A review of more than 600 studies found that being married, and transitioning into marriage, are both associated with weight gain. Transitioning out of a marriage, however, is associated with weight loss. The researchers found that weight gain occurs because of increased opportunities for eating due to shared, regular meals and larger portion sizes, as well as “decreased physical activity and a decline in weight maintenance for the purpose of attracting an intimate partner,” Zero Belly Smoothies states. we’re hardly advocating staying single or getting a divorce (unless you choose to) this research clearly indicates that dieters need to be especially careful around the wedding day. To keep things in check after you take the plunge, meal prep with your partner or develop a workout routine together.
When you eat carbs, they break down into glucose, which is stored as glycogen in the muscles and liver. When glycogen is stored, it carries with it three times its own weight as water, compared to no water at all for protein and fat, according to Peter Garlick, Ph.D., a professor at Stony Brook University in New York. If you eat an extremely high-carb diet, you may store excess water, experience bloating and gain temporary water weight. (This is why people who go on no- or very low-carb diets can initially lose weight so quickly. They're really just losing water.) To avoid bloating and weight gain caused by consuming too many or the wrong kind of carbs, follow these weight loss tips:
Absolute Sanctuary is an absolute bargain. You can get a week's stay here, including flights and the most delicious, healthy breakfasts - chilli-and-coriander omelette, coconut-and-mango yogurt, courgette pancakes - for less than what many spas in the UK charge for a long weekend. Specialising in Pilates Reformer, yoga and detox, as well as pure weight loss, this 38-room retreat lies on a terraced hillside on Samui's coast. Besides the thorough health consultation you get with Alena Kwong, who heads the spa, other highlights include the tranquil atmosphere - no alcohol or children allowed. At night, the great treat here is an open-air Thai massage, with velvety darkness and that tropical blare of cicadas all around. And for a total overhaul rather than a restful week's tweak, the new 30- and 60-day lifestyle change programme promises transformation.
Whatever the reason may be, weight loss is a common goal for many people. You don’t need to justify yourself, here. I get it. There are so many reasons to lose weight if you have weight to lose, that have nothing to do with fat shaming. Our bodies were not meant to be overweight, but with our current lifestyles, it seems to be an inevitable consequence!

