Catherine used to look forward to homemade lasagna every Sunday. The savory profile balanced with the fresh herbs, melted cheese and sweet tomato sauce reminded her of family dinners she had prepared throughout the decades.
Now, however, lasagna tastes dull, and it’s lost its appeal. Eventually, Catherine finds herself only stomaching a few bites of each meal, so she’s lost a lot of weight unintentionally.
Many older adults go through something similar. Some researchers believe that as many as one-third of seniors experience loss of appetite, and this number may be higher for older adults living in senior care facilities.
Learn more about why seniors stop eating and helpful tips to encourage seniors to eat and maintain healthy weight.
Why Do Elderly People Stop Eating?
To a degree, loss of appetite in healthy older adults can be normal. The aging process causes a few changes that lead to decreased appetite, which is why many older adults stop eating. These changes include:
— Alterations in body composition, such as decreased muscle mass and bone density, which decreases energy needs
— Reduction in physical activity, which lowers metabolism
— Hormonal changes, such as lower levels of the hormone ghrelin, responsible for hunger cues
— Delayed gastric emptying, which causes individuals to feel full and satiated for longer after meals
When decreased appetite surpasses what is expected during aging, it can be related to a medical condition requiring evaluation and treatment.
[READ: Understanding the Impact of Health Conditions and Medications on Seniors]
Medical causes for loss of appetite or weight loss in seniors
Unintentional weight loss, or loss of appetite, could be caused by a variety of factors, such as:
— Malignant diseases, such as cancers
— Nonmalignant diseases, such as chronic kidney disease
— Medications, such as antihistamines or antibiotics. However, only consider decreasing doses or stopping medications under medical direction.
— Mental health conditions, such as depression
— Swallowing or chewing issues
— Dental problems, such as cavities or poor-fitting dentures
— Trouble with mobility and preparing meals
— Social factors, such as loneliness or inability to afford groceries
Appetite and weight loss in seniors can be due to overlapping causes, so medical evaluation is necessary to determine a root cause and the most effective treatment.
[Related:The Truth About Depression in Older Adults]
Risks of Weight Loss in Seniors
Progressive weight loss in older adults can have serious medical consequences.
“It can even increase mortality,” says Dr. Naushira Pandya, a professor and chair for the department of geriatrics at Nova Southeastern University’s Dr. Kiran C. Patel College of Osteopathic Medicine in Florida.
Pandya says that seeking medical evaluation is especially crucial if you notice weight loss or reduced appetite in conjunction with any of the following symptoms:
— Weakness
— Trouble with balancing or walking, or increased falls
— Recurrent infections
— Depression
— Skin breakdown or wounds
— Blood loss
— Fevers
— Diarrhea
— Pain
These symptoms could point to a root cause of a malnutrition disorder, inflammatory disease or even cancer. For example, fever could be the result of an autoimmune condition that needs further investigation. In other cases, these symptoms may be the result of prolonged malnutrition. For example, poor nutrition can lead to skin breakdown and delayed wound healing.
[Read: 11 Signs Your Aging Parent Needs Senior Care]
Monitoring Weight in Seniors
Unintentional weight loss is concerning if it surpasses 5% of a person’s weight within a six to 12-month span, says Cheryl Mussatto, a clinical dietitian at the Cotton O’Neil Heart Center Cardiac Rehab Program and Cotton O’Neil Diabetes and Endocrinology Center with the Diabetes Learning Center in Topeka, Kansas.
Everyone experiences some level of lean muscle mass and bone density loss with aging.
“By the time we reach 65, most of us generally stop gaining weight. Many of us may have some weight loss each year after this age,” she says.
Pandya recommends that families monitor their loved one’s weight at regular intervals and advocate that medical professionals take weight at every medical appointment.
If the health care teams notice weight loss or decreased appetite, older adults may receive a nutritional assessment, with questions such as:
— Have you had any trouble chewing or swallowing your food?
— How much weight have you lost in the past three months?
— Are you experiencing any new stressors?
Providers may also order laboratory tests or imaging to rule out underlying causes.
Tips for How to Get the Elderly to Eat
Encouraging older adults to eat more can be tricky in the face of chronic conditions and the natural aging process. However, there are some simple adjustments you can make for mealtime to be more enjoyable and beneficial.
Stimulate weight gain
If your loved one has recently lost weight, there are some ways you can naturally stimulate weight gain. If the problem seems severe, a medical professional may advise an older adult to take meal replacements, such as nutritional supplement drinks.
For more mild and recent unintentional weight loss, Mussatto advises:
— Offer whole, calorie-dense foods, such as yogurt, cheese, nuts, peanut butter or 2% milk.
— Keep the fridge and freezer stocked with ready-to-eat fruits, vegetables and snacks.
— Consider a meal delivery service that takes the burden of cooking and meal planning off your loved one.
Increase appetite
Many older adults don’t meet their nutritional needs due to a loss in appetite.
Mussatto suggests trying the following tips:
— Establish a mealtime routine, such as meals spaced two to three hours apart or larger meals spaced four to five hours apart. “Our body becomes accustomed to this pattern and is a good reminder of meeting our hunger and thirst signals,” she says.
— Ensure older adults have companionship during meals. “Seniors who live alone are unlikely to look forward to eating by themselves and thus not have much of an appetite,” she explains. Encourage them to attend community social groups, eat regularly with friends and family, and consider a meal delivery service if that takes their mind off of planning what to eat.
— Play your loved one’s favorite music while cooking or eating. “It can boost their mood and increase their appetite,” she adds.
Make food more appealing
Aging impacts smells and tastes, which is why you may be familiar with seeing your loved one add extra salt or sugar to improve the taste. However, consuming too much additional salt and sugar can raise concerns for blood sugar and blood pressure.
Mussatto offers the following tips:
— Squeeze fresh lemon or lime juice onto pasta or veggies, or add a dash of vinegar, such as balsamic or red wine vinegar. “That touch of acid brings out sweetness and makes flavors more interesting to eat,” she explains.
— Bring back color to your plate. Having a variety of colors not only makes a meal look more inviting and exciting, but can offer a wealth of nutrients.
— Use herbs as much as possible. Fresh or dried herbs and spices are great flavor enhancers. Ginger, garlic or onions can liven up a dish, as well as herbs such as thyme, sage, basil or rosemary.
Address food aversions
If your loved one is struggling with food aversion, such as a recent distaste for the taste or smell of certain foods, there are a few ways you can help.
Mussatto suggests trying the following:
— Encourage exercise and outdoor activity. “Regular exercise and going outdoors are natural ways to increase energy and boost hunger,” she notes.
— Cleanse the palate. Offer cinnamon or mint gum, an oral rinse or an opportunity to brush the teeth and gums before meals.
— Ensure that your loved one’s health care provider and dentist are involved with their care to monitor if any chronic conditions or denture use could be causing food aversions.
Explore Top-Rated Geriatricians Through U.S. News & World Report
Maintaining appetite and a healthy weight allows older adults to preserve their quality of life and overall well-being in their advanced age. Addressing the root cause of the appetite and weight loss through medical evaluation, and some adjustments to daily routines can ensure that your loved one has the nutrition and enjoyment out of food that they need.
To find top-rated geriatricians near you who specialize in senior care, check out U.S. News & World Report’s search tool.
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