Admittedly, I’m healthier than many people. But that first meal changed every guest’s ideas about what the 16 of us were in for at this tough-love-luxury health retreat in the middle of nowhere, British Columbia. At similar fitness retreats, such as the Ranch at Live Oak, I’d been hungry and cranky, subsisting for a week on little more than vegetables. The results had been more than worth it, but the process was uncomfortable and sometimes stressful. (I stayed at these retreats as their guest.)
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.
One weight loss counselor who offers the program said it's not the urine, but the hormone in it that takes off the pounds. “It's human chorionic gonadotropin,” said Iris McCarthy of Success Weight Loss Systems. She said hCG tricks your brain into thinking your body is pregnant. McCarthy said science has shown her hCG helps the body metabolize faster. “This will help you have patience to learn how to change your ways and change your relationship with food,” said McCarthy.
losing weight as you age

After Tom Ram, a Tier 3+ trainer at Equinox Wall St., took my body measurements, performed some tests of flexibility, and then had me step on the InBody 770, an impedance-based scale, my state of health (and fitness) became clearer: I had excess body fat, which I already knew, but it was visceral body fat--inside the abdominal cavity—the bad kind that wraps around your organs and increases your risk of heart attacks and strokes.
Have you ever noticed children take forever to eat? That’s a good thing. A 2015 study found when people took 30 seconds in between bites, they stopped eating when they were no longer hungry, so they saved calories and pounds. This example of more chewing and less weight gain has been proven in several studies. We tend to consume more food than necessary as we age because emotion and stress can take over. To combat this, I suggest going back to childhood habits by using smaller plates and chewing longer. A smaller plate will make a smaller portion of food seem bigger. Focusing on slowing down your eating will help fill you up without filling you out.
(The main potentially-lethal drugs used by pro athletes are: Diuretics, insulin, mitochondrial OXPHOS uncouplers like DNP, EPO, amphetamines, painkillers such as vicodin, & growth hormone. Natural testosterone and, worse, DHT or over-the-counter testosterone precursors, can have unpleasant side-effects. Oral anabolic steroids stress the liver. Injectable anabolic steroids, by contrast, have never been demonstrated to be dangerous to healthy ADULT men in any study, never been implicated in a death, and may have health benefits because they are less toxic than the natural testosterone they displace. They ARE dangerous to high-school athletes as they disrupt normal growth. Simply having more muscle, however acquired, is life-shortening due to increased metabolic demands, mitochondrial oxidation, cardiovascular stress, and the down-regulation of FOXO-dependent repair pathways caused by muscle growth.)

