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appetite disorder

Appetite disorders are manifested as eating disorders. Also see eating disorder Etiology: - major depression may play a role Epidemiolgy: - loss of appetite is common in the elderly [4] Complications: - malnutrition, sarcopenia & frailty Management: - hypophagia (loss of appetite) - no effective clinical interventions exist - appetite stimulants (despite lack of efficacy) - mirtazapine 7.5-45 mg PO QHS may treat major depression - megestrol - increases appetite & fat deposition - does not increase muscle mass - benefit has not been demonstrated - dronabinol 2.5-10 mg PO QD - may cause somnolence & disphoria in elderly

Related

appetite eating disorder

Specific

hyperphagia hypophagia; loss of appetite

General

nutritional disorder (malnutrition)

References

  1. Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
  2. Cox NJ, Ibrahim K, Sayer AA, Robinson SM, Roberts HC. Assessment and Treatment of the Anorexia of Aging: A Systematic Review. Nutrients. 2019 Jan 11;11(1):144. . PMID: 30641897 Free PMC article.
  3. Cox NJ, Morrison L, Ibrahim K et al New horizons in appetite and the anorexia of ageing. Age Ageing. 2020 Jul 1;49(4):526-534 PMID: 32043144
  4. Cox NJ, Ibrahim K, Morrison L, Robinson SM, Roberts HC What Influences Loss of Appetite in Older People? A Qualitative Study. Age Ageing, Volume 50, Issue Supplement-1 March 16, 2021, Pages i1-i6 Not indexed in PubMed https://academic.oup.com/ageing/article-abstract/50/Supplement_1/i1/6170784