AWM: Weight Management Interventions Provided by Dietitians for Older Adults (2021)

Intervention
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on body mass index?
- Conclusion
  In postmenopausal women 50-75 years of age with overweight or obesity, weight management interventions provided by a dietitian likely reduce BMI.
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on body mass index?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on percent weight loss?
- Conclusion
  In adults ≥50 years of age with overweight or obesity, weight management interventions provided by a dietitian likely result in improved percent weight loss.
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on percent weight loss?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on waist circumference?
- Conclusion
  In adults ≥50 years of age with overweight or obesity, weight management interventions provided by a dietitian likely reduce waist circumference.
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on waist circumference?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on fasting blood glucose?
- Conclusion
  In adults ≥50 years of age with overweight or obesity, weight management interventions provided by dietitians may reduce fasting blood glucose slightly.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on fasting blood glucose?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on blood pressure?
- Conclusion
  In adults ≥60 years of age with overweight or obesity, weight management interventions provided by a dietitian may reduce systolic blood pressure slightly but had no effect on diastolic blood pressure.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on blood pressure?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Cai R, Chao J, Li D, Zhang M, Kong L, Wang Y. Effect of community-based lifestyle interventions on weight loss and cardiometabolic risk factors in obese elderly in China: A randomized controlled trial. Experimental Gerontology 2019; 128:110749
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on quality of life?
- Conclusion
  In adults ≥50 years of age with overweight or obesity, weight management interventions provided by a dietitian may increase physical and mental quality of life.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on quality of life?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on adverse events?
- Conclusion
  In adults ≥50 years of age with overweight or obesity, weight management interventions provided by a dietitian likely do not result in serious adverse events. However, interventions including exercise may result in adverse events such as reduced bone mineral density or skeletal pain.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults with overweight or obesity, what is the effect of weight management interventions provided by a dietitian or international equivalent, compared to usual care or no intervention from a dietitian, on adverse events?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)