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Each diet group was assigned a registered dietitian who led all six subgroups of that group. Inability to eat can result from: diminished consciousness or confusion, or physical problems affecting the arm or hands, swallowing or chewing. 6% at 2 years. About one-third of unintentional weight loss cases are secondary to malignancy. The more favorable effects on lipids (with the low-carbohydrate diet) and on glycemic control (with the Mediterranean diet) suggest that personal preferences and metabolic considerations might inform individualized tailoring of dietary interventions. Losses from the gastrointestinal can occur because of symptoms such as vomiting or diarrhea, as well as fistulae and stomas. Cancer, a very common and sometimes fatal cause of unexplained ( idiopathic ) weight loss. Fungal illnesses, endocarditis, many parasitic diseases, AIDS, and some other subacute or occult infections may cause weight loss. Lack of food can result from: poverty, difficulty in shopping or cooking, and poor quality meals. The criteria for eligibility were an age of 40 to 65 years and a body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) of at least 27, or the presence of type 2 diabetes (according to the American Diabetes Association criteria 18 ) or coronary heart disease, regardless of age and BMI. Cardiovascular disease, especially congestive heart failure, may cause unexplained weight loss. Patients who have uremia often have poor or absent appetite, vomiting and nausea. Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. ) Full Text of Discussion. Other losses: Conditions such as burns can be associated with losses such as skin exudates. Abstract Background Trials comparing the effectiveness and safety of weight-loss diets are frequently limited by short follow-up times and high dropout rates. Cancers to suspect in patients with unexplained weight loss include gastrointestinal, prostate, hepatobilary ( hepatocellular carcinoma, pancreatic cancer ), ovarian, hematologic or lung malignancies.
Results The rate of adherence to a study diet was 95. The participants were randomly assigned within strata of sex, age (below or above the median), BMI (below or above the median), history of coronary heart disease (yes or no), history of type 2 diabetes (yes or no), and current use of statins (none, The members of each of the three diet groups were assigned to subgroups of 17 to 19 participants, with six subgroups for each group. Eating restrictions may also be imposed as part of treatment or investigations. 4% at 1 year and 84. Weight loss issues related to specific diseases include. Poor appetite can be a direct symptom of an illness, or an illness could make eating painful or induce nausea. gov number, NCT00160108. There can also be losses from drains, including nasogastric tubes. Changes to metabolic demands can be caused by illness, surgery and organ dysfunction. (ClinicalTrials. Media in This Article Figure 1 Enrollment of the Participants and Completion of the Study. Figure 2 Weight Changes during 2 Years According to Diet Group. Methods Eligibility and Study Design We conducted the trial between July 2005 and June 2007 in Dimona, Israel, in a workplace at a research center with an on-site medical clinic. This can result from conditions that affect the digestive system. Conclusions Mediterranean and low-carbohydrate diets may be effective alternatives to low-fat diets. The Mediterranean-diet group consumed the largest amounts of dietary fiber and had the highest ratio of monounsaturated to saturated fat (P Full Text of Results. Intentional weight loss is commonly referred to as slimming.
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