PARKINSONS & PARKINSONISM-MALNUTRITION CAUSES

SUMMARY

1. Decreased energy intake: cognitive impairment and depression, hyposmia, dysphagia, gastroparesis, constipation, inability to feed oneself properly.

2. Increased metabolic demand: tremors, rigidity, dyskinesia.

3. Medication-related effects: nausea & vomiting from dopaminergic drugs, enhanced lipolysis & growth hormone secretion from levodopa administration.

4. Impaired homeostatic regulation: hypothalamic dysfunction and neuroendocrine pathology.

5. Other factors: low-protein diet, lack of caregivers or poor caregiver support.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].