As we get older, our health becomes more important than ever. With obesity rates on the rise among older adults, finding effective ways to manage weight and improve health is essential. But did you know that bariatric surgery, a proven weight-loss intervention, could be a viable option for adults aged 65 and older? Many people often ask, What age can you get weight loss surgery, or more specifically, what is the maximum age for bariatric surgery, and new research suggests the answer may surprise you.
A recent systematic review and meta-analysis published in Obesity Reviews sheds light on the effectiveness and safety of laparoscopic bariatric surgery for older adults. The study reveals that bariatric surgery can provide significant weight loss and health benefits, with a low absolute risk (major complications ~2%, mortality ~1%), though slightly higher than in younger patients.
Bariatric Surgery: A Safe and Effective Solution for Older Adults
Traditionally, bariatric surgery has been associated with younger adults. But as the global population ages, more and more people are asking, “Could this surgery benefit older adults too?” It’s common to wonder, at what age can you get weight loss surgery, and the reality is that while many patients are between 18 and 65, there is no strict upper limit. In fact, one of the most frequent concerns is, what is the maximum age for bariatric surgery.
The research analysed data from 14 studies, including 3,923 adults aged 70 and older who underwent laparoscopic bariatric surgery, mainly focusing on sleeve gastrectomy and Roux-en-Y gastric bypass. While the studies varied in design and outcomes, the results were compelling.
Significant Weight Loss and Health Improvements
One year after surgery, patients experienced an average excess weight loss (EWL) of 54.66%. This major weight loss was accompanied by improvements in health, including remission of obesity-related conditions like diabetes, hypertension, and sleep apnoea.
By the final follow-up, 50% of patients with diabetes, 36% with hypertension, 50% with gastro-oesophageal reflux, 36% with sleep apnoea, and 25% with hyperlipidaemia had entered remission. This meant they no longer required medication or had significantly reduced their doses.
Safety and Study Limitations
Safety is always top of mind when it comes to surgery, especially for older adults. The good news is that this study found bariatric surgery in this age group carries a low absolute risk (major complications ~2%, mortality ~1%), though slightly higher than in younger patients.
It’s important to note that the evidence has limitations. Most of the included studies were retrospective and varied in design, and long-term outcomes in this age group remain less well studied.
Why This Matters for Older Adults
This study underscores an important point: age alone should not be a barrier to bariatric surgery. So, if you’ve been asking yourself, what is the maximum age for bariatric surgery, the answer is that there isn’t a single cut-off. With the right patient selection, older adults can benefit from weight loss and health improvements, leading to greater independence and fewer health complications.
That said, at Phoenix Health, we assess every patient individually. Patient selection should consider frailty, cardiorespiratory risk, sarcopenia, and overall health, ideally with input from a multidisciplinary team. While further research is needed to fully understand the long-term impact of bariatric surgery in older adults, the current findings suggest it could play a key role in obesity management for this age group.
What Does This Mean for You?
Whether you’re wondering what age can you get weight loss surgery or asking what is the maximum age for bariatric surgery, the encouraging news is that even patients over 65 may be suitable candidates with the right health assessment. With the potential for significant weight loss, improved health, and a better quality of life, weight loss surgery could offer a fresh start. And while risks are slightly higher than in younger adults, they remain relatively low when assessed carefully on a case-by-case basis.
If you’re considering bariatric surgery or have questions, we’re here to help! Reach out to Phoenix Health via our enquiry form or give us a call directly at 01244 738 159. Let’s talk about how we can support you on your journey to better health.
Reference:
Kapała, J., Maroszczuk, T. and Dowgiałło-Gornowicz, N. (2023) ‘Efficacy and safety of laparoscopic bariatric surgery in patients of 70 years and older: A systematic review and meta-analysis’, Obesity Reviews. Available at: https://onlinelibrary.wiley.com/doi/10.1111/obr.13867
Medically Reviewed by Mr. Qutayba Almerie, MD, MSc, FRCS
Consultant Upper GI & Bariatric Surgeon, Medical Director at Phoenix Health.
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