老年人肥胖：比你想象的更复杂。

Obesity in the elderly: more complicated than you think.

机构信息

Bariatric and Metabolic Institute, Cleveland Clinic.

出版信息

Cleve Clin J Med. 2014 Jan;81(1):51-61. doi: 10.3949/ccjm.81a.12165.

DOI:10.3949/ccjm.81a.12165

Abstract

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.

摘要

肥胖的老年人数正在上升，尽管我们在这个年龄段缺乏对肥胖的恰当定义。这种模糊主要与肌肉减少症有关，即随着年龄的增长肌肉逐渐减少而脂肪逐渐增加。由于缺乏既定的指南，以及肥胖悖论——即肥胖在这个年龄段的明显保护作用，因此是否治疗以及如何治疗老年人肥胖存在争议。