Online since 2004, Travel to Wellness was the first online travel magazine for the wellness-minded. Thirteen years later we continue to bring you news and information from destinations around the world, wellness retreat and vacation options, travel advice from those in the know, stories and tips on wellness living and more. We also work with a variety of companies in the wellness travel space to bring you the best of what this growing travel sector offers. Read More
This approach is extremely effective at improving aerobic fitness, boosting metabolism, and burning body fat. In fact, these type of workouts can increase the number of calories you burn at rest for up to 72 hours after your workout ends as your body expends energy to repair your muscles, according to a study in the European Journal of Applied Physiology. Klika and Jordan also believe that high-intensity circuit training may help you lose more fat than traditional resistance training, they write, because resistance training with short rest periods release greater levels of fat-burning human growth hormone immediately after exercise.
My son was competing nationally and had to cut almost 20 pounds in 2 days… and he had to wrestle 3 hours after weigh in… (he had two classes to wrestle in 175 or 200 – he though he was 185 and just needed 10 pounds but when he stepped on the scale Wednesday night (friday weigh in) he was 192. He spent a lot of time in the hot tub and ate chicken and broccoli and made weight – then he drank too much too fast and ate two peanut butter, honey and banana sandwhiches… but couldn’t really recover in time… he lost his first match, won his next 4, but getting into the losers column means you wrestle almost every 25 minutes and he couldn’t gain back the stamina… suggestions when you don’t have 24 hours? I think he did pretty good on the cutting weight part (he could have drank more water earlier in the week) but gaining it back along with his energy never really happened – he was done within 24 hours of weigh in…
But perhaps the biggest change has been in my mindset. I’m learning that health is all about balance, which I’ve always known but to be here and live it has been eye opening and comforting seeing it firsthand. It’s so easy to fall into an "all or nothing" mindset, thinking that if I couldn't do everything perfectly then it wasn't worth trying or if I “messed up” then it wasn’t worth continuing on. 

Get down on all fours with your hands slightly wider than your shoulders. Lift your knees, your body should form a straight line from your head to your ankles. Bend your arms to lower your body until your chest nearly touches the floor, then push back up to the starting position. If this is too difficult, rest your knees on the floor and perform the exercise from this position.
A healthy rate of weight loss is typically anywhere from ½ to 2 pounds per week, she says. But try not to get too caught up in these weekly numbers. Instead, focus on consistency when it comes to eating well and working out. “The best thing to do is to slowly change your habits and build sustainable, healthy eating patterns over time,” says Rumsey.
New York City-folk can plan a weekend getaway for one of Gurney's Montauk wellness retreats and score a customized schedule full of fitness and wellness activities geared to refresh your mind, body and—yep—soul. Whether you want an array of Dailey Method classes at their weekend retreat or days full of water sports as part of the Paddle Diva experience, you're pretty much guaranteed to find something that fits you best. Bonus: The resort's also partnered with Wellthily to host wellness weekends and pop-ups throughout the summer (you know, in case one weekend just isn't enough), featuring panel discussions and classes by top instructors and studios across the country (think Bari studio and New York Pilates, for starters).
To our knowledge, the current investigation is among the first studies in adults to evaluate the associations of PFAS exposures with changes in body weight and metabolic parameters induced during a controlled weight-loss trial. All individual PFASs were significantly associated with more weight regain in women, but not in men, which was in agreement with previous studies in which the intergenerational effects of PFASs on body weight were observed only in girls and not in boys [21,25,26]. Although the reasons for these gender-specific findings are still unclear, accumulating evidence from experimental research suggests that PFASs are able to interfere with estrogen metabolism and functionalities [12,50,51]. As potential endocrine disruptors, PFASs might reduce estradiol production and the expression of some key genes related to estrogen synthesis [12], or influence estradiol concentrations through pathways such as hepatic aromatase induction, with an initial inhibition and a later stimulation [50]. Using in vitro and in silico species comparison approaches, Benninghoff et al. reported that PFASs may interact directly with estrogen receptors, suggesting that PFASs could act as weak environmental xenoestrogens [51]. The experimental evidence implies that the detrimental effects of PFASs can be sex-specific, thus supporting the notion that women may be particularly vulnerable to obesogenic effects of PFASs. In addition, it is worth noticing that women generally have a higher percentage of body fat than men [52]. Given that fat-free mass could substantially influence RMR, the difference in body composition between men and women could result in significant differences in energy homeostasis dynamics [52].
In addition to improving your health, maintaining a weight loss is likely to improve your life in other ways. For example, a study of participants in the National Weight Control Registry* found that those who had maintained a significant weight loss reported improvements in not only their physical health, but also their energy levels, physical mobility, general mood, and self-confidence.
The funny thing to me is that what was described in the article was not at all foreign to me and I was thinking “what’s new” when I was reading it, but if you’ve never done it before, it’s really really unpleasant. We’d always fly in the night before the weigh ins and the day of, I’d often wake up at 5am and cut for 12 hours straight. The hardest part is to have the discipline to not check your weight too frequently because it gets extremely hard to get your sweat going when you’re dehydrated, especially in the absence of a sauna. My mom also noticed that I’d go running in a foot of fresh snow at 3am when I’d have an early flight and at that point she decided she didn’t have to worry about my determination.
Stavrou, S., Nicolaides, N. C., Papageorgiou, I., Papadopoulou, P., Terzioglou, E., Chrousos, G. P., … Charmandari, E. (2016, July 31). The effectiveness of a stress-management intervention program in the management of overweight and obesity in childhood and adolescence. Journal of Molecular Biochemistry, 5(2), 63–70. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996635/
Rancho La Puerta was founded nearly 70 years ago as the original destination fitness resort and spa.  The ranch offers an Executive Wellness program, natural wellness therapies, mindfulness sessions, and nutrition by a panel of expert practitioners. Follow up care is through the WellnessFX online program, which permits guests to access lifelong wellness from home before, during and after a visit to the Ranch.

