ECO24: Ideal Weight For Patients with Diabetes May Vary with Age

For older individuals who are moderately overweight , maintaining rather than reducing weight may be a more practical goal.   What are the main findings?

Response: Our findings suggest that there exists a disparity in the optimal cut-off point for BMI and risk of cardiovascular mortality between elderly and non-elderly individuals with diabetes. Moreover, we have identified a relatively rational range of BMI values to determine the lowest incidence of cardiovascular death among elderly and non-elderly patients with diabetes, which is imperative in this aging society.   How does the ideal weight vary by age? Is there an ‘obesity paradox’ in these findings?

Response: Our research indicated that the ideal weight for individuals with type 2 diabetes may vary slightly by age, with older individuals potentially benefitting from a slightly higher BMI. Maintaining a body mass index (BMI) within the normal range of 23–25 kg/m² was associated with the lowest risk of dying from cardiovascular disease for adults aged 65 years or younger.

However, for individuals over 65 years old, being moderately overweight with a BMI of 26–28 kg/m² was linked to the lowest risk of cardiovascular death. In the elderly population with diabetes, the obesity paradox has been observed. It is worth noting that weight loss poses particular challenges for older individuals as a result of metabolic changes and muscle loss. Therefore, for older individuals who are moderately overweight , maintaining rather than reducing weight may be a more practical goal. What should readers take away from your report?

Response: I would like to emphasize the importance of personalized weight management strategies for individuals with type 2 diabetes, taking into account factors such as age, comorbidities, and lifestyle.

I have no disclosures to report related to this study.


ECO 2024 Abstract:0243

Age differences in the association between body mass index and risk of
cardiovascular death in people with diabetes: a cohort study based on uk

The information on is provided for educational purposes only, and is in no way intended to diagnose, cure, or treat any medical or other condition. Always seek the advice of your physician or other qualified health and ask your doctor any questions you may have regarding a medical condition. In addition to all other limitations and disclaimers in this agreement, service provider and its third party providers disclaim any liability or loss in connection with the content provided on this website.

Last Updated on April 1, 2024 by weightcontrol