Steroids and Weight Concerns

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Apr 17 10:54am | Abby McWaters, Registered Dietitian | @amcwaters

Written by Chloe Loersch, Mayo Clinic dietetic intern

Corticosteroids are a type of anti-inflammatory medication. These medications include cortisone, hydrocortisone, and prednisone. Corticosteroids are used to treat several conditions, including allergies, rashes, asthma, inflammatory bowel disease, lupus, and prevent organ rejection in patients with transplants.

One side effect of corticosteroid use is weight gain, especially when individuals use higher doses of corticosteroids over a long period of time. With long-term use, up to 70% of individuals may experience significant weight gain. However, note that this weight gain is associated with oral corticosteroids but not inhaled corticosteroids or single epidural steroid injections.

Individuals taking corticosteroids may also notice an increased appetite, which can contribute to weight gain. Corticosteroid-associated weight gain may be noticed the most in the belly, back of the neck, and face. There are several healthful ways to help curtail weight gain while taking steroids.

Nutrition

• Be mindful of your portion sizes and snacking patterns
• Eat a balanced diet, making half your plate fruits and vegetables
• Choose lean sources of protein (chicken breasts, turkey, fish)
• Limit sugar-sweetened beverages
• Stay hydrated by drinking approximately 64 ounces of water per day

Physical Activity and Health

• Increase physical activity with everyday tasks such as household chores
• Take the stairs or go for a walk during your workday
• Include both aerobic and weight bearing exercises multiple times per week
• Take care of your physical health. Get enough sleep