In a 2015 study in the Journal of the Association for Consumer Research, scientists instructed subjects to choose either a fruit salad or a chocolate cake, then eat and evaluate their snack. Those who ate the chocolate cake in the room with the mirror found it less appealing than those who didn’t have a looking glass nearby, but those who opted for the fruit salad reported no difference in taste. In other words, the presence of a mirror makes unhealthy foods less appealing. So hang one in your kitchen to discourage the consumption of cake and the like, and then use it to watch your waistline shrink each day!
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.
It’s always great to catch up with old pals or join your co-workers for a celebratory happy hour, but if you’re watching your weight it’s important to take note of who you choose to break bread with. According to an Eastern Illinois University study, you’re in danger of consuming 65 percent more calories if you’re eating with someone who gets seconds. In other words, while the old friend visiting from health-conscious LA may make a great dining partner, you should steer clear of the co-workers who keep ordering rounds of drinks and nachos.
My advice is to not using anything from this article for sustained weight loss. Instead, I’d love to see you google “Precision Nutrition Get Shredded Diet”, which provides a rapid fat loss plan that’s based on actual fat (not water) loss. Another approach would be to google “Precision Nutrition Intermittent Fasting”, which provides another alternative.
The baseline portion sizes of our snacks and meals have ballooned over the past 40 years. The average size of many of our foods — including fast food, sit-down meals, and even items from the grocery store — has grown by as much as 138% since the 1970s, according to data from the American Journal of Public Health, the Journal of Nutrition, and the Journal of the American Medical Association
Fuel your body with wholesome, nutritious foods, and limit your intake of refined carbs (anything sugary or white-flour based). To maximize the calories burned through digestion and stave off hunger, get plenty of complex carbs (fruits, vegetables and beans) and eat a little protein with every meal. It doesn't need to be meat; nuts, lowfat dairy, tofu, and beans are all good vegetarian protein sources. 
Even if you’re stocking up on fruits and veggies, buying inorganic may be doing your body a disservice, thanks to the pesticides. “They have been shown to poison the mitochondria so it cannot burn fuel,” says Walter Crinnion, N.D., chairman of the environmental medicine department at Southwest College of Naturopathic Medicine in Phoenix in Weight Loss Tricks You Haven’t Tried. “Fuel that is not burned turns to fat.” If you’re worried about breaking your budget at Whole Foods, start by stocking up on these 17 Cheap Organic Foods You Must Buy.
There’s a reason Eat This, Not That! hired celebrity trainer Mark Langowski to develop Eat This, Not That! for Abs, our e-book system for getting a six-pack in six weeks: He said it wouldn’t include a single sit-up. “I have been a personal trainer for over 13 years—during this time, I have learned a lot about a lot, but the most important topic that I discovered was 10 years ago when I found out how damaging sit-ups are to the discs in my spine,” he told us. “It was after listening to genius professor Stuart McGill, who is head of spine biomechanics at the University of Waterloo, that I realized I had been doing more harm to myself and my clients by having them do traditional sit-ups.” Instead, “throughout the workout section of the Eat This, Not That! For Abs, I explain how to train the entire body in a way that is activating the core muscles in every exercise you do. A squat may look like a leg exercise
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.
Another healthy change that will help you look better is to cut back on salt. Sodium causes your body to hold onto excess water, so eating a high-salt diet means you’re likely storing more water weight than necessary. Check to see if you have any of the seven clear signs you’re eating too much salt. If you’re in a rush to lose weight fast, cut out added salt as much as possible. That means keep ditching the salt shaker and avoiding processed and packaged foods, where added salt is pretty much inevitable.
In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[29] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[29] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[29]
What happens if you fast for a day? What happens if you don't eat for a day? While most people will feel hungry and possibly tired, there is also a range of other effects. In this article, learn about how the body starts to burn fat for energy and whether fasting for 24 hours can be a good weight loss tool. We also investigate the possible risks. Read now
Losing a little bit of weight can help you conceive if you’re looking to have a baby. “Women with BMIs [body mass index, or ratio of height to weight] greater than 27 are at increased risk of abnormal periods and infertility,” says Jane van Dis, MD, chair of the Bakersfield Memorial obstetrics and gynecology department and medical director of business development for Ob Hospitalist Group. “Studies show women with elevated BMIs are at increased risk for insulin resistance, which can then lead to increased testosterone circulating in the body.” This can cause polycystic ovarian syndrome (PCOS), in which ovulation doesn’t occur regularly. But losing just 10 to 15 pounds can help bring your periods back to normal. Here’s how to lose weight if you have PCOS.
It’s every chocoholic’s dream: Research now shows that eating moderate amounts of dark chocolate can reduce overall body fat and shrink your waist. A study among women with normal weight obesity (or skinny fat syndrome) who ate a Mediterranean diet that included two servings of dark chocolate each day showed a significant reduction in waist size than when on a cocoa-free meal plan. Researchers say it has to do with the flavonoids, heart-healthy compounds in chocolate that have important antioxidant and anti-inflammatory properties. Just be sure you’re reaching for a bar with at least 70 percent cacao, and stay away from the “alkalized” stuff, which has a significantly reduced flavonoid content.

A retreat joins like-minded people open to share their journeys and learning about yours. Practicing exercises, learning and experiencing new things together for several days or even weeks creates a foundation for friendship hard to topple in a busy everyday life environment. You might even end up supporting each other and sharing progress back home.
There’s some truth to the old adage that breakfast is the “most important meal of the day,” and if you’re looking to blast belly fat, what you eat at the start of each day can make all the difference. According to a study from the University of Missouri-Columbia, a high-fiber, high-protein breakfast may be the most important investment you can make for your waistline. The study showed that eating breakfast triggered women’s brains to release dopamine, a feel-good chemical that helps to control impulses. In other words, eating a balanced breakfast decreases your chances of reaching for that 3 p.m. candy bar and keeps your belly slim.
The 3 Day Diet is low calorie, but it certainly is not low-fat, low-salt, or low cholesterol, so it is not a healthy option for most people with certain medical conditions such as diabetes, hypertension, heart disease, and high cholesterol. If you are overweight, weight loss is key to managing these conditions. But it should be a healthy and sustainable weight loss that includes healthy nutrition and exercise.

