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Weight Loss With Parkinson’s

Research On The Consequence Of Weight Loss In Parkinson’s

Man with Parkinson’s reflects on his incredible weight loss journey

New research, published in the scientific journal Neurology, highlights a link between weight loss and poorer future health for people with Parkinson’s and other parkinsonisms.

Researchers at the University of Aberdeen looked at the long-term outcomes of 427 participants taking part in the PINE study.

The team discovered that weight loss early on in both Parkinsons and parkinsonism was linked to a greater risk of dementia and loss of independence in the future.

They suggest that preventing or reversing weight loss may improve long-term outcomes and highlight the need for further research to test this.

Managing Your Parkinson’s And Weight

If you are concerned about the amount of weight you’ve lost, speak to a healthcare provider. Beyond evaluating your Parkinson’s progression, here are some tips that may help you manage your weight:

  • Make mealtime an enjoyable experience. Add spices and seasonings to foods to compensate for a decreased sense of taste. Take a look at the aesthetics of eating. Improving the mood with a tasteful table, music, even candles can sometimes be as important as improving the taste of foods. Make sure you have an adequate amount of time to eat. Feeling rushed can be a hindrance, especially for those whose digestive tract smooth muscles are working more slowly than normal.
  • Work with professionals. Seek treatment for depression and other mood disorders you may have. You should also ask a healthcare provider if your medications need to be adjusted as some of these may contribute to weight loss. You can also work with a nutritionist or try nutritional supplements. You can also work with a trainer or physical therapist to boost your activity. Adding a little exerciseeven a small amount of physical activitymay stimulate your appetite.
  • Optimize your meals. Choose high-calorie foods whenever possible and don’t be afraid to eat the foods you most enjoy. You should also eat at the times of day when you have the most energy as well as skip liquids and drink them after a meal instead of before or during the meal, if possible.

How Does Fibre Help

Fibre absorbs fluid as it moves through your bowel, forming a soft stool that can be passed more easily.

It is very important to increase your fluid intake if you increase the fibre in your diet, because too much fibre without enough fluid can increase constipation.

A dietitian can give you more information and advice.

How can I increase my fibre intake?

Fibre is found in cereals, seeds, nuts, fruit, vegetables and pulses, such as peas, beans and lentils. To increase your fibre intake you can try:

  • eating high-fibre varieties of foods, such as wholemeal bread, pasta or brown rice
  • altering recipes to use some wholemeal flour instead of all white flour
  • choosing a breakfast cereal containing wheat, wheatbran or oats, such as Weetabix, porridge or bran flakes
  • eating more vegetables. They can be raw or cooked, fresh or frozen. Try using more peas, beans or lentils
  • eating more fruit. It can be fresh, stewed, tinned or dried. Try bananas, oranges or prunes
  • gradually introducing ground linseeds. You can add 1 teaspoon to cereals, salads or yoghurts to start with and increase this over time to 1 tablespoon. If you do this, make sure you drink an extra glass of fluid a day, otherwise it wont work and may make constipation worse

When increasing your intake of fibre, it is important to do so gradually to avoid bloating or flatulence . Aim to introduce 1 new high-fibre food every 3 days.

Read Also: How To Stop Dyskinesia In Parkinson’s

Increased Energy Expenditure Can Be Associated With Pd:

  • Dyskinesias are extra movements which can be a side effect of carbidopa/levodopa. These movements can be prominent in some people and persistent throughout the day leading to excessive energy consumption and weight loss.
  • Tremor as well as muscle rigidity, if persistent, can be causes of excessive energy consumption and subsequent weight loss.
  • Although the reasons are not completely understood, PD can be associated with dysregulated energy use even without extra movements. There are many theories as to why this may be the case, including abnormalities of the hypothalamus, an area of the brain that is responsible for many automatic functions including food intake and energy metabolism.

Prognosis Of Clinically Significant Weight Loss In Parkinsonism

Parkinson Society Canada

In our parkinsonian cohort , 85 were dependent at baseline, 43 developed dependency by year 1, 97 developed dependency during later follow-up, and 50 remained independent 43 had dementia at baseline, 11 developed dementia by year 1, 57 developed dementia during follow-up, and 164 did not develop dementia. There were 162 deaths. The variables included and excluded from the models of outcomes of weight loss are listed in .

Sustained clinically significant weight loss within the first year of diagnosis was independently strongly associated with subsequent dementia and mortality and was associated with dependency . There was no evidence that the effect of sustained clinically significant weight loss on these outcomes was modified by parkinsonian diagnoses . None of the associations changed if vascular parkinsonism was excluded.

