Thursday, April 18, 2024

Does Parkinson’s Cause Weight Gain

Weight Changes In Parkinsons Disease

Medications that cause Weight Gain

PD may cause a person to gain weight or to lose weight. Changes to weight can have negative effects on a persons overall health. Weight loss can lead to losing muscle mass and strength and may increase the risk of infection or osteoporosis. Weight gain can lead to being overweight, increasing the risk of heart disease and high blood pressure, as well as putting extra stress on joints.1

Weight loss may be influenced by depression or the loss of the sense of smell and taste changes that some people with PD experience. Some medications for PD can cause nausea, which may make patients eat less. Motor symptoms of PD can also make it challenging to bring food to the mouth or to swallow.1

Weight gain can be a side effect of treatment for PD. Some medications for PD have been associated with compulsive behaviors, including binge eating. Medications for psychiatric symptoms of PD can also contribute to weight gain. Deep brain stimulation, a surgical treatment that involves implanting and stimulating electrodes in the brain, can also cause weight gain as a side effect.1

There are several strategies that can help people with PD to manage their weight, including eating a balanced diet with a variety of foods and getting regular exercise. A doctor or registered dietitian can provide specific strategies aimed at either gaining or losing weight.1

Requip And Weight Gain

I take 8mg of Requip per day. I noticed quite quickly that, slowly but surely, I was gaining weight. I did all the usual things – used a smaller plate, was careful what I ate, increased my exercise – but still it increases. Has anyone else had a similar problem and have they managed to lose the extra weight. I am not very tall so the extra weight is more noticeable I would be grateful to hear how other people, assuming I am not alone with this weight gain, have managed to lose weight.

i understand that the meds play havoc with the metabolism. i have tried numerous strategies to try and lose weight but with no success…Tony

I was taking 8 mg’s repinerole and I too noticed an increase in weight and also swelling around the ankles. I’ve reduced to 6 mgs amd the swelling has gone down. If you can you could reduce it too the only thing is you have to take 2 tablets instead of one! I’m still a bit weighty but it’s difficult if you like your food!!

aI have gained 20lbs, most in the last 2 yearsthwttte. My ropinerole intake is 4 mg x 4xday. Steady increase in weight, more so this last year as severe pain in right foot has limited my activities.

Yes gained 30 lbs. Lost 40 when I went off it to Sinimet.

Yes me too on both counts. Put on 20kg on requip and hospitalised with edema. Moved to stalevo And lost 30 but not all positive much more on off cycles and Dyskenisia moving on to apomorphine pump soon but major worry is weight gain

Ive Heard So Much About The Diet For People With Parkinsons Does It Really Work

Despite the buzz, theres no one diet that has been shown to be universally beneficial for people with Parkinsons.

The ketogenic diet has received a lot of attention recently as it can be beneficial for patients with epilepsy and early trials are being done on rat models to see if the same is true for Parkinsons however, there is not yet significant evidence that it is therapeutic for Parkinsons.

Some people with Parkinsons find that gluten can be inflammatory to their gut and cause digestive distress. If this is the case for you, introducing a gluten-free diet may help relieve some of your symptoms.

When it comes to vegan, paleo and vegetarian diets, no conclusive evidence finds one to be therapeutic for Parkinsons. Still, speak to people with Parkinsons whove done some experimenting, and youre likely to find plenty of people who sing the praises of one diet vs another. In the end, it comes down to experimentation and discovering what works best for you based on your symptoms and goals.

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How To Eat Well

Eat a variety of foods from each food category, like fruits, vegetables, and lean meats. If you think you need vitamin supplements, check with your doctor first.

Keep your weight in the healthy range for your age and height with exercise and a good diet.

Load up on fiber with foods like broccoli, peas, apples, cooked split peas and beans, whole-grain breads, cereals, and pasta.

Cut down on sugar, salt, and saturated fats from meat and dairy, and cholesterol.

Drink 8 cups of water every day.

Ask your doctor you can drink alcohol. It may keep your medications from working right.

Prevalence Of Malnutrition In Pd

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Weight loss in PD has been reported since the first publication of James Parkinson in 1817. A recent meta-analysis on BMI in PD reported a lower BMI of PD patients than controls , which is related to disease severity . Average weight loss is about 3.6kg 8years after diagnosis or 6kg in one decade . Both fat mass and lean body mass were reported to be reduced in PD patients who lost weight . It should be outlined that a lower average BMI does not mean that many PD patients are at risk for malnutrition. In spite of a decline of body weight, during disease progression patients may be overweight . Prevalence of underweight depends on the used assessment tool and ranges from 0 to 24% , while 360% of PD patients were reported to be at risk of malnutrition . However, the use of the mini nutritional assessment, a valid nutrition assessment tool, resulted in malnutrition rates of only 02% while 2034% were at risk of malnutrition . Malnutrition is associated with disease severity .

