Unintentional Weight Loss Algorithm
View/print figure management of weight loss in the elderly Intentional weight loss in overweight or obese individuals is benign in most instances but must be followed closely in the pediatric patient to insure the patient has appropriate growth.
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Anticipated time for 15% weight loss.

Unintentional weight loss algorithm. It is a diagnostic challenge because, while an underlying illness. Unintentional weight loss is often defined as weight loss of at least 5% of the patient’s usual body weight that occurs within the preceding 6 to 12 months, and that is not the expected consequence of treatment of a known illness. Less common causes of unexpected weight loss.
It is a diagnostic challenge because, while an underlying illness. Weight loss of 10 pounds or more, or five percent of body weight, over a period of 6 to 12 months is considered “unexplained.” unexplained weight loss can be a symptom of a serious condition or illness. Half food intake and comorbid conditions:
These can include gastrointestinal disease, malignancy, psychiatric conditions, social factors, and medication use. Helicobacter pylori diagnostic algorithm 1. Unexplained weight loss is a noticeable drop in body weight that occurs even if the person is not trying to lose weight.
A reasonable starting point to initiate a workup is unintentional weight loss of 5% or more of the patient's usual body weight within the preceding 6 to 12 months. Less frequently, unexpected weight loss may be the result of: Unintentional weight loss of greater than 5% in the past six to 12 months is generally defined as clinically significant.20
These guidelines propose low body mass index, large unintentional weight loss in a short time period, little or no nutritional intake for ∼5 to 10 d, or a history of alcohol or drug misuse (including insulin, chemotherapy, antacids, or diuretics) as risk factors for rfs in patients started on nutritional therapy. 2 weight loss in patients older than 65 is correlated with increased morbidity and mortality, functional decline, increased rates of hospitalization, and cachexia. • organic.cancer is the leading cause, accounting for 24% to 38% of cases (weight loss may be.
Medications that may cause nausea and vomiting, dysphagia, dysgeusia and anorexia have been implicated. The weight loss does not come about because of diet, exercise or lifestyle changes. • unintentional weight loss over time:
Unintentional weight loss is often defined as weight loss of at least 5% of the patient’s usual body weight that occurs within the preceding 6 to 12 months, and that is not the expected consequence of treatment of a known illness. The frequency of intentional loss in association with altered body image or other psychiatric illness (eg, anorexia nervosa) increases with advancing age, peaking in adolescence. Unintentional weight loss does not always have an identifiable underlying cause but, in addition to the causes already mentioned, it's often the result of:
Half of normal food intake: Performance characteristics for this instrument have not been established for persons under age 3. For patients 3 to 17 years, age, weight and height must
One study documented significantly increased mortality in men with unintentional weight loss compared with men whose weight was stable or increased (36% vs ≈15%). Recent data suggests that close to 30% of people over the age of 65 experience involuntary weight loss. Unintentional weight loss is often defined as weight loss of at least 5% of the patient’s usual body weight that occurs within the preceding 6 to 12 months, and that is not the expected consequence of treatment of a known illness.
Most practitioners and researchers define unintentional weight loss as a 5% to 10% decrease in body weight over a period of 1 to 12 months. 7 identified etiologies generally include: Acute or progressive unintentional weight loss often indicates a serious medical illness that requires evaluation and treatment.
According to the patient's individual risk for rfs, a careful start of nutritional therapy with a stepwise increase in energy and fluids goals and supplementation of electrolyte and vitamins, as well as close clinical monitoring. Record accurate weights on same scale at every visit. 15% of weight lost in 3 weeks.
Unintentional weight loss, as well as one algorithm outlining common causes of weight loss, though neither are specific to geriatrics. Unexplained weight loss >5% should be investigated. In 25% of cases, etiology is idiopathic and unknown.
Mayo clinic laboratories utilizes the pocone infrared spectrophotometer for the urea breath test; Significant unintentional weight loss can be a harbinger of serious underlying disease. This term excludes weight loss as an expected consequence of treatment (eg, weight loss from diuretic therapy in patients with heart failure) or as a result of a known illness.
Upon hospital admission, we recommend the use of specific screening criteria (i.e., low body mass index, large unintentional weight loss, little or no nutritional intake, history of alcohol or drug abuse) for risk assessment regarding the occurrence of rfs. An algorithm for the management of unintentional weight loss in the elderly patient is provided in figure 2.
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