In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery. According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition. A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.
Stress may contribute to abdominal fat, according to several studies, including a recent one at the University of California, San Francisco. "When you're stressed, hormones like cortisol stimulate your appetite, slow your metabolism down and encourage fat storage inside your abdomen," explains Shawn Talbott, Ph.D., director of the Nutrition Clinic at the University of Utah. So what's a frazzled girl to do? "Find an activity that reduces stress for you, whether it's listening to soothing music or taking yoga, and do it daily," advises Talbott.
“Anytime you’re stressed, you probably go for food,” Dr. Seltzer says. (Have we met?!) That’s because cortisol, the stress hormone, stokes your appetite for sugary, fatty foods. No wonder it’s associated with higher body weight, according to a 2007 Obesity study that quantified chronic stress exposure by looking at cortisol concentrations in more than 2,000 adults’ hair.
It's easy to overdo it when you're eating something delicious — and that's why it's good to focus on foods that will force you to slow down. "Slowing down can help you check in with your hunger levels. For that reason, I love snacking on 100-calorie packs of in-shell pistachios," Gorin says. "Shelling the pistachios helps you slow down your snacking, and the shells leave a visual cue to remind you of how much you've eaten. Because you're more in tune with what's gone into your mouth, you may be less likely to have extra servings." In one preliminary study, people snacking on in-shell pistachios ate 41% less calories than those who ate the shelled version.
“To lose weight you should primarily eat whole foods, but don’t eliminate your favorites. Consistently eating nutrient-dense food on a day-to-day basis will improve the chances of upregulating metabolism and of eliminating nutritional deficiencies. That may mean tracking what you eat in some way at first, but it doesn’t mean ruling out entire food groups or foods you love. Consistent quality nutrition while learning to enjoy treats in moderation will set you up for long-term sustainable success. — Victoria Viola, PN Certified Nutrition Coach, NSCA CPT, Co-Founder, Excelerate Wellness, LLC
Aerobic activity is the best way to create the calorie deficit you need to lose body mass, says WebMD. So focus on whatever kind of cardio you're interested in doing. Just because running or biking burns a lot of calories doesn't mean that's what you should do. So focus on cardio activities that interest you. You're more likely to keep returning to the activity if you like doing it, rather than if it feels like a chore.
The Medi-Weightloss® Program is not just another diet - it’s a physician-supervised and clinically-proven approach that helps our patients achieve and maintain a healthy weight. Our professionals focus on preventive medicine. After medical tests and in-depth consultation with each patient, our medical staff creates an individualized and comprehensive plan for each patient.
Lifestyle fit: Think about how much time and planning goes into each weight loss program. Some people will find that meal planning and preparation takes too long to fit into their busy lifestyle, while others will have the time to commit to a more demanding plan. Figure out whether a plan is compatible with your lifestyle before committing. Some meal plans are very simple; others require more work.
“A study published in Nutrition Journal found that participants who ate foods high in monounsaturated fats for lunch (in this case, half an avocado) reported a 40 percent decreased desire to eat for hours afterward. Monounsaturated fats from sources like olive oil, nuts and avocados can reduce cholesterol, promote weight loss, even boost memory.” — David Zinczenko, author of the Zero Belly Cookbook
Social conditions such as poverty, social isolation and inability to get or prepare preferred foods can cause unintentional weight loss, and this may be particularly common in older people. Nutrient intake can also be affected by culture, family and belief systems. Ill-fitting dentures and other dental or oral health problems can also affect adequacy of nutrition.
Even if you manage to meet your goal, it probably won’t be sustainable: “The amount of restriction required will make you so hungry that you’ll eat everything in sight—it’s survival instinct,” Dr. Seltzer says. What’s more, your body will be less prepared to burn the foods you binge on, since calorie restriction gradually slows your metabolism, he adds.