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This population often has prior history of struggles through weight\u2010loss attempts during the middle years of life. Therefore, weight\u2010loss intervention needs a personalized approach, taking into consideration weight\u2010loss attempts, relapse, and life events, including bariatric surgery, functional limitations, psychosocial status, and current residential environment. Racial and ethnic and systemic disparities based on gender, sexual orientation, rurality, zip code, and income merit attention, as they are barriers to obesity management. Intensive lifestyle intervention with dietary changes and physical activity remains the cornerstone of obesity management, with pharmacotherapy and bariatric surgery as adjuncts in the armamentarium. With the revolutionary influx of antiobesity medications, geriatricians face the challenge to treat obesity with limited evidence\u2010based interventions in older adults. The goal of this review is to guide geriatricians with current evidence of obesity management in older adults. This review highlights the need for a tailored weight\u2010management approach to be delivered to this fast\u2010growing segment of the population with complex needs, which is predicted to impact health care economics due to the related comorbidities and disabilities.<\/jats:p>","DOI":"10.1002\/oby.24267","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T11:57:51Z","timestamp":1752062271000},"page":"41-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A geriatrician's approach to managing the complex older adult with obesity"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3631-8232","authenticated-orcid":false,"given":"Shenbagam","family":"Dewar","sequence":"first","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Geriatric Research Education and Clinical Center (GRECC) Veterans Affairs Ann Arbor Healthcare System  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.3060"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12551"},{"key":"e_1_2_10_4_1","unstructured":"Centers for Disease Control and Prevention. 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