Miljan Hadžović, Ljiljana Jelenković, Bojan Jorgić, Ana Lilić, Nikola Prvulović

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The aim of this review research was to determine the effects of the physical activity (PA) on obesity among the elderly. To compile existing studies on the effects of PA on obese elderly individuals, PubMed, SCIndeks, PEDro, J-GATE, DOAJ and Google Scholar electronic databases were searched. By analyzing and applying the set criteria, the final analysis included 20 studies, and the positive influence of the PA on the obesity of the elderly was confirmed. The greatest effect on the decrease in body mass was achieved by the simultaneous application of a combination of exercise programs and dietary regimen for a period of 6 months. It was concluded that combined programs of aerobics, weight training, flexibility and balance exercises for a period of at least 12 weeks lead to a mild decrease in body mass and the amount of fat mass, while maintaining and increasing lean body mass mostly in the form of muscle tissue. PA is an effective mean in reducing obesity, and thus its use among the elderly is recommended.


Physical Exercise, Ageing, Body Composition, Body Mass Index, Weight Loss

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Amati, F., Dubé, J.J., Shay, C., & Goodpaster, B.H. (2008). Separate and combined effects of exercise training and weight loss on exercise efficiency and substrate oxidation. Journal of Applied Physiology, 105, 825-831.

Armamento‐Villareal, R., Sadler, C., Napoli, N., Shah, K., Chode, S., Sinacore, D.R., et al. (2012). Weight loss in obese older adults increases serum sclerostin and impairs hip geometry but both are prevented by exercise training. Journal of Bone and Mineral Research, 27(5), 1215-1221.

Beavers, D.P., Beavers, K.M., Loeser, R.F., Walton, N.R., Lyles, M.F., Nicklas, B.J., et al. (2014). The independent and combined effects of intensive weight loss and exercise training on bone mineral density in overweight and obese older adults with osteoarthritis. Osteoarthritis and Cartilage, 22(6), 726-733.

Blair, S.N., LaMonte, M.J., & Nichaman, M.Z. (2004). The evolution of physical activity recommendations: how much is enough?. The American Journal of Clinical Nutrition, 79(5), 913S-920S.

Bocalini, D.S., Lima, L.S., de Andrade, S., Madureira, A., Rica, R.L., dos Santos, R.N., et al. (2012). Effects of circuit-based exercise programs on the body composition of elderly obese women. Clinical Interventions in Aging, 7, 551-556.

Chan, R.S., & Woo, J. (2010). Prevention of overweight and obesity: How effective is the current public health approach. International Journal of Environmental Research and Public Health, 7(3), 765-783.

Cochrane, T., Munro, J., Davey, R., & Nicholl, J. (1998). Exercise, physical function and health perceptions of older people. Physiotherapy, 84(12), 598-602.

Davidson, L.E., Hudson, R., Kilpatrick, K., Kuk, J.L., McMillan, K., Janiszewski, P.M., et al. (2009). Effects of exercise modality on insulin resistance and functional limitation in older adults: a randomized controlled trial. Archives of Internal Medicine, 169(2), 122-131.

Dunstan, D.W., Daly, R.M., Owen, N., Jolley, D., De Courten, M., Shaw, J., et al. (2002). High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care, 25(10), 1729-1736.

Foster‐Schubert, K.E., Alfano, C.M., Duggan, C.R., Xiao, L., Campbell, K.L., Kong, A., et al. (2012). Effect of diet and exercise, alone or combined, on weight and body composition in overweight‐to‐obese postmenopausal women. Obesity, 20(8), 1628-1638.

Frimel, T.N., Sinacore, D.R., & Villareal, D.T. (2008). Exercise attenuates the weight-loss-induced reduction in muscle mass in frail obese older adults. Medicine and Science in Sports and Exercise, 40(7), 1213-1219.

Han, T.S., Tajar, A., & Lean, M.E.J. (2011). Obesity and weight management in the elderly. British Medical Bulletin, 97(1), 169-196.

Irwin, M.L., Yasui, Y., Ulrich, C.M., Bowen, D., Rudolph, R.E., Schwartz, R.S., et al. (2003). Effect of exercise on total and intra-abdominal body fat in postmenopausal women: a randomized controlled trial. Jama, 289(3), 323-330.

Jakičić, J.M., & Otto, A.D. (2006). Treatment and prevention of obesity: what is the role of exercise?. Nutrition Reviews, 64(2), S57-S61.

Lambert, C.P., Wright, N.R., Finck, B.N., & Villareal, D.T. (2008). Exercise but not diet-induced weight loss decreases skeletal muscle inflammatory gene expression in frail obese elderly persons. Journal of Applied Physiology, 105(2), 473-478.

Mathus-Vliegen, E.M. (2012). Obesity and the elderly. Journal of Clinical Gastroenterology, 46(7), 533-544.

Messier, S.P., Loeser, R.F., Mitchell, M.N., Valle, G., Morgan, T.P., Rejeski, W.J., et al. (2000). Exercise and weight loss in obese older adults with knee osteoarthritis: a preliminary study. Journal of the American Geriatrics Society, 48(9), 1062-1072.