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Dental Problems In Parkinsons Disease

Dental hygiene is often compromised in a person with PD due to their motor symptoms, which can lead to an increased risk of cavities and gum disease. In addition, the motor symptoms of PD may make periodic dental examinations challenging. People with PD may find it easier to use an electric toothbrush, using their stronger hand. Dentists may also recommend topical stannous fluoride gel treatments, which can protect tooth enamel from cavities. Visits to the dentist can be coordinated after a dosage of PD medication has taken effect.1

Weight Eating Habits In Parkinson’s Disease

Sissa Medialab
A review of the scientific literature on Parkinsons disease shows that even the non-motor symptoms associated with the disease can contribute to the changes in body weight seen in patients . Among the factors affecting eating habits and body weight there could be, for example, an impaired ability to derive pleasure from food and changes in motivation. These are important findings which can help to understand how to reduce these effects of Parkinsons that exacerbate an already negative clinical situation.

A review of the scientific literature on Parkinson’s disease, conducted by SISSA research scientists, shows that even the non-motor symptoms associated with the disease can contribute to the changes in body weight seen in patients . Among the factors affecting eating habits and body weight there could be, for example, an impaired ability to derive pleasure from food and changes in motivation. These are important findings which can help to understand how to reduce these effects of Parkinson’s that exacerbate an already negative clinical situation.

“Studies like ours can help those working with these patients: awareness of the roles played by the different factors is in fact crucial for devising interventions aiming to minimise the effect of the deficits and restore normal weight levels in individuals who are already suffering because of the disease.”

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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.

Weight Loss In Parkinsons Disease: The Relationship With Motor Symptoms And Disease Progression

Do Some Drugs Cause Weight Gain?

1Parkinsons Disease and Movement Disorders Unit, Hospital de Clinicas, University of Buenos Aires, Argentina


Objectives. To determine the prevalence of weight loss in PD patients, its relationship to the severity of motor manifestations and appetite changes. Methods. 144 PD patients and 120 controls were evaluated in a single session. All subjects were asked about changes in body weight and appetite. PD patients were examined with the UPDRS-III and the Hoehn and Yahr scales. Subscores of tremor, bradykinesia /rigidity, and non-dopaminergic symptoms were analyzed individually. Multivariable logistic regression analysis was used to determine an association between WL and PD motor manifestations. Results. 48.6 % of PD patients presented WL compared to 20.8 % of controls . Weight losers were significantly older and had longer disease duration, higher scores in HY stages, UPDRS-III, and NDS-subscore. Multivariable logistic regression analysis demonstrated that WL was associated with NDS-subscore and older age . Appetite in PD cases losing weight was unchanged , decreased , or even increased . Our results showed that WL occurs in almost half of PD patients and it is largely the consequence of disease progression rather than involuntary movements or a decrease in food intake.

1. Introduction

2. Methods

2.1. Subjects
2.2. Assessments
2.3. Statistical Analysis

3. Results

3.1. Participants

Among the 120 controls mean age was 62.6 ±10.9 years old .

Appetite/ food intake

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What Is Parkinsons Disease

Parkinsons is a neurological illness caused by degeneration or breaking down of cells in the nervous system, explained Dr. Shprecher. The nature of Parkinsons Disease is progressive, meaning that it gets worse over time. To comprehend the natural progression of the disease, we should understand its five stages, as explained by the Parkinsons Foundation.

Stage One

Individuals experience mild symptoms that generally do not interfere with daily activities. Tremor and other movement symptoms occur on one side of the body only. They may also experience changes in posture, walking and facial expressions.

Stage Two

Symptoms worsen, including tremor, rigidity and other movement symptoms on both sides of the body. The person is still able to live alone, but daily tasks are more difficult and lengthier.

Stage Three

This is considered mid-stage. Individuals experience loss of balance and slowness of movements. While still fully independent, these symptoms significantly impair activities such as dressing and eating. Falls are also more common by stage three.

Stage Four

Symptoms are severe and limiting. Individuals may stand without help, but movement likely requires a walker. People in stage four require help with daily activities and are unable to live alone.

