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unintentional weight loss >4.5 kg in the past year; self-reported exhaustion <20th population percentile for grip strength; slowed walking speed, defined as lowest population quartile on 4-minute walking test; low physical activity such that persons would only rarely undertake a short walk; A healthy person scores 0; a very frail person scores 5.
Indeed, unintentional weight loss is an extremely significant predictor of mortality. [33] Terminally ill individuals often undergo weight loss before death, and classifying those individuals as lean greatly inflates the mortality rate in the normal and underweight categories of BMI, while lowering the risk in the higher BMI categories.
Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Weight loss is the main treatment for obesity, [1] [2] [3] and there is substantial evidence this can prevent progression from prediabetes to type 2 diabetes with a 7–10% weight loss and manage cardiometabolic health for diabetic people with a ...
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Unwanted weight loss of more than 5% within 6 months. [2] [19] For people with a BMI of less than 20 kg/m 2, weight loss of more than 2%. [2] [19] [27] For people with sarcopenia, weight loss of more than 2%. [2] [19] [27] New ways to score and stage cachexia are being explored, particularly in people with advanced cancer. [19]
Before becoming a foundation trust in 2004, the trust received top 3-star rating in the former national performance charts. [17] In 2016, the CQC rated the hospital as requiring improvement. [18] The Trust lost the contract for sexual health services when Cheshire West and Chester Council awarded it to East Cheshire NHS Trust in December 2014. [19]
Recent NHS data found Knowsley has the highest proportion of obese and overweight 10 and 11 year olds in England and 75% of adults were found to be overweight or obese.