Miller, C.T., Fraser, S.F., Levinger, I., Straznicky, N.E., Dixon, J.B., Reynolds, J., et al. (2013). The effects of exercise training in addition to energy restriction on functional capacities and body composition in obese adults during weight loss: a systematic review. PloS One, 8(11), 1-13.

O’Leary, V.B., Marchetti, C.M., Krishnan, R.K., Stetzer, B.P., Gonzalez, F., & Kirwan, J.P. (2006). Exercise-induced reversal of insulin resistance in obese elderly is associated with reduced visceral fat. Journal of Applied Physiology, 100(5), 1584-1589.

Petrović, I., & Marinković, M. (2018). Effects of different types of exercise programs on arterial blood pressure of the elderly. Facta Universitatis Series Physical Education and Sport, 16(4), 725-737.

Rejeski, W.J., Brawley, L.R., & Shumaker, S.A. (1996). Physical activity and health-related quality of life. Exercise and Sport Sciences Reviews, 24(1), 71-108.

Romero-Arenas, S., Blazevich, A.J., Martínez-Pascual, M., Pérez-Gómez, J., Luque, A.J., López-Román, F.J., et al. (2013). Effects of high-resistance circuit training in an elderly population. Experimental Gerontology, 48(3), 334-340.

Ryan, A.S., & Harduarsingh-Permaul, A.S. (2014). Effects of weight loss and exercise on trunk muscle composition in older women. Clinical Interventions in Aging, 9, 395-402.

Scalabrin, M., & Caporossi, D. (2016). The role of physical activity in counteracting age-related sarcopenia and cancer cachexia: A brief literature review. Medicinski podmladak, 67(2), 5-12.

Singh, N.A., Clements, K.M., & Fiatarone, M.A. (1997). A randomized controlled trial of the effect of exercise on sleep. Sleep, 20(2), 95-101.

Sourtzi, P., Sarla, E., Äijö, M., Turjamaa, R., Hobbelen, H. J., Weening-Verbree, L.F., et al. (2019). Most common health issues of older people in older people: Improving health and social care, (pp. 33-74). Springer, Cham.

Taylor, A.H., Cable, N.T., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A.K. (2004). Physical activity and older adults: a review of health benefits and the effectiveness of interventions. Journal of sports sciences, 22(8), 703-725.

Villareal, D.T., Aguirre, L., Gurney, A.B., Waters, D.L., Sinacore, D.R., Colombo, E., et al. (2017). Aerobic or resistance exercise, or both, in dieting obese older adults. New England Journal of Medicine, 376(20), 1943-1955.

Villareal, D.T., Apovian, C.M., Kushner, R.F., & Klein, S. (2005). Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity Research, 13(11), 1849-1863.

Villareal, D.T., Banks, M., Siener, C., Sinacore, D.R., & Klein, S. (2004). Physical frailty and body composition in obese elderly men and women. Obesity Research, 12(6), 913-920.

Villareal, D.T., Banks, M., Sinacore, D.R., Siener, C., & Klein, S. (2006). Effect of weight loss and exercise on frailty in obese older adults. Archives of Internal Medicine, 166(8), 860-866.

Villareal, D.T., Chode, S., Parimi, N., Sinacore, D.R., Hilton, T., Armamento-Villareal, R., et al. (2011). Weight loss, exercise, or both and physical function in obese older adults. The New England Journal of Medicine, 364(13), 1218-1229.

Weinheimer, E.M., Sands, L.P., & Campbell, W.W. (2010). A systematic review of the separate and combined effects of energy restriction and exercise on fat-free mass in middle-aged and older adults: implications for sarcopenic obesity. Nutrition Reviews, 68(7), 375-388.

Womack, C.J., Harris, D.L., Katzel, L.I., Hagberg, J.M., Bleecker, E.R., & Goldberg, A.P. (2000). Weight loss, not aerobic exercise, improves pulmonary function in older obese men. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(8), M453-M457.

Wycherley, T.P., Noakes, M., Clifton, P.M., Cleanthous, X., Keogh, J.B., & Brinkworth, G.D. (2010). A high-protein diet with resistance exercise training improves weight loss and body composition in overweight and obese patients with type 2 diabetes. Diabetes Care, 33(5), 969-976.

Yassine, H.N., Marchetti, C.M., Krishnan, R.K., Vrobel, T.R., Gonzalez, F., & Kirwan, J.P. (2009). Effects of exercise and caloric restriction on insulin resistance and cardiometabolic risk factors in older obese adults-a randomized clinical trial. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 64(1), 90-95.

You, T., Murphy, K.M., Lyles, M.F., Demons, J.L., Lenchik, L., & Nicklas, B.J. (2006). Addition of aerobic exercise to dietary weight loss preferentially reduces abdominal adipocyte size. International Journal of Obesity, 30(8), 1211-1216.



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