{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:57:50Z","timestamp":1792321070958,"version":"4.4.0"},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p> Context Obesity in the elderly is associated with exacerbation of functional decline (dependency), that occurs with aging, because of decreased muscle mass and strength, and increased joint dysfunction. Consequently, there is progressive loss of independence, autonomy, chronic pain and impaired quality of life. The weight loss can bring benefits in all these aspects, especially when accompanied by exercises. Elderly patients with morbid obesity may be submitted to surgical treatment, taking into account that the massive weight loss, eventually caused by bariatric surgery, may exacerbate the loss of muscle mass and nutritional complications that may bring harm to the overall health and quality of life of these patients. The functional assessment of elderly patients, candidates for bariatric surgery and the extent to which surgery can bring benefits to the patients, in the field of functionality, has still to be determined.   Objective To describe profile functionality in obese elderly referred to a bariatric surgery program.   Methods Patients with age \u226560 and BMI \u226535 underwent comprehensive geriatric assessment that evaluates co morbidities, medication use, ability to perform basic activities of daily living and instrumental activities of daily living, and the \u201cTimedupandgo\u201d test to evaluate mobility, whose cut-off point was \u226410 seconds. Statistical analysis was performed in order to see if there is a positive correlation of dependency with BMI and age (over or under 65 years).   Results Forty subjects have completed evaluation. The mean age was 64.1 years (60-72) and 75% were women. They had an average weight of 121.1 kg (72.7-204) and a mean BMI of 47.2 kg\/m2 (35.8-68.9). 16 patients (40%) have shown dependency for activities of daily living, 19 (47,5%) for instrumental activities of daily living and 20 patients (50%) had a \u201cTimedupandgo\u201d test over 10 seconds. Statistical analysis (t-Student, Mann-Whitney, Binary Logistic Regression) has shown positive correlation of dependency in activities of daily living for BMI &gt;49 kg\/m2, dependency in instrumental activities of daily living for BMI &gt;46,5 kg\/m2, and \u201cTimedupandgo\u201d test greater than 10 seconds for BMI &gt;51 kg\/m2 (P&lt;0,05). No dependency difference was observed for patients over or under 65 years age.   Conclusions Functional decline is observed in almost half of the morbid obese patients over 60 years old. It is related to increasing BMI (BMI &gt;46,5 kg\/m2) but not related to age (60 to 65 years or over 65 years). Functional decline should be considered a co-morbidity in the elderly obese patients and should be assessed before bariatric surgery in this population.<\/jats:p>","DOI":"10.1590\/s0004-28032014000100006","type":"journal-article","created":{"date-parts":[[2014,7,2]],"date-time":"2014-07-02T08:40:16Z","timestamp":1404290416000},"page":"25-28","source":"Crossref","is-referenced-by-count":15,"title":["FUNCTIONAL ASSESSMENT OF OLDER OBESE PATIENTS CANDIDATES FOR BARIATRIC SURGERY"],"prefix":"10.1590","volume":"51","author":[{"given":"Denis","family":"PAJECKI","sequence":"first","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo \u2013 HC-FMUSP,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco Aur\u00e9lio","family":"SANTO","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo \u2013 HC-FMUSP,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Lumi","family":"KANAGI","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo \u2013 HC-FMUSP,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"RICCIOPPO","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo \u2013 HC-FMUSP,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto de","family":"CLEVA","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo \u2013 HC-FMUSP,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"CECCONELLO","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo \u2013 HC-FMUSP,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","first-page":"302","article-title":"Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life","volume":"9","author":"Bales CW","year":"2008","journal-title":"J Am Med Dis Assoc. 2008;9:302-12."},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1995","DOI":"10.1038\/oby.2004.250","article-title":"Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly","volume":"12","author":"Baumgartner RN","year":"2004","journal-title":"Obes Res."