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Involuntary weight loss in elderly individuals: assessment and treatment
Moriguti, Julio Cesar; Moriguti, Eny Kiyomi Uemura; Ferriolli, Eduardo; Caçäo, Joäo de Castilho; Iucif Junior, Nelson; Marchini, Julio Sergio.
Afiliação
  • Moriguti, Julio Cesar; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Department of Internal Medicine. Division of General Internal and Geriatric Medicine. Ribeirão Preto. BR
  • Moriguti, Eny Kiyomi Uemura; Hospital das Clínicas of Ribeirão Preto. Nutrition and Dietetic Service. Ribeirão Preto. BR
  • Ferriolli, Eduardo; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Department of Internal Medicine. Division of General Internal and Geriatric Medicine. Ribeirão Preto. BR
  • Caçäo, Joäo de Castilho; Faculdade de Medicina de São José do Rio Preto. Department of Medicine. Discipline of Internal Medicine. São José do Rio Preto. BR
  • Iucif Junior, Nelson; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Department of Internal Medicine. Division of General Internal and Geriatric Medicine. Ribeirão Preto. BR
  • Marchini, Julio Sergio; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Department of Internal Medicine. Division of General Internal and Geriatric Medicine, Division of Clinical Nutrition. Ribeirão Preto. BR
São Paulo med. j ; 119(2): 72-7, Mar. 2001. tab
Artigo em Inglês | LILACS | ID: lil-282393
Biblioteca responsável: BR1.1
RESUMO
CONTEXT The loss of body weight and fat late in life is associated with premature death and increased risk of disability, even after excluding elderly subjects who have a preexisting disease. Although it is important to recognize that periods of substantially positive or negative energy balance and body weight fluctuation occur as a normal part of life, weight losses greater than 5 percent over 6 months should be investigated. We can divide the major causes of weight loss in the elderly into 4 categories social, psychiatric, due to medical conditions, and age-related. The clinical evaluation should include a careful history and physical examination. If these fail to provide clues to the weight loss, simple diagnostic tests are indicated. A period of watchful waiting is preferable to blind pursuit of additional diagnostic testing that may yield few useful data, if the results of these initial tests are normal. The first step in managing patients with weight loss is to identify and treat any specific causative or contributing conditions and to provide nutritional support when indicated. Non-orexigenic drugs have found an established place in the management of protein-energy malnutrition. Early attention to nutrition and prevention of weight loss during periods of acute stress, particularly during hospitalization, may be extremely important, as efforts directed at re-feeding are often unsuccessful.

DESIGN:

Narrative review
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Redução de Peso Tipo de estudo: Ensaio clínico controlado / Estudo diagnóstico / Estudo prognóstico Limite: Idoso / Feminino / Humanos / Masculino Idioma: Inglês Revista: São Paulo med. j Ano de publicação: 2001 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Redução de Peso Tipo de estudo: Ensaio clínico controlado / Estudo diagnóstico / Estudo prognóstico Limite: Idoso / Feminino / Humanos / Masculino Idioma: Inglês Revista: São Paulo med. j Ano de publicação: 2001 Tipo de documento: Artigo