The observation that the BMI value associated with the lowest relative mortality is slightly higher in older than in younger adults has often been misinterpreted that obesity is not as harmful in the elderly. All subjects underwent initial screening evaluations, including a medical history, physical examination, fasting blood profile, and lead resting electrocardiogram. In studies that use computed tomography CT to assess abdominal adiposity and body fat distribution, lower insulin sensitivity is associated with higher subcutaneous abdominal fat SAT in young and middle-aged men and women Goodpaster et al. A systematic computerized literature search using an iterative manipulation process of the keywords: All subjects were weight-stable within 1 kg for at least 2 weeks before metabolic testing. There are tons of amazing, active fat parents out there. A graded treadmill exercise test was performed to determine maximal aerobic capacity. In older people the risks from bariatric surgery outweigh benefits. Thus, ratio of VAT: Perhaps you want to empathetically lean in to a conversation that needs to be had. Stop reducing us and trying to explain away our existence. In addition, high levels of upper body fat are associated with an increased risk of cardiovascular disease CVD , insulin resistance, and diabetes Anderson et al. Samples were obtained at 10 min intervals during the clamp for subsequent measurement of plasma insulin levels by radioimmunoassay Millipore, Linco Research, Inc. Overweight and obesity, and a static body mass index BMI commonly conceal sarcopenia gain in body fat but loss of muscle mass and functional capacity in older people, aggravated by inactivity. All the medical consequences of obesity are multi-factorial but all are alleviated by modest, achievable weight loss 5—10 kg with an evidence-based maintenance strategy. This study tests the hypothesis that sex differences in regional fat distribution contribute to a disparity in insulin sensitivity in older men vs. In most countries, there has been rather rapid and continuing increase in life expectancy.