging as well as obesity. The writers attempt to emphasize the fact
that changes in distribution of the body fat as well as the metabolism can be the main factor
that can speed up the process of aging and the beginning of the age-related diseases. The
focus of the paper review is the thorough evaluation of adipocyte biology and how it impacts

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the obesity and ageing process. The writers have attempted to discover the accepted sub-
phenotypes that showed the collaboration or surprised behavior when overlapping obesity
with ageing. The paper's effort is to define an essential control system that necessarily
contributes as a function of aging and obese circumstances to insulin resistance. During the
ageing process, the growing rate of visceral obesity is often observed and is a major
contributor to insulin resistance and metabolic syndrome. Thus it becomes apparent that a
significant objective is to understand how the resistance to insulin arises and how it can be
altered.
The third review article suggests that the calorie constraint is component of the new
age lifestyle that helps promote weight loss among older adults. Older obese adults often
need treatments based on some strong evidence (Alpert et al., 2014). The objective of the
authors ' evaluation is therefore threefold: to provide a latest status of the concept of guiding
the calorie restriction, which is component of the lifestyle intervention that will assist to
promote weight loss among obese elderly adults, to understand the advantages or hazards.
The calorie restriction exercises among obese elderly adults are not to be considered only
results linked to changes in body composition, risk of cardiometabolic disease, bone health,
physical function and inflammation markers, it also analyses the patient-centered outcomes
that assist to assess the change in the cognitive status, mortality, and morbidity (Daumit et al.,
2013). Seven randomized controlled studies were performed by the writers that helped define
the calorie restriction along with regulating the exercise associated procedures. The study's
result showed that combining the calorie restriction with the exercise measures is an efficient
way to lose weight. Follow-up for a long term is needed, and supplementary effectiveness of
the studies are needed to understand the approaches presently being used by elderly adults
who are obese in latest community environments (Swift et al., 2014). Low-carbohydrate diets
can lead to the loss of weight owing to increased protein consumption, which can have a

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greater satiating impact than fats and carbohydrates. Recent suggestions for weight loss in
most calorie-reducing diets lead in clinically significant loss of weight until there is
maintenance of the diet by the patient. The network meta-analysis revealed that there are
statistically significant differences between some of the diets , these differences are less and
are likely to be insignificant to many seeking for weight loss (Johnston et al., 2014).
According to Waters, Ward & Villareal, (2013), there are adults suffering from
obesity and this is omnipresent in a number of advanced nations and is therefore associated
with a number of adverse health impacts, creating it a significant government medical
intervention. However, the therapy strategy for obesity among the older adults remains highly
questionable owing to the burden covering the hardships of behavioral change with
advancement of age, the age-related loss of bone and skeletal muscle, and lastly the viability
of long-term weight maintenance and associated health results. This analysis by the
researchers seeks to systematically examine the proof of loss of weight along with a focus on
elderly individuals aged 65 years and older who are obese with a body mass index of 30 kg /
m2 and above, along with some of the methods suggested for exercise and lifestyle measures
such as calorie restriction (Kushner, 2014). The results show that a one-year period of
lifestyle interventions can achieve the healthy weight loss among the elderly population.
Most of the other procedures, together with weight loss, are noted to have a decrease in the
lean body mass as well as in the bone mineral density. On the other side, it helped enhance
muscle quality and physical function. It also enhanced the inflammatory molecules and
metabolic markers, although the writers do not fully understand their impacts on exercise
measures and weight loss. As the writers performed the articles systemic evaluation, they
were able to discover a single pilot study that investigates weight maintenance program for a
long-term and its related health consequences. The writers also proposed that the lifestyle
study for the obese elderly people should be able to tackle the loss of the lean body mass and

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bone, the inflammatory mechanisms, and should include adequate follow-up to evaluate long-
term weight management and the health results (Swift et al., 2014). The proof verified that
weight loss of approximately 10% can be achieved by caloric limitation and practice in the
sedentary, frail, and the obese adults 65 years of age and more. However, there was a
reduction of the BMD and the lean body mass that can be controlled but cannot prevented
during the active weight loss period by adding exercise. However, owing to the elevated basic
value BMD and the improvements in the physical function and the metabolic parameters with
loss of weight, the medical significance of this negative effect continues to be assessed
(Kushner, 2014).
Conclusion
Thus, the conclusion that can be taken from the study is that obesity among the
elderly is heavily related with the bone mineral density loss and the loss of skeletal muscle.
This impacts the elderly with a number of other related illnesses and thus becomes a
significant problem for public health. The procedures mostly associated with weight loss
decrease among older adults require calorie restriction and exercise performance. The loss of
skeletal muscle and the bone is a prevalent result of weight loss studies and one of the main
factors remains contentious to recommend weight loss for older adults.

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