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Peer-reviewedCC BY 4.0Journal of the American Geriatrics Society

One Size Fits None: Developing a Person‐Centered Approach to Weight Management in Older Adults

  • Aruna V. Josyula1,2
  • Jennifer Muniak3
  • Anushka Tandon4
  • Noelle Marie Javier5
  • Michi Yukawa6,7
  • Colleen Christmas8
  • Timothy W. Farrell9,10
10 affiliations
  1. 1Central Texas Veterans Health Care System Temple Texas USA
  2. 2Texas A&M University, Vashisht College of Medicine College Station Texas USA
  3. 3University of Rochester Rochester New York USA
  4. 4U.S. Department of Veterans Affairs Edward Hines Jr. VA Hospital Hines Illinois USA
  5. 5Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai New York New York USA
  6. 6Department of Medicine, Division of Geriatrics University of California San Francisco San Francisco California USA
  7. 7Short Stay Rehabilitation Unit San Francisco Campus for Jewish Living San Francisco California USA
  8. 8Johns Hopkins School of Medicine Baltimore Maryland USA
  9. 9Division of Geriatrics, Department of Internal Medicine Spencer Fox Eccles School of Medicine, University of Utah Salt Lake City Utah USA
  10. 10VA Salt Lake City Geriatric Research, Education, and Clinical Center Salt Lake City Utah USA
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Abstract

Key Points ○Weight management in older adults requires an understanding of age‐related physiologic and psychosocial differences relative to a younger adult population.

○Cultural humility and trauma‐informed language guide safe and respectful discussions about weight.

○Effective communication regarding weight management incorporates the Geriatrics 5Ms framework, patient permission, and stigma reduction strategies.

○Intentional weight loss should prioritize preservation of lean mass and functional safeguards.

Why Does This Paper Matter? ○Weight management interventions in older adults carry unique clinical risks and treatment discussions are often complicated by stigma.

○This commentary provides a practical, person‐centered framework to help clinicians conduct safe, empathetic weight‐related conversations aligned with What Matters Most to patients.

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Cite

BibTeXRIS
BibTeX
@article{josyula2026size,
  title = {{One Size Fits None: Developing a Person‐Centered Approach to Weight Management in Older Adults}},
  author = {Aruna V. Josyula and Jennifer Muniak and Anushka Tandon and Noelle Marie Javier and Michi Yukawa and Colleen Christmas and Timothy W. Farrell},
  journal = {Journal of the American Geriatrics Society},
  year = {2026},
  month = jul,
  doi = {10.1111/jgs.70586},
  url = {https://doi.org/10.1111/jgs.70586},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - One Size Fits None: Developing a Person‐Centered Approach to Weight Management in Older Adults
AU  - Aruna V. Josyula
AU  - Jennifer Muniak
AU  - Anushka Tandon
AU  - Noelle Marie Javier
AU  - Michi Yukawa
AU  - Colleen Christmas
AU  - Timothy W. Farrell
PY  - 2026
DA  - 2026/07/11
JO  - Journal of the American Geriatrics Society
DO  - 10.1111/jgs.70586
UR  - https://doi.org/10.1111/jgs.70586
AB  - Key Points ○Weight management in older adults requires an understanding of age‐related physiologic and psychosocial differences relative to a younger adult population.  ○Cultural humility and trauma‐informed language guide safe and respectful discussions about weight.  ○Effective communication regarding weight management incorporates the Geriatrics 5Ms framework, patient permission, and stigma reduction strategies.  ○Intentional weight loss should prioritize preservation of lean mass and functional safeguards.  Why Does This Paper Matter? ○Weight management interventions in older adults carry unique clinical risks and treatment discussions are often complicated by stigma.  ○This commentary provides a practical, person‐centered framework to help clinicians conduct safe, empathetic weight‐related conversations aligned with What Matters Most to patients.
SN  - 0002-8614
SN  - 1532-5415
ER  -