I am having reconstructive surgery on my ankle in two days (5/16/13) and since I will be on my posterior for the few weeks after – at least no exercising – I’m looking for advise on dropping 20-30 lbs over the never 40 days so rehab will go better…stats – 5’9 204 – formerly athletic build now couch build – 47 yrs old – I have been a “Ferrisee” (better than Ferrasite) since listening to 4HWW and then 4HB – but need refocused guidance – from one and all – If this is the wrong string please let me know that as well.
Capri Palace is a beautifully equipped luxury hotel in Naples, Italy with a fully equipped luxury wellness spa with personalized programs and treatments.  The Mediterranean Diet program at Capri Palace was developed by an MD specialist in food science, immunology and aesthetic medicine. Participants in this program undergo clinical tests for ideal physical activity and personalized diet as well as integrated treatments that aid weight loss, detox, anti-aging and stress management.
Push yourself, surprise yourself, believe in yourself: “Go lower.” he said. I looked at him questioning what he just said to me as if I didn't hear it at first and then moved my gaze from him to over at the chair behind me. I paused. Squats. My initial instinct was to try to do them on the chair because I had done them there just a month before, and I knew I could do it. It was comforting to know I could. The only difference this time was I was hoping to do more of them to put me into the improvement category and to be honest -just to get them done. A lot had happened in that time since the last time and I know I had gotten better at so much BUT I was still uncertain I could go as low as I was being asked to go. “You mean low like ON the step?” I asked, even though I already knew the answer. “Yes, on the step. Go low. You can do it, do just one. I know you can.” He reminded me and smiled in a playful way that pushed me. And I felt it. That he genuinely believed in me. It’s amazing to me that he believed in me so deeply that day when I wasn’t sure if I believed in myself on the same level. Sometimes others see us before we see ourselves and it’s sometimes necessary when we hear from them what we should be telling ourselves all along. Even though I had been telling myself one thing that day - it was there. The desire to want to go for it even though I immediately went for the easier option and didn’t push myself. I’ve never really needed to push myself physically or known how to. But in that moment I just needed a reminder and reason to go for it and he saw me and gave it to me. It’s better to try it and not accomplish it than to not have tried at all so I decided to go as low as I could no matter how low I couldn't go. I moved my legs shoulder width apart, put my weight on my heels and I hesitantly lowered myself, lower, lower and then I felt the step under me. I stopped mid squat, looked up, and smiled, surprised, “I did it!?!?” He smiled right back and quickly said, “yeah, but now KEEP GOING!” And I raised myself up before lowering myself back down and up and down again and up and down again and did just that- kept going.
Tennessee Fitness Spa recently had the honor of hosting VickyFlipFlop, a travel blogger who writes "for people who want to make the most of their annual leave, weekends, money and friends, by exploring the world, and a festival or two." Creating a video about her stay, we're excited to share that Vicky had a fun – and productive! – stay at our fitness camp for adults.  If you'd like to hear Vicky's thoughts about her time at Tennessee Fitness Spa, click on the video above!
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The gleaming Espace Henri Chenot is a place to kick-start a lifelong, and in some cases life-saving, understanding of how to look after yourself. The Chenot method is rooted in the expulsion of toxins through cupping massages, mud therapy and hydroaromatherapy baths, as well as a diet of the tiniest, most exquisite morsels of food. Lunch is three beautiful courses: grilled baby-vegetable salad, black-rice spaghetti, baobab ice cream. A cherry-picked few are then invited into Henri Chenot's inner sanctum where he diagnoses ailments by simply peering at you over the rim of his glasses. Next on the schedule here is a DNA-testing machine so the team can delve even closer into the prevention of illness.
Forget weight-loss teas, firming creams and other fad-products. How about washing your fat away with a specially designed soap? In the 1930s a soap was marketed as having “magical fat-dissolving properties”. If the goodness of the soap could get rid of dirt on the skin, surely it could penetrate deeper and target a flabby belly? Or at least that was the idea behind the soap.
Forget fad diets and gastric bands, the latest innovation in the war on obesity is fat busting paintball sessions. A UK paintball company has announced what is believed to be the world's first ever paintball fitness classes. During the sessions, people wanting to get fit will be invited to dodge paintballs while running an assault course, while the paintball centre's staff attempts to shoot them.
For those new to the Mayr cure, this efficacious diet plan developed by Dr Franz Xaver Mayr is based on the principle that giving an overworked digestive system a break allows other parts of the body to repair themselves. Such are its remarkable effects that the method has reached legendary status when it comes to tackling fatigue, arthritis, migraine and sleep problems. The food is healthy, modern Mayr at its best - no sugar, no dairy, no alcohol. Many people come here to lose weight, others to press pause, still more for an annual health MOT. The vast medical department offers everything from traditional massages and intravenous drips to bone-density measurements and hi-tech oxygen therapy used by astronauts. The diagnostics are mind-bogglingly impressive - blood tests, mineral tests, cardiovascular tests, intolerance tests - all of which dictate your treatments, as well as lay bare the real state of your health.
Lord Byron wasn’t only famous for his poems and politics, but also for popularising the vinegar diet in the 1820s. The idea is simple – drink plenty of vinegar, paired with one cup of tea and a raw egg. This combination made you vomit, causing you to lose your appetite, and weight. The legacy lives on in the claim that apple cider vinegar can make you lose weight.
Ok so it’s not quite as terrifying as we’d first thought (no, it doesn’t actually choke you if you eat too much!). This contraption sits around your neck and by monitoring vibrations in your throat with a clever sensor, it can send an alert to you phone which buzzes if you go over your daily, or even the wrong kind of food. The WearSens, a metal ring developed by engineers in LA, has been tested on 30 people so far who all say it does work.
Big-box stores such as Costco or Sam’s Club are great money-savers, but frequenting them to buy groceries can be bad news for your fitness goals. That’s because a 2015 study in the journal Appetite found that the larger the bottle, bag, or box the food comes in, the larger we think the serving size should be. To come to that conclusion, researchers surveyed more than thirteen thousand people and found that when confronted with larger packages of cola, chips, chocolate, or lasagna, the shoppers tended to want to serve themselves larger portions.
In a study conducted by Callaway, people who skipped breakfast or lunch and ate their largest meal later in the day had lower metabolisms. So by eating light at night you'll receive a double benefit: You'll wake up with a flatter tummy, and you'll also have a better appetite for a fiber-rich breakfast, which sets you up for a day of healthful eating. Some diet tips to get you started:
As far as spices go, saffron is one of the most expensive ones around, but it’s also a substance that preliminary research suggests can contribute to weight loss. According to a study published in the journal Antioxidants saffron extract may inhibit weight gain in a number of ways similar to how antioxidants function. The research suggests the colorful spice could decrease calorie intake by blocking dietary fat digestion, act as an antioxidant and suppress inflammation, suppress food intake by increasing satiety, and enhance glucose and lipid metabolism. Though scientists aren’t totally sure what makes saffron so weight loss friendly, they suspect it has something to do with crocetin and crocin—two antioxidant-rich compounds found in saffron that give it its distinct color.
Good question, Matt. Quite frankly, for the athletes I work with it’s not an issue. Because they’re able to regain almost 100% of their strength, power, and endurance come fight night. So they have two advantages: 1) they’re at 100% in terms of performance capacity while their opponents, who probably cut weight in a less effective way, are likely only at 80%, 2) they’re also heavier (which grants strength leverage advantages). You can see there are a lot of variables here, though. And that’s why a scientific approach is warranted.
Want to lose eight pounds in a week?  Who wouldn't?  The problem is that fast weight loss is not the same as healthy weight loss. Rapid weight loss often includes muscle tissue, which is denser than fat and which helps burn calories. Losing muscle also slows down the body's metabolic rate so that it is more efficient at holding onto the calories you do take in.That causes people to gain all the weight they lost, and then some. American spas learned this the hard way. In the sixties, they started out as "fat farms," where women went to lose weight fast by eating 800 calories a day, exercising for hours, and obsessively measuring.

