Weight management

Developing Parkinson’s disease (PD) may have an effect on body weight. In some people, movement problems mean less exercise, and they find that they put on weight. Excess weight can put a strain on the joints, and make movement difficult, worsening the problems of PD. Therefore, if people do put on a lot of weight, or are overweight already, then they may be advised to go on a calorie-controlled diet.

However, in most cases, people with PD find that they lose weight. Weight loss can occur for several reasons:

• coping with the symptoms of PD can use up a lot of energy
• there may be a loss of appetite
• eating can become more difficult as PD progresses, and meals may be left unfinished
• the body may absorb fewer nutrients

Therefore, people with PD often need to be encouraged to eat more calories. Rather than trying bigger portions, smaller tempting meals and snacks at regular times during the day may be more acceptable. High calorie foods like peanut butter, biscuits/desserts and milkshakes can help to increase weight. If more sugary snacks are being eaten to increase the calorie intake, then it is important to brush teeth more often too.

To make sure that weight is kept under control, regular weighing is recommended, with a record kept of any changes.