Characterization of Anorexia in Nursing Home Patients

Bartlett, Betty J

doi:10.1080/0380127900160608

Cited by 7 publications

(3 citation statements)

References 11 publications

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“…7 Additionally, a retrospective chart review of 96 residents in six intermediate care facilities in the United States showed that unexplained weight loss was most prevalent among the lowest income group. 8 In summary, determination of potential contributing factors to weight loss should not focus solely on disease-related processes. Functional issues, medications, issues with intake, and psychological and social factors also need to be considered.…”

Section: Psychological Factorsmentioning

confidence: 99%

Unintentional weight loss in older adults

Stajkovic¹,

Aitken²,

Holroyd‐Leduc³

2011

Canadian Medical Association Journal

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A 73-year-old woman presents to your clinic complaining of unintentional weight loss. She reports having lost 15 lbs (6.8 kg) over the past year. Previously, her weight was 135 lbs (61.3 kg) and now it is 120 lbs (54.5 kg). She reports that she is eating three meals per day as usual.The patient's past medical history is notable for osteoporosis, a left hip fracture three years ago, osteoarthritis, hypothyroidism and hypercholesterolemia. She is taking levothyroxine, a statin and a bisphosphonate plus vitamin D and calcium. She recently started taking nonsteroidal anti-inflammatory medications (NSAIDs) as needed for knee pain. She is an exsmoker and does not drink alcohol. On examin ation, her weight was 121 lbs (55 kg), with a body mass index (BMI) of 22. She also had osteoarthritic changes in the knees. Results of investigations, including radiograph of the chest, complete blood count, electrolytes, creatinine, thyroid stimulating hormone and albumin are within normal limits.

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Section: Psychological Factorsmentioning

confidence: 99%

Unintentional weight loss in older adults

Stajkovic¹,

Aitken²,

Holroyd‐Leduc³

2011

Canadian Medical Association Journal

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“…In the overwhelming majority of cases that appear in the literature, the disordered patterns of eating, weight, and body image in the elderly were accompanied by comorbid conditions of anxiety, depression, grief, or dementia (Bartlett, 1990;Bernstein, 1972;Hall & Driscoll, 1993). There have been cases of presumed anorexia that have actually been due to hypothalamic tumors and dysfunction (Plata-Salaman, 1998) but there was no evidence for any masses on computerized tomography or magnetic resonance imaging scans.…”

Section: Discussionmentioning

confidence: 96%

Can you ever be too old to be too thin? Anorexia nervosa in a 92‐year‐old woman

Mermelstein

Basu

2001

Intl J Eating Disorders

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“…1. Physiologic factors: acute illness, hospitalization, exacerbation of chronic diseases, dementia, constipation, pressure ulcers, daily pain, medications, compromised motility, recurrent falls, eating and swallowing problems, reduced appetite, low food intake, thirst, serum albumin <35 g/l, and total cholesterol <4.2 mmol/l were found to be factors for UWL [8][9][10][11][12][13].…”

Section: Risk Factors Of Uwlmentioning

confidence: 95%

Unintentional Weight Loss

Abu‐Freha¹

2018

Weight Loss

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Unintentional weight loss (UWL) is a common symptom, particularly among older patients. In one site, patients with UWL have increased morbidity and mortality; in the other site, the prognosis of the patients is related to primary cause of the UWL. The differential diagnosis of the underlying diseases leading to UWL is broad and includes both malignant and nonmalignant gastrointestinal (GI) diseases, as well as endocrine, infectious, cardiopulmonary, and psychiatric disorders and side effects of medications. Patients with UWL should be investigated. The diagnostic approach to patients with UWL includes comprehensive medical history, physical examination, laboratory testing, imaging, and endoscopy. The imaging and endoscopy should be targeted according to the symptom, physical examination findings, and laboratory results. The treatment of UWL should be targeted to the primary disease causing weight loss. Non-pharmacologic nutrition intervention is the important treatment, and some pharmacologic treatment could be helpful in part of the patients.

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Characterization of Anorexia in Nursing Home Patients

Cited by 7 publications

References 11 publications

Unintentional weight loss in older adults

Unintentional weight loss in older adults

Can you ever be too old to be too thin? Anorexia nervosa in a 92‐year‐old woman

Unintentional Weight Loss

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