A study in the journal Cell found that our gut microbes are just as affected by changes to our circadian clock as we are. When we shift our sleep-wake cycles, our gut flora changes, and beneficial bacteria are replaced by the growth of bacteria that have been linked to obesity and metabolic disease. When traveling across different time zones, it’s important you travel armed with healthy, fiber-rich snacks your gut will love.

44 year old woman weight loss


Are your portion control issues making it hard for you to shrink your man boobs? Stop yourself from going back for seconds by grabbing a box of mints. People often yearn for that second cookie or helping of mac and cheese because the taste of the first still lingers. To cleanse your palate, keep mints or breath strips on hand and pop them when it’s time to quit noshing. Not only will this rid the alluring taste from your tongue, it will also keep your mouth busy and act as a distraction. Drinking water or tea are also helpful tactics.

Fermented foods: These enhance the function of good bacteria while inhibiting the growth of bad bacteria. Sauerkraut, kimchi, kefir, yogurt, tempeh, and miso all contain good amounts of probiotics, which help to increase good bacteria. Researchers have studied kimchi widely, and study results suggest that it has anti-obesity effects. Similarly, studies have shown that kefir may help to promote weight loss in overweight women.
Not in an extreme, Atkins sort of way, but having a little protein at every meal fires up your metabolism. "Your digestive system uses more energy to break it down, so you burn more calories," explains Lisa Dorfman, R.D. However, keep protein levels to between 20 and 35 percent of your diet; eating too much of it can cause kidney strain and may cause your body to store too much fat.
Green Mountain at Fox Run offers health and weight loss retreats for women only, which range from specialty weekends to 1-2-3-4 week programs, as well as extensive online resources, including recipes, tips, forum support, and complimentary webinars on a variety of topics ranging from mindfulness to binge eating. The panel of experts take particular care with young women to guide them to wellness at critical stages in their lives. 

