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Diet,
Exercise Work For Older Adults Too
It's never too late for
obese adults to improve
their heart risks through
diet and exercise, the results
of a new small study suggests.
The researchers, who enrolled
27 obese men and women age
65 or older, found that
calorie cutting and exercise
helped participants shed
pounds and lower their blood
pressure, blood sugar and
blood fats called triglycerides.
What's more, there was
a sharp drop in the number
with metabolic syndrome,
a collection of conditions
that raise a person's risk
of type 2 diabetes and heart
disease.
The findings appear in
the American Journal of
Clinical Nutrition.
Diet changes and exercise
have been shown to improve
heart disease risk factors
in young and middle-aged
obese adults, but less is
known about the benefits
for older adults.
In fact, there's some controversy
over advocating weight loss
at older ages, according
to the authors of the new
study. For one, a heavier
weight is relatively less
important in the health
risks of an elderly person
compared with a younger
adult. In addition, many
older adults are frail,
which can make lifestyle
changes difficult.
But the new findings show
that older obese adults
can indeed alter their lifestyle,
and benefit from it, according
to Dr. Dennis T. Villareal
of Washington University
School of Medicine in St.
Louis.
"We demonstrate that older
adults can successfully
lose weight and are compliant
with interventions," he
stated.
Beyond that, they can also
reap the potential heart
benefits seen in studies
of younger obese adults,
according to Villareal.
He and his colleagues based
their findings on a 6-month
study of sedentary, obese
adults randomly assigned
to follow diet and exercise
therapy (17 subjects) or
to serve as a non-exercising
comparison group (10 subjects).
All of them had mild to
moderate physical limitations
and nearly all had metabolic
syndrome. The average body
mass index was 30 or higher.
Those with metabolic syndrome
had at least three of a
conditions that increased
the risk of heart disease,
including high blood pressure,
high triglycerides, high
blood sugar and abdominal
obesity.
Over six months, the treatment
group cut calories and attended
group exercise classes three
days a week. In the end,
they lost an average of
18 pounds, versus no weight
change in the comparison
group. The number with metabolic
syndrome fell by 59 percent,
while the comparison group
again showed no change.
More studies are needed
to see if this translates
into less heart disease
and a longer life, according
to the researchers.
For now, older adults who
want to make lifestyle changes
should talk to their doctors
about the best and safest
ways to do so, Villareal
said.
SOURCE: American Journal
of Clinical Nutrition, December
2006.