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.
Who knew that fantasizing about eating your favorite candy can actually result in real-life weight loss? A study found that daydreaming about eating an entire packet of the sweet stuff before indulging may cause you to eat less of it. To come to this finding, researchers asked participants to imagine eating three M&Ms versus 30. Then, they conducted a taste test where participants were able to nosh on the chocolate orbs. The results? Those who imagined eating lots of M&Ms ended up gobbling down the least!
diet for 42 year old woman

In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[29] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[29] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[29]
You can make alterations to this ratio depending on what foods you like, how your body responds, and your daily activity level. If you'd rather, you can change this ratio to make 30 percent of your calories from fat, 30 percent from carbs, and 40 percent from protein. Or, you can do a 20/30/50 split. The idea here is that macronutrient distribution does not follow a "one size fits all" template.
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!"
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.

A therapist convinced Marion Corns, 35, she had had surgery to fit the band by talking her through the procedure while in a trance. Hospital smells were even pumped into the room to boost the effect. Housewife Marion, who has slimmed from 15st 6lb to 11st 7lb, said: “Bizarrely I can even ‘remember' being wheeled into theatre, the clink of the surgeon's knife and smell of the anaesthetic.”


During the 3 days of the diet, balanced nutrition is lacking. Some of the foods that are recommended are high in salt and fat and would not be appropriate for people with certain medical problems like heart disease, high blood pressure, diabetes, or high cholesterol. You may not be getting enough vitamins, minerals, and fiber while you are on the diet. If you are taking medicine for your diabetes and want to try the 3-day diet, it's important to talk with your doctor first about how to adjust your medicine.
Think writing a grocery list before heading to the store is a waste of time? As it turns out, it may be the key to finally losing weight. A Journal of Nutrition Education and Behavior study of more than more than 1,300 people discovered that shoppers who regularly wrote grocery lists also purchased healthier foods and had lower BMI’s than those who didn’t put pen to paper before heading to the store. Researchers hypothesize that shopping lists keep us organized, which in turn helps us fend off diet-derailing impulse buys (hello, candy aisle). Before heading to the supermarket to stock up, spend a few minutes taking inventory of your kitchen, and then write a list. Be sure to organize it by category to prevent zigzagging all over the place; that ups the odds you’ll walk by—and purchase—tempting treats that could derail your weight loss success.
A retreat joins like-minded people open to share their journeys and learning about yours. Practicing exercises, learning and experiencing new things together for several days or even weeks creates a foundation for friendship hard to topple in a busy everyday life environment. You might even end up supporting each other and sharing progress back home.
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!
“I felt ashamed of how I had changed from a veteran Army soldier into someone who I wasn’t proud to be,” Root, 35, tells PEOPLE for the 2018 Half Their Size issue. “When I transitioned out of the military, I was pregnant with my son, and that loss of structure meant I was eating what I wanted to with no regard, and being pregnant I just found myself eating a lot more than usual.”
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.
Then comes lunch. Today at lunch I had vegetable soup, salad, and a small cup of turkey chili with broccoli mixed in. (That's one of the tricks I've learned here—adding veggies is an easy way to bulk up food so I feel like I'm eating more.) After lunch I take a 15-minute "thermal walk" or bike ride. These are short bursts of activity to keep my metabolism active and burning fat after eating.
“ Your waistline is important to your health with the fat around your waist being metabolically active ,” said Holly S. Andersen, M.D., Attending Cardiologist, Director of Education and Outreach at the Perelman Heart Institute, Clinical Associate Professor of Medicine (Cardiology) Joan and Sanford I. Weill Cornell Department of Medicine, New York Presbyterian Hospital. “This type of fat (visceral fat) makes your blood pressure and lipid (cholesterol) levels less favorable, makes you more prone to insulin resistance and diabetes, and is ‘pro-inflammatory’ with inflammation being the gateway to disease:  brain disease, heart disease and cancer.”
The Lenox Health Resort Weight Loss Program at Canyon Ranch eschews what it calls “tedious, cookie-cutter weight-loss directives and dreary menus” and instead offers guests a whole-person program with access to top experts in nutrition, exercise physiology, life management, and lifestyle medicine – all working to tailor the best weight loss plan for each guest. Stays range from 1 week and longer, with an all-inclusive no-tipping plan with meals and lodging.
In this diet-induced weight-loss trial, higher baseline plasma PFAS concentrations were associated with a greater weight regain, especially in women, possibly explained by a slower regression of RMR levels. These data illustrate a potential novel pathway through which PFASs interfere with human body weight regulation and metabolism. The possible impact of environmental chemicals on the obesity epidemic therefore deserves attention.