Avoiding salt doesn’t mean your food has to be bland. Experiment with using different herbs and spices. Try adding fresh cilantro and cumin to grilled fish, lemon and rosemary to chicken, or ginger and Chinese five spice to tempeh or beef. Pick up some spice blends from your local market to help add more spice to your life… just read the ingredients and make sure there’s no salt added.

Have you ever been shamed for your body? By others or even by yourself? I know the answer. I took photos with my dear friend @mckeelycreative before I came here on this journey and as I was scrolling through them I stopped at this one. My stomach. Hanging out. Right there. I knew right away it would be one of the pictures that never made it to the light of day but then I thought - you know what? That belly is a part of me no matter what. No matter how much weight I lose this is a moment in my life when I was happy and starting to make changes for myself. The beginning. It started in this body and this joyful belly laughing moment was a part of it. I’m celebrating it. I won’t be a better person with a flatter stomach. And that’s not the reason I’m here. I’ve always covered up when my shirt would slide up or my sides would stick out. I felt bashful that my soft rolling skin was coming out to see the light of day. In front of others. I once was getting a manicure and when I sat down in the tiny chair the back of my shirt lifted up and my sides stuck out. My nails were wet and I didn’t even try to adjust but the nail technician came over and did it for me and smiled and giggled and pulled my shirt down over my sides for me. She was embarrassed for me. I could tell. And I was embarrassed because she was. Never again. No shame. Let it out. All of it. Before you look at your next picture that you’re not happy with and shame yourself for your body and say how “fat” you look and feel, remember this belly, my belly. No matter how my body transforms in the future and how it’s changed over the last three months I want to be proud of me at all stages shapes and sizes. I will never shame her, the woman in this photo and her body. No matter how I grow and change. I won’t forget her. She was happy just as she was there and ready for a change. That’s why I’m posting this beautiful accident, a real moment among the other ones that are more polished and don’t show as much skin. A beautiful picture doesn’t have to be perfect. Celebrate all versions of ourselves and continue to be better because we want to be an deserve to be not just because of how we look❤️
Though many believe chewing gum keeps you from mindlessly eating, the minty treat has its own drawbacks that can lead to a bigger belly. Not only does chewing gum cause you to swallow tummy-bloating air, many gums also contain sugar alcohols and artificial sweeteners like sorbitol and xylitol that can cause bloat. If you have to have something to chomp on, go for an organic variety like Glee gum or Simply gum instead. They’re still low-cal, but they don’t use those sweeteners that’ll make you puff up.
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.
I started my journey this summer with 19% body fat, at the upper range of what would be considered acceptable for percentage body fat. The measurement is based on the principle of impedance, the transmission of electrical current through various body tissues, with fat creating the most resistance and muscle the least, based on its higher water content.
As you endeavor to lose weight, remember to be your own cheerleader. Practice self-care and reward yourself for building healthy habits. Above all, says Melton, “Don’t compare yourself to anyone else—even if that someone else is you (20 years ago, before you had kids and a career, etc.). Focus on looking forward and give yourself pep talks to stay motivated.”

This diet was most likely not developed by nutrition experts. One web site that offers the diet includes this warning: “Neither the staff nor management of 3 Day Diets are experienced, licensed, or knowledgeable to judge or recommend the validity or safety of this diet. We do not necessarily endorse this diet and recommend that before trying this or any other diet to consult a physician or licensed medical practitioner. Use at your own risk.”