Great question, Cain. The cumulative stress of training for a competition and then cutting 10-20 pounds certainly does compromise the immune system. (So does competition itself, for a few hours after the event). Then, when you stuff hundreds of people in an arena or auditorium, all sharing their bacteria and viruses with those compromised immune systems…so getting a cold is the very common. All big athletic events are like this: marathons, tournaments, etc. 

A healthy weight loss program should never be about dieting alone. It should be a balanced approach including nutrition that’s right for your metabolism, sensible exercise, food preparation management and the right mindset.  This retreat embodies that holistic approach, with personalized tools to get your weight to where you want it to be and continued support with weight management thereafter. Your pre-arrival consultation will guide our team of nutritionists, chefs, personal trainers, physiologists and instructors, to prepare your bespoke plan of action and help you execute it.
I decided to start the Fit Body Weight Loss Program with my wife as a way to keep each other accountable with our weight loss goals. In about 8 weeks I released 25 pounds and went from an uncomfortable 42 inch waist to a loose 38 inch waist line. The pictures show the difference and I feel great! I continued on the program to reset my metabolism and have maintained my weight loss. This program has made a huge difference in my health! My energy and endurance has greatly increased along with an overall general feeling of increased self esteem. Thank you for the instruction, help and encouragement!
1) Out of curiosity, do you aim to keep your athletes just out of ketosis range, or is temporary ketosis a state you shoot for in order to expedite weight loss in that five-day period prior to weigh-in? (or do you consider it too lengthy/finicky a transition to even bother?) What are your thoughts on ketosis for a more sustained weight loss effort, say over months and not days?
As I posted above, HS wrestlers (also, many other grappling sport athletes) aren’t given the full 24 hours to recover from depletion. Some sports have mat-side weigh-ins. Others are just given a few hours after weigh-in to replenish. For these sports, athletes are best served focusing on year-round nutrition strategies, ones that help them stay at a weight very close to the weight they’d like to compete at.
We’ve already discussed how the color red may act as an appetite suppressant (hence the need for red dishes) but apparently that’s not the only color you should be taking note of as you prepare to eat. Per a recent study from Cornell University, diners actually serve themselves more food if the color of their food matches the color of their plate. In other words, if you’re eating from a white plate, you’re more likely to help yourself to more rice or pasta. Conversely, if your goal is to eat less, select plates that have high contrast with what you plan to serve for dinner.
Low body weight and rapid unintentional weight loss are highly predictive of mortality and morbidity in the elderly population. Weight loss is frequently reported in elderly patients. Acute and chronic diseases are leading causes of involuntary weight loss. Whereas physical disease probably accounts for a majority of cases of involuntary weight loss, psychiatric disorders such as dementia and depression also may result in severe nutritional deficiencies. Additional physiological, psychological, and social factors may affect food intake and body weight. Changes in body composition include loss of height and lean body mass and lower basal metabolic rate. Energy requirements decrease because of the lower basal metabolic rate and reduced physical activity. These low energy requirements make it more difficult for the elderly to obtain adequate amounts of required nutrients. Food intake regulation, taste, and olfactory sensitivity may be altered. As 50% of Americans have lost all of their teeth by age 65, chewing problems are often present. Other factors that contribute to poor nutritional status include alterations in the gastrointestinal tract, functional disabilities, lowered socioeconomic status, and social isolation. Finally, because of the increase in both physical and psychiatric disease, the elderly are major users of prescription drugs. Drug/nutrient interactions can result in anorexia and weight loss. The findings indicate that factors causing unintentional weight loss are highly interrelated and difficult to separate. Health care professionals must monitor body weight in elderly persons and carefully evaluate any cases of rapid, unintentional weight loss to prevent further deterioration of health status.
