Adherence

For older adults (≥65 years) with obesity, weight reduction is recommended only after careful consideration of risks/benefits and patient priorities, whereas overweight older adults should maintain stable body weight to avoid sarcopenia and functional decline.

If you are over 65 and obese, focus on a small calorie cut (500 kcal less than usual) combined with strength training and high protein intake (1-1.5g per kg of body weight). If you are merely overweight, do not try to lose weight; focus on maintaining your current weight and muscle mass to prevent frailty.