It's an oldie but a goodie. The National Heart, Lung, and Blood Institute says that if you want to lose weight, the best way to make sure you stick with it is to make a few goals to work towards at the very beginning that aren't just about weight loss. Whether this is simply wanting to hit your five a day fruit and vegetables count or doing 30 minutes of exercise a day, they say this is the most effective way of beginning and maintaining weight loss.
Stress is a big no-no at Mountain Trek. The stress hormone cortisol is public enemy number one here, because it messes with metabolism. Everything that happens during the weeklong program is focused on vanquishing it: a diet free of foods that might cause digestive stress, a strict no-devices policy meant to keep guests from thinking about work, and lots of physical exertion to produce endorphins and other feel-good hormones that counteract it. (Oh, and also to burn fat.)
Capri Palace is a beautifully equipped luxury hotel in Naples, Italy with a fully equipped luxury wellness spa with personalized programs and treatments.  The Mediterranean Diet program at Capri Palace was developed by an MD specialist in food science, immunology and aesthetic medicine. Participants in this program undergo clinical tests for ideal physical activity and personalized diet as well as integrated treatments that aid weight loss, detox, anti-aging and stress management.

While you may think you’re doing yourself and your waistline a favor by stocking up on sugar-free goodies, the well-meaning habit is likely doing more harm than good. In a 2012 study in The American Journal of Clinical Nutrition, researchers found that those who drank diet beverages had higher fasting glucose, thicker waists, lower HDL (good) cholesterol, higher triglycerides, and higher blood pressure. In other words, sugar-free cookies, soda, and the like may seem like the healthier option, but they contribute to a bulging belly and negatively impact your health in multiple ways.
For an absolutely breathtakingly beautiful life-changing experience, head to Akasha. Their retreat center is set in Romania, which is an off-the-beaten-path destination. Spend your days exploring the countryside with mountain treks and yoga on the summits. Then go back home and tell everyone about how wonderful this beautiful center AND Romania was.
Places like airports, drug stores, and even home-goods stores all sell food, but it's usually not very healthy. Instead of shopping until you feel famished then buying whatever unhealthy items are available near the checkout stand, plan ahead and pack a nutritious snack. Sliced apples and peanut butter, carrots and hummus, or Greek yogurt and nuts are all inexpensive and convenient options.
Assume a prone position on the floor with the knees fully extended and the toes pointed down to the floor. Place hands on floor, palms down, about 2 to 3 inches wider than shoulder-width apart, with elbows pointed outward. Keeping your body in straight line and toes in contact with the floor, push against the floor with the hands to fully extend the elbows. Pause at the top and then lower to starting position.
Not like you needed another reason to fall in love, snuggle up with your sweetie, kiss or get it on. Harvard Medical School researchers found that all of those things can aid weight loss. How? Lovey-dovey feelings cause levels of the hormone oxytocin to increase, which in turn, decreases appetite. For even more weight loss hacks, check out these 20 Weight Loss Tricks You Haven’t Tried.
People exercise for an average of 34 minutes longer with a friend than they do when they hit the gym solo, according to the American College of Sports Medicine. And the longer you sweat, the more quickly you’ll reach your goals! Looking for a healthy way to refuel after your weight room session? Whip up a quick and delicious protein shake for on-the-go nutrition.
In a 2-year diet-induced weight-loss trial (the POUNDS Lost trial), we measured plasma concentrations of PFASs at baseline in 621 overweight and obese men and women and collected information on changes in body weight, resting metabolic rate (RMR), and other metabolic parameters during weight loss and weight regain over the 2 years the participants were on the study diet.
People come from all over the world to experience a week, a month, or longer at our fitness resort. People come to get in better shape, to get a kick start towards a weight loss goal, and/or to relax by the pool, fish in the streams, detox, stop smoking, and gather with family and friends. Boasting a beautiful property at a Natural Bridge, affordable rates, and southern hospitality, our health spa has something for everyone.  
The base for Wildfitness is a Victorian stone lodge in a whopping 23,000 acres of dramatic mountains and inky-black lochs. Wild workouts include scrambling up steep mossy banks, walking along wooden planks with eyes closed and slacklining above whirling rivers. During downtime you'll want to disappear under your duvet in the tartan- and tweed-trussed bedrooms (ask for a highland view). Meals are protein-packed: Scotch egg wrapped in venison for lunch and bone broth with fishcakes for supper. The highlight of the week is a youthful version of the Highland games: welly throwing, caber lifting, shot putting, rope jumping and a highly competitive tug of war. It can seem hard at first, but somehow you'll do it anyway and feel mighty proud of yourself afterwards - with a reshaped body to boot.
Thanks to an increased interest in food and food trends, recipe videos are likely dominating your social media feeds. And their constant presence could be hindering your weight loss goals, especially since many of the brief clips spotlight unhealthy dishes and sweets. “The internet and social media sites are basically making you fat,” Lisa Hayim, MS, RD, and founder of The WellNecessities, told us in The 30 Worst Flat Belly Mistakes Women Make. “If it isn’t 25 ways to eat tater tots then it’s [another] national [something] day. The internet has made it basically impossible to stay away from cravings and indulgences. These are not excuses to eat unhealthy food.” Next time you see one of these videos, scroll quickly past. Or better yet, unfollow the page completely, and follow Eat This, Not That! on Facebook for healthier videos and more slimming tips.

