# For Older Adults With Obesity, Diet Plus Exercise Plus Coaching Beats Any Single Fix

- **Evidence Level**: Strong
- **Journal**: Obesity reviews : an official journal of the International Association for the Study of Obesity
- **Sample Size**: 6,716 community-dwelling older adults with obesity across 72 RCTs
- **Published**: 2026-04-03
- **Topics**: obesity, exercise, aging
- **Original Source**: https://pubmed.ncbi.nlm.nih.gov/41933504/

## Summary

Combining calorie restriction, exercise, and behavioral coaching improved physical function in older adults with obesity more than any single approach alone. That triple combo also reduced body fat without significantly cutting lean mass or bone density. The physical function finding had high-certainty evidence, while body composition results were less certain. Data on quality of life and psychological outcomes were too limited to draw conclusions.

## Practical Takeaway

This suggests older adults with obesity may benefit most from combined diet, exercise, and behavioral support.

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