We’ve already established that friends and family play a key role in motivating you to get in shape and maintain a healthy lifestyle, but it’s also crucial for you to be your own driving force. Luckily, research has shown that doesn’t need to require a tremendous amount of effort. According to a 2015 study in the Journal of Marketing Research, subtle, even subliminal, messages may be more effective at helping us stick to a healthy eating regimen than ongoing, conscious focus. The research showed that people who receive reinforcing notes urging them to eat healthily were more likely to make smarter choices than those who tried to keep their goals top of mind at all times, so grab some Post-Its and start crafting motivational messages!
Using standardized questionnaires, we obtained information on age, sex, race (white, black, Hispanic, or other), educational attainment (high school or less, some college, or college graduate or beyond), smoking status (never, former, or current smoker), alcohol consumption (drinks/week), menopausal status (yes or no), and hormone replacement therapy use (yes or no). At baseline, 6 months, and 24 months, physical activity was assessed using the Baecke physical activity questionnaire, which included 16 items inquiring about levels of habitual physical activities (i.e., physical activity at work, sports during leisure time, and other physical activity during leisure time) [43]. All responses were pre-coded on 5-point scales. Total physical activity was expressed as the average of the sum of the individual responses, with a score ranging from 0 to 5 [43].
“You need a combination of both weight training and cardio to get fat off your body,” Mike Duffy, CPT, tells us in 17 Easy Ways to Get Rid of Back Fat, adding, “Cardio alone will only train one type of muscle fiber and you’ll only be building one part of your fat-burning furnace. I see many people doing tons of cardio every day and not lifting weights. They never change the way they look.”
While ketchup and BBQ sauce are frequently used to help flavor beef, chicken, and the like, the tasty condiments are no friend to your waistline. Ketchup, for example, typically contains around 19 calories and 4 grams of belly-bloating sugar per tablespoon, and BBQ sauce is just as unhealthy, if not worse. To avoid consuming empty calories and unhealthy added sugar, have condiments such as mustard and sauerkraut on hand. While mustard has been linked to revving your metabolism, fermented sauerkraut will help balance the bacteria in your gut.

High fiber diet benefit # 1: The "fill" factor - Because high fiber diet foods like fruits and vegetables supply plenty of bulk to your meals without adding a lot of calories, they keep you feeling full longer and help you lose weight, according to a study at the Human Nutrition Research Center at Tufts University. Researchers concluded that a low fat diet works only if it’s also a high fiber diet - rich in healthy foods like fruits, vegetables and whole grains, all of which fill you up on fewer calories and less fat. In contrast, a low fat diet that is low in fiber and high in sugar, salt and preservatives can lead to bloating and weight gain.
Driving to work may be easy, but it’s also part of what’s inhibiting you from losing weight. According to a study in the British Medical Journal, those who drive to work gain more weight than those who take public transportation. Per the research, commuting by car slaps an extra 5.5 pounds on your body, whether you exercise or not. And a Japanese study found that people who take public transportation to work were 44 percent less likely to be overweight, 27 percent less likely to have high blood pressure, and 34 percent less likely to have diabetes. If possible, consider leaving the car in the driveway and walking, biking, or commuting to work via public transportation a few times per week.
3. Be realistic about which habits need to go. "When I was heavy, I'd eat French fries every single day, plus carbs at almost every meal—like a sandwich for lunch or bread with pasta for dinner. A diet so heavy in fried food and carbs just isn't conducive to weight loss. To lose the weight, I went from three large meals a day to six small meals, mostly made of fresh vegetable salads with lean meats and nuts. And no more bread!"
Gastrointestinal disorders are another common cause of unexplained weight loss – in fact they are the most common non-cancerous cause of idiopathic weight loss.[citation needed] Possible gastrointestinal etiologies of unexplained weight loss include: celiac disease, peptic ulcer disease, inflammatory bowel disease (crohn's disease and ulcerative colitis), pancreatitis, gastritis, diarrhea and many other GI conditions.
Nutritionist, Emma Wight-Boycott says: “Skipping meals is disastrous for weight loss! It has a three-pronged impact - firstly it causes blood sugar imbalance which makes us crave sugar or carbohydrates within 2 hours of our regular meal time. Secondly it makes our bodies burn muscle, not fat, for energy. Finally the body has its own 'food clock' (like a body clock for time) that regulates our metabolism and this becomes sleepy or sluggish when it is out of routine (think shift workers or jet lag)." 