To maximize weight loss, guests will eat a high-protein/low-carb Paleolithic-inspired diet, starting the day with a fresh juice and continuing with alkalizing raw fruit and vegetables and fresh seafood. The trip fee includes an in-depth personal training course in the guest's home country, three weeks in advance in order to prepare for the trip, and one week on return.
HIIT (High Intensity Interval Training) is a type of workout becoming more and more widespread through gym classes and exercise videos such as P90X and Insanity. This way of exercising yields great results because they combine high intensity movements with very little rest in between. As a result, you can fit in a fantastic fat-burning workout in a short amount of time.
Several limitations should be considered as well. First, although we included men and women with a wide range of ages (30–70 years), participants in the current study were otherwise relatively homogeneous in terms of health status and body fatness because they were selected following narrow inclusion criteria. Therefore, it is unclear whether our findings can be extrapolated to more general populations. Second, we measured only the baseline plasma PFAS concentrations. However, given the long elimination half-lives (3–8 years) of these chemicals [36] and a strong stability over time observed in our pilot study, concentrations in the blood likely reflect relatively long-term PFAS exposures. Moreover, unlike many other persistent organic pollutants, PFASs are not lipophilic, and blood concentrations are therefore not affected by changes in the size of the lipid compartment [60]. Third, we did not measure ghrelin, an orexigenic hormone regulating appetite, RMR, and other key physiological processes related to weight changes [61], and the interrelationship between PFASs and ghrelin during weight changes needs to be elucidated. Fourth, we did not apply Bonferroni correction in the analyses given the inter-correlation between the PFASs (rs ranged from 0.4 to 0.9), and the role of multiple testing could not be entirely excluded. Fifth, physical activity was assessed using the Baecke questionnaire, which might be subject to measurement errors, although a validation study conducted in US adults has shown reasonable validity of this questionnaire [62]. In addition, although some covariates including education, smoking status, and physical activity were adjusted for in our study, we could not entirely exclude the possibility that unmeasured or residual confounding by socioeconomic and psychosocial factors, as well as participants’ usual diet, might partially account for the associations we observed. One particular concern is that PFASs are extensively used in food packaging due to their oil- and water-repellant characteristics [32]. If some participants relapsed to their usual pre-randomization diet and this diet was rich in foods that are contaminated by PFASs through food packaging and are also dense in energy, they might thus have gained weight faster. However, when we further controlled for the frequency of craving hamburgers, French fries, or donuts at baseline assessed using a questionnaire, the results were largely unchanged. In addition, humans are exposed to PFASs through multiple pathways, including drinking water and contaminated seafood [31], although these factors are not established risk factors for weight gain. Moreover, we adjusted for the number of study sessions that participants attended, which is a measurement of compliance to the prescribed diet. Finally, lipophilic persistent pollutants with obesogenic effects (such as hexachlorobenzene [HCB] and dichlorodiphenyldichloroethylene [DDE]) might have confounded the associations of PFASs with changes in body weight and RMR. However, in 793 women participating in the Nurses’ Health Study II, weak associations were observed between PFASs and lipophilic persistent pollutants (e.g., the rs of PFOA and PFOS with HCB was 0.07 and 0.06, respectively, and the rs of PFOA and PFOS with DDE was 0.05 and 0.06, respectively), suggesting that confounding by these pollutants would not be substantial.
The 3 Day Diet is low calorie, but it certainly is not low-fat, low-salt, or low cholesterol, so it is not a healthy option for most people with certain medical conditions such as diabetes, hypertension, heart disease, and high cholesterol. If you are overweight, weight loss is key to managing these conditions. But it should be a healthy and sustainable weight loss that includes healthy nutrition and exercise.
In her book The Naughty Diet, author Melissa Milne—whose own essay, “I Eat Slim-Shamers for Breakfast” also went viral—interviewed thousands of women about the body shaming and they all said the same thing: “They were sick and tired of feeling bad while trying to be good,” she writes in The Naughty Diet. “And here’s the secret of all secrets: You don’t feel bad about yourself when you get fat. You get fat when you feel bad about yourself.” This could be because chronic stress raises levels of the stress hormone cortisol in the body, which can trigger belly fat storage. Try being kinder to yourself, which will reduce stress and help melt the pounds away effortlessly.
Limited to just 15 people each week, the Sunday to Saturday stay at the Ranch at Live Oak Malibu is designed to deliver sustainable results through a strict, “no-options” philosophy.   Tough workouts, physical endurance, yoga, and hiking are key elements of the program as well as the vegetarian cuisine sourced on the property. No cell phones are permitted and while accommodations are beautifully appointed, you won’t find televisions to distract you from activity.
We don’t always eat simply to satisfy hunger. All too often, we turn to food when we’re stressed or anxious, which can wreck any diet and pack on the pounds. Do you eat when you’re worried, bored, or lonely? Do you snack in front of the TV at the end of a stressful day? Recognizing your emotional eating triggers can make all the difference in your weight-loss efforts. If you eat when you’re:
In 1973, a registered dietitian named Thelma Wayler took over an empty dorm room at Vermont’s Green Mountain College, and quietly started a revolution. Like most visionaries, Thelma was way ahead of her time in realizing that diets and fads were not the key to ending struggles with eating and weight loss. So she started a different kind of self-care retreat for adult women that was based on science and freedom of choice: Green Mountain at Fox Run.