Stand with your feet hip-width apart. Take a big step forward with your right leg and lower your body until your right thigh is parallel to the ground. At the bottom of the move, both of your knees should form right angles. Press your body up with your right leg. Step back with the right leg to return to the starting position. Repeat, alternating legs.
And we all left with resolve to continue. That’s because as exciting as it is to notice more room in your waistband, or to summit one peak, Mountain Trek is really in the life change business. Director Kirkland Shave—a virtual encyclopedia of health and a poster boy for the healthy lifestyle—gives engaging and inspiring lectures, with lots of take-home tips, but we wouldn’t buy an ounce of it if we didn’t feel great there and or believe it was possible to re-create any of it at home.

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!"

More than half of the attendees at In:spa are repeat visitors thanks to a realistic, holistic approach to wellness. Cal Reiet, a fantastically smart 15-bedroom manor house, provides the perfect base. Programmes are a mix of combined activities (HIIT workouts, a 10km coastal hike, yoga) and more tailored, emotionally nourishing sessions (nutrition advice and massages). It's not particularly flexible, but relinquishing decision-making for a week is hugely relaxing, as is exercising in such lovely surroundings. At the heart of the experience is the food, a menu of mainly vegetarian dishes such as seed bread slathered in almond butter and avocado, turmeric and pea salad. It's a programme that will keep making you feel better, even long after you have left.


Whole foods include fruits, vegetables, beans, nuts, seeds, whole grains, eggs, seafood, chicken and so on. Food philosophies may differ around which of these foods to emphasize, but that’s okay, since the evidence shows that there isn’t a single best way to lose weight. The goal is to select an approach that feels sustainable to you. If you can easily live without pasta, perhaps a low-carb method centered around veggies and quality proteins, like seafood, chicken, and lean beef would be a good fit. Vegans and vegetarians can lose weight by choosing fruits, vegetables, whole grains and plant proteins. Nut lovers may do well shedding pounds with a Mediterranean-style menu. Whatever diet appeals to your appetite and way of life, focusing on whole foods is something that all plans promote. 

Christy Brissette, MS, RD is one of North America's top dietitians and a leading nutrition and food communications expert. She is the President of 80 Twenty Nutrition, a nutrition and food media company. Her mission is to end food confusion and dieting once and for all. Christy appears on national TV and is interviewed for international magazines, radio and websites. She empowers her clients to look and feel their best with the healing power of healthy, delicious food. She helps clients achieve results through cutting-edge, creative and fun meal plans and recipes. You can still enjoy your favourite foods and have the body of your dreams!

It’s insane what some will do to have a slight edge in a fight. The biggest example that comes to mind is Anthony Johnson. The dude would walk around at like ~230 lbs and fight in the 170 lb weight class. He would rag-doll guys because of the huge size advantage. Of course, he always had trouble making weight, but it’s still a huge advantage if you can do it properly.


Every person has a different palate, a unique attitude toward food, and various likes and dislikes. That means you need to find a nutrition plan that works best for you. The phrase "healthy eating" gets thrown around a lot, but for many people, the changes needed to get there aren't as big as they think. It might just be replacing your usual snack for a healthier one, and fixing the one meal each day where you are most likely to overeat.

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

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