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Managing weight in older people with dementia

Weight loss can be common in people with dementia for a number of reasons including changes in appetite, swallowing difficulties and increased activity. 

Mealtimes are social experiences for many of us. They offer the opportunity to come together to experience good-quality, nutritious food and enjoyable company. When a person has dementia or similar cognitive difficulties, they may rely on others to make small adjustments to help to make sure that eating and drinking remain a positive experience. 

Strategies to support people with dementia to continue to maintain good nutritional intake can include:

  • Making sure that the person is free from pain or discomfort and that any prescribed medication is not affecting the persons appetite.
  • Making sure that the person is offered small portions of a variety of their favourite foods on a regular basis with condiments including salt, pepper and sauces being available.
  • Make sure that there is a contrast of colour between crockery and food and drink being served.
  • Making sure that cutlery is easy to use and grip if manipulating cutlery is causing difficulties.
  • Considering meal options that can be eaten without cutlery.
  • Reducing distractions, for example turning the TV off, or making sure that any background music is suited to the preferences of those dining and is not too loud.

Read more about Care UK's 'dining with dignity' promise. 

Managing weight loss 

Unintentional weight loss can lead to malnutrition, increased risk of infection and a higher risk of falling so maintaining nutritional support for people with dementia is essential to promote well-being and quality of life. 

At Care UK, our colleagues are specially trained to support people living with dementia. Carl George, Specialist Dementia Lead at Care UK, details a few ways that our colleagues do this:

  • By regular screening (e.g., the Malnutrition Universal Screening Tool, or MUST).
  • By ensuring that residents physical health is always considered, including oral health, and during regular prescribed medication reviews.
  • Ensuring thar the mealtime environment is calm, well-lit and unhurried.
  • Where prescribed by an external health care professional, using  fortified meals, snacks and oral nutritional supplements if indicated.

How Care UK can help

At Care UK, we understand that every journey with dementia is unique. That’s why we are here to help you find the right care options for your loved one, with personalised plans and compassionate support every step of the way.

Find your local Care UK care home or explore our dementia help and advice hub for more tips for caring with someone living with dementia.


FAQs

Older people can lose weight due to general ageing, including:

  • Loss of muscle mass and adipose tissue (fat)
  • Dehydration
  • Underlying illness
  • Loss of appetite
  • Depression
  • Social isolation
  • Oral problems
  • Medications
  • Sensory loss

Along with the effects of ageing in general, for people living with dementia, weight loss can also be linked to:

  • Memory problems (forgetting to eat or disorientation to time of day)
  • Apathy
  • A sensory change such as taste/smell
  • Difficulty swallowing
  • Medication side-effects