When your body gets sick, it creates antibodies to the illness so that the next time, the immune system is prepared. Unfortunately, it reacts in a similar way to weight loss. If you’ve lost weight in the past due to exercise or diet changes and attempt those same strategies again to lose weight, your body – again, mainly hormones and metabolism – will adjust to prevent similar damage and you’ll see fewer weight loss results.
You know that hitting the recommended five to nine daily servings of fruits and veggies can make it easier to slim down, but that doesn’t make it any easier to accomplish. A simple way to make it happen? Buy a fruit bowl. You’re more likely to grab fruits and veggies over less-healthy options if they’re ready to eat and in plain sight. Katie Cavuto MS, RD, the dietitian for the Philadelphia Phillies and Flyers, suggests keeping washed and prepared veggies like cucumbers, peppers, sugar snap peas, and carrots in the front of the fridge so they aren’t overlooked. Bananas, apples, pears, and oranges fare well as sweet snacks and should be kept on the counter where everyone can see them.
If stone fruits aren’t your thing, peel a banana instead and watch your belly bloat disappear. A study in the journal Anaerobe found that women who ate a banana twice daily before meals for two months reduced belly bloat by 50 percent. Researchers believe this is because bananas are packed with potassium, which can reduce water retention. The yellow fruits are also a good source of fiber, which will keep you feeling full.

Some popular beliefs attached to weight loss have been shown to either have less effect on weight loss as commonly believed or are actively unhealthy. According to Harvard Health, the idea of metabolism being the "key to weight" is "part truth and part myth" as while metabolism does affect weight loss, external forces such as diet and exercise have an equal effect.[43] They also commented that the idea of changing one's rate of metabolism is under debate.[43] Diet plans in fitness magazines are also often believed to be effective, but may actually be harmful by limiting the daily intake of important calories and nutrients which can be detrimental depending on the person and are even capable of driving individuals away from weight loss.[44]
Even if you manage to meet your goal, it probably won’t be sustainable: “The amount of restriction required will make you so hungry that you’ll eat everything in sight—it’s survival instinct,” Dr. Seltzer says. What’s more, your body will be less prepared to burn the foods you binge on, since calorie restriction gradually slows your metabolism, he adds.
Pauline Potter, 47, became the Guinness World Record holder for heaviest woman last year when she weighed in at 700 pounds, but she's managed to lose nearly 100 pounds in the last year by rekindling her romance with her ex-husband Alex. Married for three years, they split in 2008 but reunited when he heard about her Guinness title. It didn't take long for them to land in bed together - repeatedly.
Emma says: “While its good to shake our body up with different intensities of exercise its best to keep our mealtimes regular. If you find skipping meals a tempting habit try having a combined protein and fat snack or small meal instead. Do this every 2-3hrs. Eat a boiled egg, a small handful of nuts or seeds, a protein drink or 100gm of meat or cheese. Add in certain vegetables and fruit and reduce carbohydrates especially refined ones; they are the weight loss enemy!”
Moving your muscles against resistance helps them grow and get stronger. Having more muscle mass also means that you burn more overall calories. Resistance training has profound effects on your bones and joints, and helps to prevent osteoporosis (loss in bone mineral density), sarcopenia (loss of muscle mass), and lower-back pain, assuming you use proper exercise form.6
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

×