We are gathering feedback from EAL users. Whether you're a regular user or occasionally log into the site, we want to hear from you. Please complete this short survey by March 27, 2023. Thank you! Link: EAL Survey 

Unintended Weight Loss in Older Adults

UWL: Background Information (2009)

Identifying Information and Availability

Bibliographic Source

American Dietetic Association. American Dietetic Association Unintended Weight Loss (UWL) in Older Adults.  Evidenced-Based Nutrition Practice Guideline, Chicago (IL): American Dietetic Association, 2009.


This guideline was not adapted from another source. Development of the guideline was conducted in accordance with the Appraisal of Guidelines Research Evaluation critical appraisal instrument.

Date Released


Guideline Developer

American Dietetic Association.

Guideline Status

This is the first release of the ADA Unintended Weight Loss (UWL) in Older Adults Evidence-Based Nutrition Practice Guideline.

Expert Workgroup

Mary Ellen Posthauer, RD, CD, LD, Chair
Ronni Chernoff, PhD, RD, FADA
Krista Clark, RD, LD, CNSD
Becky Dorner, RD, LD
Charlette Gallagher-Allred, PhD, RD, LD
Gretchen Robinson, MS, RD, LD, FADA

Lead Evidence Analyst

Erica K. Gradwell, MS, RD

Guideline Reviewers 

Lucie M. Ashton, BS, RD, LD
Nancy Collins PhD, RD, LD/N, FAPWCA 
Peggi Guenter, PhD, RN, CNSN               
Mary Beth Hynek, RD
Kathleen Niedert, PhD, MBA, RD, CSG, LD, FADA
Carolyn D. Philpot, MSN (R), CS, GNP
Lori Roth, MPH, RD, LN
Laurence Z. Rubenstein, MD, MPH, FACP
David Seres, MD, PNS
Eric Tangalos, MD, FACP, AGSF, CMD
David R. Thomas, MD, CMD, FACP, AGSF

Financial Contributors

  • Commission on Dietetic Registration
  • American Dietetic Association 

ADA Staff

  • Deborah Cummins, PhD
  • Kari Kren, MPH, RD
  • Esther F. Myers, PhD, RD
  • Joan Schwaba, MS, RD

[Note: ADA acknowledges and is grateful for support from sponsors; however ADA’s Scientific Affairs and Research maintains full control over the content and process of all evidence analysis projects including the selection of topics, evaluation of research, assignment of grades and development of recommendations.]

Disclosures of Potential Conflict of Interest

In the interest of full disclosure, ADA has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the ADA Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers. Users of the evidence analysis library may assume that only work group members listed below have potential conflicts of interest to disclose.
Charlette Gallagher-Allred: Employed by Ross Products, Division of Abbott laboratories, Inc., shareholder of Abbott Laboratories, Inc. stock
Lori Roth Yousey: Consultant writer for Geriatric Nutrition, Geriatric Nutrition Chapters for Wadworth Publisher.
Becky Dorner: Employed by Becky Dorner & Associates, Inc. Company has received program sponsorship from Abbott Laboratories, Nestle/Novatis, and US Foods.

Guideline Availablility

The guideline will be available online.

Availability of Companion Documents

The Unintended Weight Loss (UWL) in Older Adults Toolkit is a set of companion documents, which detail how the practitioner applies the Evidence-Based Nutrition Practice Guideline in practice. The Toolkit will include forms such as documentation forms, outcomes-monitoring sheets, client education resources, case studies and MNT protocols for implementing the Evidence-Based Nutrition Practice Guideline.

Patient Resources

Patient education resources will be available within the Unintended Weight Loss (UWL) in Older Adults Toolkit.


Copyright Statement

The American Dietetic Association encourages the free exchange of evidence in nutrition practice guidelines and promotes the adaptation of the guidelines for local conditions. However, please note that guidelines are subject to copyright provisions. To replicate or reproduce this guideline, in part or in full, please obtain agreement from the American Dietetic Association. Contact eal@adaevidencelibrary.com for copyright permission.

When modifying the guidelines for local circumstances, significant departures from these comprehensive guidelines should be fully documented and the reasons for the differences explicitly detailed.

©2009 American Dietetic Association (ADA).