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Opportunities and Solutions: Unintentional Weight Loss
Rebecca Guterman1, Andy S Chu, Rebecca Hirsch
1At Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA, Rebecca Guterman, MS, RD, CSO, CDN, is Clinical Nutrition Manager; Andy S. Chu, MS, RD, CDN, CNSC, FAND; Rebecca Hirsch, MS, RD, CDN; Judy Singer, MPH, RD, CDN; Sarah Johnston, RD, CDN; and Katy Fung, MS, RD, CSO, CDN, are Registered Dietitians.
Advances in Skin & Wound Care
|October 31, 2024
Summary
Unintentional weight loss (UWL) is common and multifactorial. Early screening, nutrition assessment, and individualized management plans are key for effective clinical care and addressing UWL across patient lifecycles.
Area of Science:
- Clinical Nutrition
- Geriatrics
- Internal Medicine
Background:
- Unintentional weight loss (UWL) is a prevalent clinical issue with multifactorial causes.
- Identifying and managing UWL is crucial for patient outcomes and quality of life.
Purpose of the Study:
- To provide a concise overview of current information on identifying and managing UWL in clinical settings.
- To guide clinicians in the screening, assessment, and management of patients experiencing UWL.
Main Methods:
- Narrative review of existing literature on unintentional weight loss.
- Synthesis of information on screening tools, diagnostic approaches, and therapeutic interventions.
- Discussion of UWL management within multidisciplinary care teams and at end-of-life.
Main Results:
- Screening tools are recommended for identifying individuals at risk of UWL.
- Management involves comprehensive nutrition assessments, diagnosing malnutrition, and tailored interventions.
- Nutrition counseling, dietary plans, supplementation, and appetite stimulants are important management strategies.
Conclusions:
- Effective management of UWL requires a proactive, multidisciplinary approach.
- Individualized care plans addressing nutrition and patient goals are essential.
- Addressing UWL is integral to comprehensive patient care, including end-of-life planning.
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