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Wednesday, August 17, 2022

New protocol for comprehensive management of obesity in people over 65 years of age

It integrates assessment of functional status, sarcopenia and possible degree of cognitive impairment.

internal medicine doctor Spanish Society of Internal Medicine (SEMI) has just introduced a pioneering new protocol for Screening, Evaluation and Comprehensive Approach Obesity in people over 65 years of age which values ​​both their fragility and their functional and cognitive status.

There are many clinical practice guidelines and recommendations on obesity, but The overall focus is not on the management of obesity in the elderly patient, Taking into account aspects such as their weakness or their cognitive level is the key to implementing an individualized treatment, hence promoting the importance of this new document. Diabetes, obesity and nutrition working group of the Spanish Society of Internal Medicine (SEMI).

This protocol, the first with similar characteristics and promoted by SEMI internists, establishes a patient profile (based on their weaknesses, degree of sarcopenia and cognitive status), through simple questions, to offer an individualized treatment plan: Reduced (accelerates non-pharmacological interventions and maintains quality of life by avoiding restrictive diets) or reserve (with pharmacological intervention, in addition to lifestyle guidelines and other recommendations).

in the words of Dr. Ricardo Gomez Huelgas, SEMI internist member: “Obesity is a major health problem in all Western countries, and the fight against obesity is a priority in our health system. The main demographic phenomenon in our societies is the aging of the population and, from a biological point of view, the elderly, the elderly. , increase the percentage of body fat and adiposity, which may be accompanied by a state of malnutrition in the advanced stages of life. Assessment of these aspects for good quality of life and good self-care ability for the older person There are many clinical practice guidelines and recommendations on obesity, but none focused on the management of obesity in elderly patients, so this new protocol is necessary.,

for its part, Dr. Juana Carterinternist and first vice president of SEMI, indicates that “the approach to obesity should be individualized, individualized and focused on the individual who suffers from it, especially in those over the age of 65, although sometimes in counseling we do not seek treatment.” Don’t think about them. Their obesity. It is very important to assess them comprehensively and also take into account their obesity. More than 40% of people above 65 years of age are obese, and if we talk about abdominal obesity So it is over 70%. Attitudes towards obesity in this population group should be different from the rest of the population or young people. In these people, we must also assess their cognitive and functional status, to do this, with tests and scales. As with frailty (FRAIL), sarcopenia (SARC-F) and cognitive impairment (PFEIFFER), we can know whether the person has a preserved or reduced baseline, and based on this, a Ensure accurate assessment and guide comprehensive treatment in the manner most appropriate to this patient profile.

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