},{"key":"ref3","article-title":"Antropometria e estado nutricional de crian\u00e7as, adolescentes de adultos no Brasil","year":"2010","journal-title":"Pesquisa de or\u00e7amentos familiares (2008-2009)"},{"key":"ref4","series-title":"Portaria n. 390 de 06 de julho de 2005","year":"2010"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/archsurg.141.1.71","article-title":"National trends in bariatric surgery 1996-2002","volume":"141","author":"Davis MM","year":"2006","journal-title":"Arch Surg."},{"key":"ref6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s11605-011-1749-6","article-title":"Bariatric surgery outcomes in the elderly: an ACS NSQIP study","volume":"16","author":"Dorman RB","year":"2012","journal-title":"J Gastrintest Surg."},{"key":"ref7","first-page":"497","article-title":"Long term pharmacoterapy for obesity in the elderly patients","volume":"27","author":"Horie NC","year":"2010","journal-title":"Drug Aging 2010;27:497-506."},{"key":"ref8","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1046\/j.1532-5415.2002.50220.x","article-title":"Obesity is associated with functional decline in community-dwelling rural older persons","volume":"50","author":"Jensen GL","year":"2002","journal-title":"J Am Geriatr Soc."},{"key":"ref9","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/00075197-200401000-00002","article-title":"Obesity in the elderly: who should we be treating, and why, and how?","volume":"7","author":"Kennedy RL","year":"2004","journal-title":"Curr Opin Nutr Metab Care"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1111\/j.1532-5415.2008.01813.x","article-title":"Obesity, physical function and mortality in older adults","volume":"56","author":"Lang IA","year":"2008","journal-title":"JAGS"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1159\/000341193","article-title":"Obesity Management Task Force of the European Association for the Study of Obesity. Prevalence, pathophysiology, health consequences and treatment options of obesity in the elderly: a guideline","volume":"5","author":"Mathus-Vliegen EM","year":"2012","journal-title":"Obes Facts"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/j.1532-5415.2008.02089.x","article-title":"Chronic pain and obesity in the elderly people: results from Einstein aging study","volume":"57","author":"McCarthy LH","year":"2009","journal-title":"J Am Geriatr Soc."},{"key":"ref13","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.soard.2006.02.012","article-title":"Outcomes of bariatric surgery in patients >or =65 years","volume":"2","author":"Nelson LG","year":"2006","journal-title":"Surg Obes Relat Dis."},{"key":"ref14","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/j.1532-5415.1991.tb01616.x","article-title":"The Time \u201cUp and GO\u201d test of basic functional mobility for Frail Elderly Persons","volume":"39","author":"Podsiadlo D","year":"1991","journal-title":"J Am Geriat Soc."},{"key":"ref15","series-title":"D.O.U de 12 de fevereiro de 2010 se\u00e7\u00e3o I, p.72","year":"2010"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1046\/j.1467-789x.2001.00034.x","article-title":"Obesity in the elderly \u2013 a future matter of concern?","volume":"2","author":"Rossner s","year":"2001","journal-title":"Obesity Reviews"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1590\/S0004-28032013000100010","article-title":"Early complications in bariatric surgery: incidence, diagnosis and treatment","volume":"50","author":"Santo MA","year":"2013","journal-title":"Arq Gastr."},{"key":"ref18","first-page":"1621","article-title":"Appropriateness criteria for bariatric surgery: beyond the NIH guidelines","volume":"17","author":"Yerminlou I","year":"2009","journal-title":"Obesity"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.numecd.2007.10.002","article-title":"Sarcopenic obesity: a new category of obesity in the elderly","volume":"18","author":"Zamboni M","year":"2008","journal-title":"Nutr Metab Cardiovasc Dis."}],"container-title":["Arquivos de Gastroenterologia"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ag\/v51n1\/0004-2803-ag-51-01-00025.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T22:52:05Z","timestamp":1495925525000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0004-28032014000100025&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,3]]}},"alternative-id":["S0004-28032014000100025"],"URL":"https:\/\/doi.org\/10.1590\/s0004-28032014000100006","relation":{},"ISSN":["0004-2803"],"issn-type":[{"value":"0004-2803","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3]]}}}