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Managing Weight Loss and Muscle Wasting

Writer: Luke Smith, MS, RD, LD, CPTLuke Smith, MS, RD, LD, CPT

Updated: Nov 12, 2024

Living with Parkinson's disease (PD) comes with its share of challenges. One significant concern is the potential for weight loss and muscle wasting, which can greatly affect your quality of life. Today, we’re going to explore the factors that contribute to muscle loss and share some effective strategies to help manage these symptoms.


​Weight loss and muscle wasting in Parkinson's disease can occur due to several factors:


Increased Energy Expenditure: PD symptoms, such as tremors and rigidity, can increase energy expenditure, leading to unintentional weight loss.


Reduced Appetite: Loss of appetite is common in PD, which can result in decreased food intake.


Swallowing Difficulties (aka dysphagia): Difficulty swallowing can make it challenging to consume enough calories.


Medication Side Effects: Some medications used to treat PD may cause nausea or other gastrointestinal issues, further reducing appetite and food intake.


Now... let’s talk about some strategies to help manage weight loss and muscle wasting.


1. Balanced, Calorie-Dense Meals


Eating calorie-dense foods that are rich in nutrients can help combat weight loss. Focus on incorporating healthy fats, lean proteins, and complex carbohydrates into each meal. Some examples include:


Healthy Fats: Avocados, nuts, seeds, olive oil, and fatty fish (like salmon).


Lean Proteins: Poultry, fish, eggs, dairy products, tofu, and legumes.


Complex Carbohydrates: Whole grains, sweet potatoes, quinoa, and brown rice.


2. Frequent, Small Meals


Eating smaller, more frequent meals can be easier than consuming three large meals a day. Aim for 5-6 smaller meals or snacks throughout the day to ensure a steady intake of calories and nutrients.


3. Smoothies and Shakes


Smoothies and shakes can be an awesome way to increase calorie intake, especially if swallowing is difficult. Use ingredients like full-fat yogurt, fruits, vegetables, protein powder, and nut butters to create nutrient-rich drinks. These can also be really refreshing as the weather starts to get warmer!


4. Protein-Rich Foods


Protein is essential for maintaining muscle mass. Include a source of protein in each meal and snack. Some high-protein foods are:


Greek yogurt


Cottage cheese


Lean meats


Eggs and/or egg whites


Legumes and beans


Protein bars or shakes


5. Exercise and Physical Activity


While it might seem counterintuitive, regular physical activity is crucial for maintaining muscle mass and overall health. Engage in exercises that promote strength, flexibility, and balance, such as:


Resistance training (using weights or resistance bands)


Pilates or yoga


Tai chi


Walking or light aerobic activities


*Always consult with your healthcare professional or physical therapist to tailor an exercise program that suits the individuals capabilities and needs.


6. Supplements


In some cases, dietary supplements might be necessary to ensure adequate nutrient intake. Discuss with a healthcare provider the potential benefits of supplements such as:


Protein powders


Multivitamins


Omega-3 fatty acids


Vitamin D and calcium (for bone health)


7. Addressing Dysphagia


If swallowing difficulties are present, it might be a good idea to consult with a speech-language pathologist to develop strategies and techniques to make eating safer and more comfortable. Modifying the texture of foods and liquids can also help.


Taking care of your nutritional needs and staying active can make a big difference in managing weight loss and muscle wasting in Parkinson's disease. By focusing on balanced, calorie-dense foods and keeping up with regular, enjoyable physical activities, you can support your overall health and well-being.


Remember, it's always a good idea to chat with your healthcare team before making any big changes to your diet or exercise routine. With the right approach, you can help maintain a healthy weight and muscle mass, improving your quality of life and helping you feel your best!

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The  Parkinson Support Center believes that decisions about medical care must occur between a patient and a trusted medical professional. The information presented on this website is not intended to replace or interfere with the course of your medical care. It is intended only to assist you in your understanding of Parkinson’s disease.

 

No information contained on this website is offered or intended as medical advice.

 

We cannot endorse any treatments described on sites that we link to. We recommend that treatment decisions are based on personal treatment goals with a trusted clinician with experience in the care of Parkinson’s disease, or a physician who can work in conjunction with a PD specialist.

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