Are frequent meals your ticket to a better body? Experts say so! In a Journal of the Academy of Nutrition and Dietetics study that sampled 2,385 adults, research participants who ate less than four times a day consumed more calories and had a higher BMI than those who sat down to eat at least six times. The scientists noticed that those who ate fewer meals consumed most of their calories at night and were more apt to drink alcohol with their meals while their ever-grazing counterparts tended to eat healthier, less calorically dense foods. To keep the weight flying off your frame, nosh on these high-protein snacks between meals.
This is not a rough-around-the-edges weight loss boot camp that you will find at a discounted price on Groupon (though those have their value, too). Instead, this is a wellness retreat that teaches you how to move your body in a way that opens up attunement and respect for what it’s capable of. The movement will show you your own strength, both for the ability to move it and for the ability to commit to it. It’s an empowering experience to learn how to move your body. I promise that you will fall in love with your body when you realize just what it is capable of.

Rancho La Puerta was founded nearly 70 years ago as the original destination fitness resort and spa.  The ranch offers an Executive Wellness program, natural wellness therapies, mindfulness sessions, and nutrition by a panel of expert practitioners. Follow up care is through the WellnessFX online program, which permits guests to access lifelong wellness from home before, during and after a visit to the Ranch.


Weight loss isn’t a linear event over time. When you cut calories, you may drop weight for the first few weeks, for example, and then something changes. You eat the same number of calories but you lose less weight or no weight at all. That’s because when you lose weight you’re losing water and lean tissue as well as fat, your metabolism slows, and your body changes in other ways. So, in order to continue dropping weight each week, you need to continue cutting calories.
easy way for to lose belly fat

Apparently there’s a special ingredient in grapefruit that, when eaten with a form of protein, triggers a fat-burning process and therefore results in weight loss. So, the idea is to start each meal with half a grapefruit, eat lots of protein and drink plenty of water and black coffee. While this diet may help you lose a few pounds, any weight lost will pile straight back on once you return to your normal diet. Such a drastic reduction in your intake of calories can also result in dizziness and an upset stomach, plus it’s so very boring!
My son was competing nationally and had to cut almost 20 pounds in 2 days… and he had to wrestle 3 hours after weigh in… (he had two classes to wrestle in 175 or 200 – he though he was 185 and just needed 10 pounds but when he stepped on the scale Wednesday night (friday weigh in) he was 192. He spent a lot of time in the hot tub and ate chicken and broccoli and made weight – then he drank too much too fast and ate two peanut butter, honey and banana sandwhiches… but couldn’t really recover in time… he lost his first match, won his next 4, but getting into the losers column means you wrestle almost every 25 minutes and he couldn’t gain back the stamina… suggestions when you don’t have 24 hours? I think he did pretty good on the cutting weight part (he could have drank more water earlier in the week) but gaining it back along with his energy never really happened – he was done within 24 hours of weigh in…
Is your obsession with Reese’s and Pringles derailing your weight loss efforts? It might be if you’re not using the self-checkout kiosks at the grocery store. Let us explain: According to a study by IHL Consulting Group, impulse purchases dipped 32.1 percent for women and 16.7 percent for men when they scanned their items and swiped their credit card on their own. Although not all impulse buys are bad for your belly, a whopping 80 percent of candy and 61 percent of salty-snack purchases are unplanned.
Most low-carb diets advocate replacing carbs with protein and fat, which could have some negative long-term effects on your health. If you do try a low-carb diet, you can reduce your risks and limit your intake of saturated and trans fats by choosing lean meats, fish and vegetarian sources of protein, low-fat dairy products, and eating plenty of leafy green and non-starchy vegetables.
Whether you want to escape for one of their well-known WellFit retreats or stick to a personalized program like Beat the Bloat or Lose It, Tone It, there's basically always an option for you at The BodyHoliday in St. Lucia (and when it doubles as a vacation to St. Lucia, well, you always win). Our personal favorite, though, lies in the Adventure Program: Complete with mountain biking, rappelling, kayaking, cave diving and swimming, there's no way an adventurous spirit won't be satisfied. Plus, when you're having fun while losing weight (and getting tons of Instagram hearts to boot), it really makes all the difference.
A different way of viewing weight loss identifies the problem as not one of consuming too many calories, but rather the way the body accumulates fat after consuming carbohydrates—in particular the role of the hormone insulin. When you eat a meal, carbohydrates from the food enter your bloodstream as glucose. In order to keep your blood sugar levels in check, your body always burns off this glucose before it burns off fat from a meal.
old women big belly

