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Weight, dietary problems and Parkinson's

Weight fluctuation, dietary problems and difficulty swallowing can be common in Parkinson's.

Eating and drinking are such essential parts of life. Remember that help is available to overcome swallowing and eating problems.

Vivienne Rogerson, Branch and Volunteer Support Officer

Being overweight can put extra strain on your joints and exacerbate any existing problems.

Being underweight affects many people and can have an impact on health generally.

Managing weight loss

If you've experienced weight loss it is important to try to eat every 2 to 3 hours during the day, or at least have a milkshake, malted drink or smoothie.

You can add 'extras' to foods, such as extra cream, butter, sugar or honey. These will make the food more energy dense and more tasty.

Sometimes weight loss can be due to practical problems related to food preparation and keeping your food hot while you're eating. Weight loss can also be related to poor swallowing.

Problems swallowing

Not all swallowing problems are to do with Parkinson's. If you are experiencing problems an occupational therapist can provide advice on equipment or suggest ways to make eating and drinking easier.

You may consider a semi-solid diet if you find certain foods difficult to chew or swallow or have difficulty in opening your mouth.

You should speak to a speech and language therapist, your GP or a registered dietitian before changing your diet.

Referral to either an occupational therapist or speech and language therapist is either via your GP, consultant, specialist Parkinson's nurse or self-referral through your local social services department.

You can read more in our Eating, swallowing and saliva control in Parkinson's information sheet.

Dealing with weight gain

Preparing foodGaining weight can happen very easily if you become less active and are perhaps eating the same amount of food.

It is still important to have 3 healthy meals a day to provide all the nutrients and goodness you need.

Cutting down on fried foods, sugary food and snacks between meals may help. Try to grill, bake, steam or microwave without adding fat.

For more advice on weight gain and weight loss see our Parkinson's and diet booklet.

Constipation and Parkinson's

Constipation can be helped by drinking more liquids, taking exercise and increasing your intake of fibre-rich foods.

It is recommended to drink 8 to 10 cups (6 to 8 mugs/glasses) each day of water, fruit juice, squash, tea, coffee, milk, etc. Eating more fruit will also help increase your fluid intake.

The best and healthiest way to increase your fibre intake is by eating more fibre-rich food, such as cereal grains, seeds, nuts, fruit, vegetables and pulses.

Loose, extra bran is not recommended as it can lead to bloating and reduce the absorption of vitamins and minerals.

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