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Unintentional Weight Loss Causes

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Unintentional Weight Loss Causes, Meals on Wheels Mnemonic

  • Causes
  • "Meals on Wheels" Mnemonic
  1. Medication Effects
  2. Emotional Problems (Major Depression)
  3. Anorexia Nervosa or Alcoholism
  4. Late-life paranoia
  5. Swallowing Disorders (See Dysphagia)
  6. Oral factors (e.g. Poorly fitting dentures)
  7. No Money
  8. Wandering (Dementia related behavior)
  9. Hyperthyroidism, Hyperparaythyroidism, Hypoadrenalism
  10. Enteric problems (e.g. Malabsorption)
  11. Eating problems (e.g. difficult self-feeding)
  12. Low salt diet or low Cholesterol diet
  13. Stones (Cholecystitis) or social problems (isolation)
  14. References
    1. Morley (1995) Ann Intern Med 123:850-9 [PubMed]
  • Causes
  • 9Ds of Weight Loss Mnemonic
  • Causes
  • Common
  1. Idiopathic in one quarter of cases
  2. Malignancy (19 to 36%)
    1. See Cachexia in Cancer
    2. Stomach Cancer
    3. Pancreatic Cancer
    4. Colon Cancer
    5. Other cancers (e.g. Breast Cancer)
  3. Non-malignant Gastrointestinal Causes (9 to 19%)
    1. Cholecystitis
    2. Peptic Ulcer Disease
    3. Gastroesophageal Reflux Disease and other Esophageal disorders (e.g. Esophageal Dysmotility)
    4. Colitis
    5. Mesenteric Ischemia
    6. Celiac Sprue and other malabsorption
  4. Cardiopulmonary Disorders
    1. Congestive Heart Failure (5-10%)
    2. Chronic Obstructive Pulmonary Disease (5-10%)
  5. Social Factors
    1. Alcoholism or other Drug Abuse (5-10%)
    2. Major Depression and other mental illness (9 to 24%)
    3. Social isolation and loneliness
    4. Financial contraints
    5. Impaired Activities of Daily Living