Also Check: What Is Parkinson’s Disease And What Are The Symptoms

Why People With Parkinson’s Tend To Lose Weight

There are many theories about the origin of weight loss for people with Parkinson’s disease. Some believe a loss of smell, which can affect appetite, leads to weight loss as well as increased energy expenditure and fat burning due to tremors and dyskinesias. Other theories point to mood disorders related to Parkinson’s disease such as depression. Yet, none of these factors have been definitely confirmed as the sole cause of weight loss.

If you have Parkinson’s disease, you may also have gastrointestinal dysfunction, which is believed to be the most likely cause of weight loss. Comorbid conditions like gastroparesis and decreased bowel peristaltic keep food from moving through the digestive at a normal pace. This decreased motion of smooth muscles in the digestive tract and elsewhere with the disease is often referred to as “autonomic dysfunction,” and may lead to weight loss.

Subject Selection & Definitions

The design was a retrospective cohort study using the data prospectively collected from the NPF-QII longitudinal dataset. All PD patients with two subsequent visits separated by 12 months were included. The variables analyzed included age, gender, age at onset, disease duration, living situation, presence of a regular care partner, Hoehn & Yahr stage, presence of rest tremor, motor fluctuations, TUG test, immediate and delayed word recall, verbal fluency, MOCA estimate, number of comorbidities, usage of levodopa, antidepressants, antipsychotics, speech therapy, exercise, social worker utilization, and mental health referral. HRQL was measured by a validated scale, the PDQ-39. The PDQ-39 Summary Index score , as well as its ADL and mobility dimensions, were analyzed.

As part of the data collection process, the NPF-QII instructs examining clinicians to estimate their diagnostic certainty of PD as being more than 90%, 5090%, or less than 50%. Only subjects who were classified as having PD with greater than 90% certainty were included for analysis.

The 25th percentile of absolute weight change was less than 2 lbs , which was used as cutoff of no change. Subjects who lost 2 lbs were compared to subjects who lost < 2 lbs or had no change. In addition, we treated patients whose weight change was more than 3 standard deviations away from the sample mean as outliers. Their body weight may have been erroneously entered, or caused by a medical comorbidity .

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Determinants Of Weight Loss In Parkinsonism

The multivariable Cox regression model examining the determinants of weight loss was constructed for all 275 parkinsonian patients. Variables included and excluded from the models of outcomes of weight loss are listed in . At diagnosis, parkinsonian patients who went on to develop sustained weight loss at any time after diagnosis were on average 4.5 years older and had a 1-point-higher median part I Unified Parkinson’s Disease Rating Scale score than those without sustained weight loss .

Multivariable Cox regression models for time to weight loss and time to selected outcomes in parkinsonian patients

After multivariable adjustment, only age was independently associated with developing sustained clinically significant weight loss at any time after parkinsonism diagnosis . There was an indication that atypical parkinsonism may be associated with greater weight loss than PD . The association between lower dependency measured by the Barthel Index and weight loss after adjustment for age and diagnostic group was probably spurious because of collinearity.

Weight Loss In Early Parkinson Linked To Cognitive Decline

How can changes to diet help people with Parkinson’s?

THURSDAY, Oct. 20, 2022 — Weight loss in early Parkinson disease is associated with a decline in cognitive function, according to a study published online Oct. 19 in Neurology.

Ryul Kim, M.D., from Inha University School of Medicine in Korea, and colleagues used data from the Parkinson’s Progression Markers Initiative cohort to examine whether early weight change is associated with subsequent deterioration in cognitive function in PD. For up to eight years of follow-up, patients underwent annual nonmotor assessments covering neuropsychiatric, sleep-related, and autonomic symptoms. The Montreal Cognitive Assessment and detailed neuropsychological testing were used to measure cognitive function.

A total of 358 early PD patients were classified into weight loss , weight maintenance , and weight gain groups. The researchers found that compared with the weight maintenance group, the weight loss group had a significantly faster decline in MoCA scores. With respect to specific cognitive domains, steeper declines were seen in the semantic fluency test score and MoCA phonemic fluency scores and, to a lesser extent, Letter-Number Sequencing scores for the weight loss group versus the weight maintenance group. A slower decline in the Symbol-Digit Modalities Test score was seen in the weight gain group, although no correlation was seen with longitudinal changes in MoCA scores.

Posted October 2022

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I Was Telling Someone At My Parkinsons Support Group About The Pains I Have In My Stomach And He Mentioned Something Called Gastric Emptying What Is It And If Thats My Issue What Can I Do About It

Gastric emptying or gastroparesis relates to a delayed movement of food from the stomach to the intestines that can cause stomach pains, bloating, nausea and feelings of uncomfortable fullness after only a bite or two of food. Its not known whether this condition is associated with Parkinsons itself or levodopa treatment, but whether it is or isnt, there are a few things you can do to address your symptoms such as trying smaller but more frequent meals of easy-to-eat anti-inflammatory foods and limiting caffeine, alcohol, grains and dairy. Currently, there is no medication for gastric emptying that is compatible with people with Parkinsons, but you can talk to your doctor and your nutritionist about other possible strategies and treatments.

