Obesity is a global pandemic with serious consequences for public health, directly associatedwith vascular diseases, diabetes, dementia, osteoarthritis, increased mortality and functionaldisability. In older adults, the diagnosis and management of obesity require specific considerations that differ from approaches applied to younger populations. The relationship between agingand obesity is particularly complex and multifactorial, sharing common pathways associated with chronic disease and systemic inflammatory processes. Interventions should focus on the individual, carefully evaluating the impact on both functional and intrinsic capacities, while also considering the expected time to achieve therapeutic benefits. Beyond changes in body mass index and weight, therapeutic strategies should primarily aim to reduce fat mass while simultaneously improving muscle mass and functionality. This ...