Obesity

Weight Loss and Physical Activity Reduces Perceived Physical Fatigability Among Older Adults With Obesity

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

Multiple physical activity strategies in conjunction with weight loss improved perceived physical fatigability over time among older adults with obesity.

Study context

Population
Older adults with obesity in a dietary weight loss program (caloric deficit ≈400 kcal/day, weekly dietitian support); 69.6 ± 4.3 years, 77% female, 74% White, BMI 35.6 ± 3.8 kg/m²randomized to 3 groups
Participants
183 adults
Comparison
Aerobic exercise vs daylong movement vs combination, each with dietary weight loss
  • Aerobic exercisen = 60
  • Daylong movementn = 63
  • Combinationn = 60
Primary endpoint
Perceived physical fatigability: PFS Physical score (0-50) and RPE after a 5-min 0% grade treadmill walk (6-20); higher = greater fatigability
Follow-up
Baseline, 6 months and 18 months
Methodological detailsthree-arm
  • Three-arm

Primary result

As reported in the abstract

PFS Physical score change from baseline (all participants) · 6 months

Change in PFS score, baseline to 6 months (p = 0.002)

−4.4 points

Change in PFS score, baseline to 18 months (p = 0.03)

−3.0 points

Further findings

Baseline fatigability

PFS Physical score, mean ± SD
20.6 ± 7.6
RPE Fatigability, mean ± SD
9.6 ± 1.9

Original publication

Weight Loss and Physical Activity Reduces Perceived Physical Fatigability Among Older Adults With Obesity. Obesity (Silver Spring). Published 9 September 2026. doi:10.1002/oby.70298

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