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As we age, our bodies undergo various changes that can make shedding pounds a bit challenging for seniors. However, addressing these challenges head-on can make the weight loss journey more manageable, especially for those over 60.
Get Moving
Weight loss for seniors over 60 comes with unique challenges, including increased muscle and bone loss. This makes caloric and dietary restrictions riskier, as they can lead to significant muscle mass and bone density reduction, raising the risk of fractures and falls.
To combat this, physical activity becomes a crucial component of a weight loss plan for seniors. It not only helps maintain muscle and bone strength but also contributes to an overall healthy and active life. Even if you experience muscle or joint pains, engaging in any form of physical activity that you can tolerate is a great start.
Consider activities like water aerobics, chair yoga, Tai Chi, or everyday tasks like walking the dog or gardening. Think of it as “physical activity” rather than strict exercise, focusing on movements that get your muscles working and your body moving.
If you face mobility challenges or have a history of surgeries or fractures, consulting with a physiotherapist or occupational therapist is advisable. Start with simple movements within your limits and gradually increase intensity. Set small challenges, like lifting your legs a bit higher or stretching your arms a bit further.
Begin with around 30-40 minutes of activity a day, 2-3 days a week, and gradually build up. Feeling a bit tired after a workout is okay; just start low and progress slowly to prevent injuries, especially if you’re transitioning from a sedentary lifestyle.
Maintaining a Healthy Weight
As we age, the quest for the ideal weight becomes a nuanced journey. While the temptation to revert to a youthful figure is strong, research suggests that seniors, especially those over 60, should tread carefully.
Striking a balance is crucial for seniors, as extreme weight loss might pose risks, particularly for those leading a sedentary lifestyle. Paradoxically, being slightly overweight may offer protective advantages, aiding recovery from injuries, illnesses, and conditions like cachexia, a severe form of muscle wasting.
Chronic illnesses prevalent in older age can trigger cachexia, leading to rapid weight loss and muscle wasting. Carrying a bit of extra weight might act as a buffer, helping the body endure the challenges associated with these conditions.
However, it’s essential to note that the Body Mass Index (BMI), a commonly used measure, has limitations. It solely considers weight and height, neglecting factors like muscle-to-fat ratio, fitness level, and other health conditions. While an easy indicator, BMI’s general nature leaves room for improvement in assessing overall health.
Setting a Realistic Target Weight
The question arises: What weight should those aged 60 and above aim for? The answer isn’t a one-size-fits-all number; it hinges on individual health status.
Research from extensive studies suggests that a BMI in the overweight range (25-30) may offer more protection against severe injury or illness compared to the normal range (18.5-25). If you fall into the obese category (BMI > 30), losing weight is advisable, aiming for a BMI between 25-30.
For those already in the overweight range (BMI = 25-30), the decision to lose weight depends on individual health conditions. If visceral fat poses cardiovascular risks and joint pain hampers physical activity, shedding weight might be beneficial. However, for healthy individuals with an active lifestyle, weight loss might be a personal choice rather than a health necessity.
For those with a normal BMI (18.5-25), considerations depend on muscle mass, activity level, and overall health. Building muscle and maintaining an active lifestyle can be valuable even if it nudges BMI slightly above 25.
If you find yourself underweight (BMI < 18.5), a focus on gaining weight is advised. However, it’s crucial to emphasize healthy weight gain through increased physical activity and a balanced diet, ensuring muscle mass development while accepting a bit of added fat if necessary.
Optimizing Medications for Healthy Aging
As we age, it’s not uncommon to find ourselves managing multiple medications. While sticking to your prescribed medications is crucial, it’s worth noting that some medications may contribute to weight gain, potentially causing more harm than good.
For instance, certain diabetes medications, mood enhancers like antidepressants, antipsychotics, or pain relievers such as gabapentin are known for their association with weight gain.
Now, I strongly advise against independently discontinuing any medication solely to lose weight. Altering doses without proper guidance can lead to serious health issues. However, initiating an open conversation with your doctor about streamlining or reducing the number of medications while maintaining therapeutic benefits is a valuable step.
If your doctor is unable to assist due to time constraints or other reasons, consulting a qualified geriatric doctor or an expert capable of discussing medications causing weight gain and suggesting alternatives is a good alternative.
Check out the Beers Criteria. This criteria highlights medications potentially unsuitable for older adults, aiding clinicians in identifying those to be cautious about. Through collaborative discussions, you and your clinician can craft a medication plan that minimizes unnecessary or overlapping medications, aligning with your health and weight goals.
Gradual Progress for Effective Weight Loss
Take it one step at a time. Once you’ve figured out a dietary and lifestyle plan that suits you, break it down into small, doable steps that fit your life seamlessly.
Make these steps straightforward, things you can start doing right away without overthinking the process. For instance, if your doctor advises cutting down on sugar due to high blood sugar levels, and you opt for a low-carb diet to shed those pounds, a simple reminder to eat less carbohydrate won’t cut it.
Break down the plan into tiny, personalized steps. Take a look at your daily habits. If you’re snacking on crackers with tea twice a day, a small step could be ditching the crackers and sticking to just tea. If steak with potatoes is a regular dinner, consider swapping the potatoes for cooked broccoli. Or if spaghetti and meatballs are a favorite, replace the spaghetti with zucchini noodles.
Identifying these small, practical steps allows you to take tangible actions toward weight loss instead of keeping the idea in your head. Remember, excellent weight loss advice is only valuable if you can put it into action.
If breaking down your plan into manageable steps feels challenging, consider working with a clinician who can assist you in turning a good weight loss plan into actionable, achievable steps tailored to you.
Learn more about
Citations
Addressing Obesity in Aging Patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724972/
About Adult BMI https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html
Beers Criteria Medication List https://dcri.org/beers-criteria-medication-list/
BMI and all-cause mortality in older adults: a meta-analysis https://pubmed.ncbi.nlm.nih.gov/24452240/
Body mass index and all-cause mortality in older adults: A scoping review of observational studies https://pubmed.ncbi.nlm.nih.gov/32319198/
Obesity and the elderly https://pubmed.ncbi.nlm.nih.gov/22772735/
Weight Loss Interventions in Older Adults with Obesity: A Systematic Review of Randomized Controlled Trials Since 2005 https://pubmed.ncbi.nlm.nih.gov/27641543/
See also
- Akkermansia Muciniphila for Weight LossAkkermansia Muciniphila may lower obesity risks and improve cardiovascular health, but evidence for weight loss is weak.
- How to Choose a Diet for Weight LossCICO, low carb, keto, high protein, and intermittent fasting are all good beginner diets. However you should modify them to fit your needs.
- Medical Devices for Weight LossMedical devices like lap-bands, gastric balloons, or AspireAssist often face issues that make them less ideal for weight loss than they seem.
- Finding Good Weight Loss SupplementsProperly researching weight loss supplements is more than just reading reviews. Look for proper ingredients, standardization, and dosing.
- 10 Common Habits of Thin PeopleBased on the analysis of over 1,400 patient files, thin people don’t necessarily have higher metabolisms. Rather, good habits keep them thin.