If beef is your prefered source of protein, make sure you’re eating the grass-fed stuff. Ground beef, a T-bone steak, or prime rib are amongst the healthiest cuts because they’re lower in unhealthy fats than other forms of beef and actually contain more heart-healthy omega-3 fatty acids than some fish. Just be sure to limit your red meat consumption to around two three-ounce servings per week in order to keep your cholesterol in check, and stick to low-calorie rubs and spices as opposed to sugary sauces to flavor the meal.
Unfortunately, metabolic compensation isn’t your body’s only strategy to prevent weight loss or encourage weight gain. Hunger hormones – leptin and ghrelin – are also at play. Fat cells produce leptin, which tells your brain when you’re full. Fat cells also shrink when you lose weight, producing less leptin and meaning you don’t feel as full. Strike one. Ghrelin, produced by the stomach, tells the brain it’s time to refuel. When you lose weight, ghrelin levels rise, prompting you to want to eat more frequently. Strike two. Research suggests that neither leptin levels nor ghrelin levels return to a normal baseline for at least a year.
Yes, this is exactly what you think it is. A nice fatty blob of butter in your coffee alongside a glug of oil. Really! The latest diet fad involves taking a tablespoon of butter and stirring in two dollops along with a dash of oil (medium-chain triglyceride, to be precise) which makes a cup of Bulletproof Coffee. Despite the fact that this unappealing brew contains a massive 500 calories, its creator Dave Asprey, once 21 stone and now ‘slimline’ swears by the formula. But we’re not convinced, and neither is Dr Sally Norton, an NHS surgeon and leading UK weight-loss consultant who spoke to the Telegraph. ‘There is no science that would back this up as a weight-loss tool’.
Don't get me wrong — exercising at any time is good for you. But evening activity may be particularly beneficial because many people's metabolism slows down toward the end of the day. Thirty minutes of aerobic activity before dinner increases your metabolic rate and may keep it elevated for another two or three hours, even after you've stopped moving. What that means for you: You're less likely to go back for seconds or thirds. Plus, it'll help you relax post meal so you won't be tempted by stress-induced grazing that can rack up calories, quickly.

Pax intrantibus; Salus exeuntibus. This latin phrase is engraved above the entrance to Grayshott Health Spa.  It translates to Peace on Arrival and Health on Departure. Taking a naturopathic approach, Grayshott uses therapeutic treatments, scientific dietary protocols and eating practices to tackle health from the inside out.  The 7 – 21 day programs are strict, precise, and controlled and start a new chapter in health.


Hiley Fulgence is a professional Personal Trainer, Nutritionist, and Sports Massage Therapist who has worked around the world helping people to improve their fitness, achieve better overall health, and maximize their performance. At the BodyHoliday, he specializes in nutrition for weight loss, assessment and treatment for injury prevention and rehabilitation, and sports science testing & performance enhancement. As a former track and field athlete, he brings a unique enthusiasm and compassion, along with the determination to improve his clients’ physical wellbeing.

Twenty-seven out of 124 patients in the Japanese cohort and 13 out of 86 patients in the UK cohort showed significant BW loss. Patients with BW loss showed significantly worse survival in both cohorts. Multivariate analyses revealed that BW loss was an independent factor for decreased survival (Japanese cohort: p = 0.047, UK cohort: p = 0.013). A 6.1% loss of BW was chosen as the optimal cutoff value to predict the 2-year mortality from the initial presentation. The stratified analysis revealed that a 6.1% or greater BW loss could predict worse survival specifically in cases without a greater than 10% decline in forced vital capacity (FVC).
Boredom isn’t just bad for your brain, it’s also bad for your waistline, especially if you’re trying to shed some pounds. According to a study in the Journal of Health Psychology, boredom actually strips you of your ability to make smart food choices; you become an “emotional eater,” What’s more, boredom turns you into the worst kind of emotional eater because you not only make the wrong food choices but also eat much more fattening foods than you normally would. To stave off boredom, try taking a walk or relaxing with a good book.
If you would like to pair your weight loss experience with a trip to an exotic location, you'll have plenty of options. International weight loss resorts cater to fitness and travel savvy clients all over the globe. You're likely to feel pampered at many of these hot spots which may make the weight loss process feel more indulgent and can make dieting and exercise easier.
Since weight loss can be an exhausting and rigorous pursuit, many travelers choose to begin their journey at a relaxing spa. Typical spa offerings, like fitness classes, massage, chef-driven menus make the weight loss process feel less stressful. Some of these fitness and weight loss resorts are located within luxury hotels, while others have stand-alone campuses.
exercises for 10 year olds to lose weight