Weight Changes In Pre

In prospective American cohort or casecontrol and Chinese epidemiological studies, a decrease of body weight was reported several years prior to diagnosis .1). On the other hand, large Finnish and Japanese cohort studies reported a weight gain in pre-diagnostic PD . The same result was found in the Honolulu Heart Program which included Americans of Japanese origin . No association between PD and BMI before or at disease onset was reported for the Greece EPIC population , the UK-based general Practice Research Database , and in Italian casecontrol studies . As degeneration of the dopaminergic system begins years before diagnosis , BMI variation may reflect a dysregulation of dopaminergic control of eating behavior rather than modification of energy metabolism in pre-motor stages of the disease. Apathy, depression, and anxiety are frequent in de novo PD and eating disorders may also appear in response to these negative emotional state. In the general population, a strong association between depression and overweight has been described which may be due to sub-threshold eating disorders described as emotional eating , increased snacking , or increased sweet preference . Alterations of eating behavior have been described in de novo PD, prior to treatment .

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If I Take Regular Doses Of Carbidopa/levodopa Should That Impact When And What I Should Eat

Yes. The effect of levodopa may be influenced by proteins in food. Proteins can compete with levodopa uptake both from the gut and across the blood-brain barrier and may, therefore, inhibit the effect of levodopa. Therefore, if you take regular doses of carbidopa or levodopa, you should talk to your doctor about taking your medicine 30-60 minutes before eating, especially before high protein meals. Protein, however, is still important for your diet so it can be helpful to create a schedule to manage your medication and protein intake throughout the day so that youre not eating your high protein meals simultaneously with your carbidopa/levodopa.

How To Boost Appetite

Pin on Parkinson

If a person has a low appetite due to an underlying medical condition, treating the condition may improve it.

For longer-term causes of low appetites, such as cancer, the Pancreatic Cancer Action Network suggest that people adjust their eating habits to increase their desire for food by:

  • eating foods that look and smell good using aromatic spices and herbs to enhance flavour making meals enjoyable
  • planning meals the day before
  • drinking plenty of liquids

As other lifestyle factors, such as sleep, exercise, and stress, also influence appetite, PanCAN recommends:

  • getting enough rest
  • taking medications to reduce nausea, if appropriate

Also Check: How To Tell Difference Between Parkinson’s And Essential Tremor

What Should I Eat Before And After I Exercise

In the same way that theres no one diet for anyone, the timing of your meals before and after exercise will largely depend on you. While its important to limit your protein intake after taking your carb/levodopa, if you want a pre-workout snack, you can choose something light and carbohydrate-based, as this wont interfere with the absorption of your medicine. After you work out, it may be a good time for a protein-rich snack, so long as it is eaten at least 30 minutes before your next dose of medicine. With that framework, the exact type and timing of snacks before and after exercise is something that you can experiment with and talk to your doctor about.

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Weight Loss And Impact On Quality Of Life In Parkinsons Disease

  • Affiliation Department of Neurology, Brown University, Providence, Rhode Island, United States of America

  • Affiliation Department of Mathematics, Clarkson University, Potsdam, New York, United States of America

  • Affiliation Department of Biostatistics, University of Florida, Gainesville, Florida, United States of America

  • Affiliation Department of Neurology, University of Florida, Gainesville, Florida, United States of America

  • Affiliation Department of Neurology, University of Florida, Gainesville, Florida, United States of America

  • Affiliation Department of Neurology, University of Florida, Gainesville, Florida, United States of America

  • Affiliation Department of Neurology, University of Florida, Gainesville, Florida, United States of America

  • Affiliation National Parkinson Foundation, Miami, Florida, United States of America

  • Affiliation Department of Biostatistics, University of Florida, Gainesville, Florida, United States of America

  • Affiliation Department of Neurology, University of Florida, Gainesville, Florida, United States of America

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I Keep Losing Weight Whats Happening And What Can I Do About It

Weight loss is a common side effect of Parkinsons. In fact, in many cases, weight loss precedes motor symptoms and is considered an index for Parkinsons progression. There are a variety of potential causes at play such as overall malnutrition, increased energy output and decreased energy input and problems with nausea or vomiting and lack of appetite. The best thing to do if you have unwanted weight loss is to talk to your doctor about creating a plan to manage your caloric intake. Creating a meal plan to gain and then maintain your weight will vary by individual, but avocados, shakes, smoothies, nuts, and seeds are all simple ways to consider adding nutritional calories to your diet. If loss of smell is a problem for you, you can also consider using more spices to make your food taste better.

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Weight Loss in Parkinsonism

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