Weight Loss is Cause for Concern in Older Adults

Though losing weight is often a goal for many people, sudden or unexplained weight loss in older adults is a cause for concern and needs prompt investigation by a doctor. A loss of 10 pounds in a month or more is considered serious and could be the result of several underlying conditions. Cancer is one possible cause of unexplained weight loss, with up to 40% of newly diagnosed cancer patients reporting this symptom in the months before their diagnosis; it is also reported as a symptom by approximately 80% of those patients diagnosed with advanced-stage cancers. If caught early, cancer is much more treatable, so it is very important to mention any unexplained weight loss to a doctor.

Other than cancer, weight loss in seniors can often be attributed to depression, gastrointestinal issues, dementia, and thyroid problems. Seniors are often managing many chronic medical conditions and are on multiple medications. All of these have side effects, and some of the medications may not interact well with each other. Depression can be a side effect of many medications, including some of those for dementia and Parkinson's. It may also arise from bereavement or other major life changes, and is characterized by withdrawal from previously-enjoyed activities or withdrawal from other people, sleep difficulties, and loss of appetite. It can result in marked weight loss. Gastrointestinal issues include trouble swallowing, stomach bleeding or ulcers, acid reflux disease or heartburn, and constipation. These are often side effects of medication and diet, and they can make eating painful. They may also cause changes in a person's sense of taste, leading to loss of appetite or eating only a limited number of foods. A nutrition consult can help in making dietary changes for people with gastrointestinal concerns, allowing them to enjoy balanced meals again. Eating a high-fiber diet will help relieve and prevent constipation, and avoiding acidic or inflammatory foods such as tomatoes and processed meats may help to relieve symptoms of acid reflux disease, along with medication. Both dementia and the medications used to treat it can cause unintended weight loss. People with moderate to severe dementia may not remember whether or not they have eaten, and many dementia medications cause people to not feel hungry. Caregivers can help by trying to keep a food diary to make certain calorie needs are being met. Thyroid issues affect metabolism and alter appetite. They can often be successfully alleviated with synthetic thyroid hormones.

If you or a caregiver notice unexplained or concerning weight loss in a loved one, the first step is to take them to the doctor, just to be certain that any underlying causes are treated. Keeping a food diary for your loved one (if you can), supplementing their diet with nutritional shakes (which can be especially useful if they don't feel like eating), and seeking advice from a nutritionist can all help to ensure your loved one's nutritional needs are met.

An article by john Snow (We Are Changing the Way the World Ages).

John Snow is a freelence writer working for over 5 years. He loves to write on health, fitness, healthy lifestyle and food topics. He currently working for Home care Assistance of Mesa.