Green Mountain at Fox Run in beautiful Ludlow, Vermont, is the nation’s oldest retreat exclusively for women who struggle with weight, emotional and binge eating, and feelings of food addiction. Our pioneering non-diet strategies help women end the yo-yo cycle of weight loss and regain by focusing on an integrated health approach that incorporates nutrition, fitness, and behavior/emotional health. Most come for four weeks because it takes that long to change the habits of a lifetime.
BodyHoliday’s “Stronger Me” Retreat is a comprehensive weight loss program based on a combination of fitness activities, calorie-controlled cuisine, education, relaxation and fun.  BodyHoliday starts your program before you even arrive, with a consultation with its resident nutritionist/dietician, who devises your meal plan based on your health and weight goals, and once you arrive, you’ll be immersed in a activities from fitness to cooking classes.  The retreat includes a good measure of education to equip you with the knowledge and tools you’ll need to continue your new healthy lifestyle when you return home.
We all know that we should be doing about 30 minutes of exercise a day but none of us really give walking the credit that it deserves. But in a study conducted by the University of Glasgow, after testing 10 obese women walking 20 minutes per day, they proved that a small amount of walking per day increased feelings of fullness and reduced appetite as much as a light meal.
One Body Weight Loss & Wellness Center is a non-surgical, medically supervised, weight loss clinic that offers a three phase–acute, maintenance, and support–weight management program utilizing appetite suppressants (both prescription and non-prescription), vitamin injections, and a high protein/low carbohydrate proprietary diet. We emphasize exercise and behavior modification for effective, long term weight loss.

The 1920s Mission-style hotel-turned-spa has 46 guest rooms, including private rooms and courtyard suites, double lodge rooms and double cottage rooms.  Classes include walking, hiking, swimming and fitness classes such as stretching, dancing, cardio sculpting, yoga, and Pilates. Guests are encouraged to take as few or as many classes as they would like.
Did bikini season sneak up on you? Is your soon-to-be worn wedding dress still just a touch too tight? Did a last-minute invite for a beach getaway come your way? You're a lucky dog – and a panicked one too because you want to drop pounds, and fast. These 10 diets are likely to help you lose significant weight within a year, according to a panel of experts who reviewed 38 plans for the U.S. News Best Diets rankings. Just remember: Short-term weight loss is markedly different from long-term weight loss, which is more important for your health.
Low body weight and rapid unintentional weight loss are highly predictive of mortality and morbidity in the elderly population. Weight loss is frequently reported in elderly patients. Acute and chronic diseases are leading causes of involuntary weight loss. Whereas physical disease probably accounts for a majority of cases of involuntary weight loss, psychiatric disorders such as dementia and depression also may result in severe nutritional deficiencies. Additional physiological, psychological, and social factors may affect food intake and body weight. Changes in body composition include loss of height and lean body mass and lower basal metabolic rate. Energy requirements decrease because of the lower basal metabolic rate and reduced physical activity. These low energy requirements make it more difficult for the elderly to obtain adequate amounts of required nutrients. Food intake regulation, taste, and olfactory sensitivity may be altered. As 50% of Americans have lost all of their teeth by age 65, chewing problems are often present. Other factors that contribute to poor nutritional status include alterations in the gastrointestinal tract, functional disabilities, lowered socioeconomic status, and social isolation. Finally, because of the increase in both physical and psychiatric disease, the elderly are major users of prescription drugs. Drug/nutrient interactions can result in anorexia and weight loss. The findings indicate that factors causing unintentional weight loss are highly interrelated and difficult to separate. Health care professionals must monitor body weight in elderly persons and carefully evaluate any cases of rapid, unintentional weight loss to prevent further deterioration of health status.

before and after weight loss women over 40

×