Stage Five

Why Weight Loss Is Concerning

Researchers have found that weight loss, defined as the loss of an average of one pound per month, is linked with a significantly lower quality of life. Though weight loss was not found to lower survival, the small sample size of some of these studies makes a true judgment of the effect of weight loss on survival difficult to assess.

One concern is that people with Parkinson’s disease appear to be at a higher risk of osteoporosis, and osteoporosis is a significant cause of both illness and death in older adults. Weight loss has been found to increase the risk of osteoporosis in people with PDpeople who already have an elevated risk of developing osteoporosis. Weight loss also increases the risk of pressure ulcers , another condition which is already increased in people with PD due to a redistribution of body fat and restriction of movement. More than just weight loss, Cachexia is another concern and is considered a significant cause of premature death.

One study found that those with PD who lost weight had faster disease progression. However, researchers aren’t sure if weight loss causes Parkinson’s to worsen or if weight loss is the result of the more severe disease.

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Living With Parkinsons Disease

Depending on severity, life can look very different for a person coping with Parkinsons Disease. As a loved one, your top priority will be their comfort, peace of mind and safety. Dr. Shprecher offered some advice, regardless of the diseases progression. Besides movement issues Parkinsons Disease can cause a wide variety of symptoms including drooling, constipation, low blood pressure when standing up, voice problems, depression, anxiety, sleep problems, hallucinations and dementia. Therefore, regular visits with a neurologist experienced with Parkinsons are important to make sure the diagnosis is on target, and the symptoms are monitored and addressed. Because changes in your other medications can affect your Parkinsons symptoms, you should remind each member of your healthcare team to send a copy of your clinic note after every appointment.

Dr. Shprecher also added that maintaining a healthy diet and getting regular exercise can help improve quality of life. Physical and speech therapists are welcome additions to any caregiving team.

Diet And Parkinson’s Medications

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You should always discuss with your doctor, or Parkinsons nurse if you have one, when to take your medications. Most medications can be taken at any time and do not need to be specially timed in relation to meals. You may find sipping a drink makes it easier to swallow your tablets but avoid milk, a protein, when taking levodopa.

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I Am Overweight What Can I Do

It’s easy to gain weight if you become less active but are eating the same amount of food.

If you are trying to lose weight, here are some tips to start with:

  • Don’t eat fried food regularly grill, dry fry, microwave, bake, steam, poach or boil, without adding fat or oils. Instead, use marinades, adding extra herbs, stock and spices for flavour.
  • Use skimmed or semi-skimmed milk instead of full fat.
  • Try eating healthier snacks like diet yoghurts, nuts, fruit, crumpets or teacakes.
  • Have sugar-free, no added sugar or low-calorie drinks and use artificial sweetener instead of sugar.

If you have other health conditions as well as Parkinsons, such as circulation problems, high cholesterol, heart disease or diabetes, and are concerned about being overweight, speak to your GP, specialist, Parkinsons nurse or ask to see a registered dietitian.

These Popular Noodles Cause Chronic Inflammation Weight Gain Alzheimers And Parkinsons Disease

Nov 6, 2017Carly FraserSave For Later

While processed foods may provide an easy convenience for those living in this fast-paced society, depending on it too much can lead to serious health issues.

Instant noodles contain Tertiary-butyl hydroquinone , which is a by-product of the petroleum industry. It is also a food additive that is frequently used to preserve cheap, processed foods.

Unfortunately, our bodies cannot process TBHQ , and Dr. Braden Kuo of Massachusetts General Hospital set out to prove that.

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Causes Of Weight Loss In Parkinsons Disease

Weight loss in relation to Parkinsons disease can occur for a number of reasons. Decreased appetite, additional energy output, and changes in digestion can slow your food intake. And this ultimately can cause a shift in body weight.

It makes sense, really. Dads tremors cause him to expend energy 24 hours a day. Thats a substantial amount of time that is spent in motion. And the body needs fuel to maintain this motion.

Dad seems to eat about the same amount, but what he chooses to eat has changed. My little sister makes sure theres a constant supply of densely packed foods, such as avocados. They juice every morning, squeezing the nutrients out of a shocking amount of produce.

Sometimes I giggle to see him eating a midnight bowl of ice cream or a handful of chocolate. Weight loss almost seems like an opportunity to eat his favorite treats. Dad looks thin, but his doctor seems to think his weight is stable.

How Does Fibre Help

Taking Medications That Cause Weight Gain and Losing Weight

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.

Find out about speech and language therapy and keeping a diary.

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