Healthy weight gain
Hello, I am 170 cm tall and weigh 60 kg.
Although my BMI is within the normal range, I still feel that I am too thin.
I hope to gain about 5 kg in a healthy way and would appreciate the nutritionist's assistance.
I have a history of serious illness and currently have a Central Venous Catheter (CVC).
Thank you!
Jacky, 10~19 year old female. Ask Date: 2016/04/02
Dr. Shi Guimei reply Nutrition
Dear Jacky,
If you wish to gain some additional weight, in addition to your current dietary intake, you can add one bowl of rice (you may also substitute with noodles, steamed buns, sweet potatoes, or other whole grain root vegetables instead of rice), 100 grams of lean meat (which can also be replaced with soy milk, soy products, or eggs), and 240 cc of low-fat or fat-free milk daily (the above foods and quantities can be distributed across your meals).
This will increase your daily caloric intake by approximately 500 calories, allowing you to gain about 0.5 kilograms per week.
Both weight gain and weight loss should be approached gradually.
If you are unable to increase the above food items due to work or appetite constraints, you may consider using specialized nutritional products such as Ensure, Glucerna, or other similar meal replacements.
Wishing you health and happiness!
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan General Hospital, Ministry of Health and Welfare
Reply Date: 2016/04/02
More Info
Gaining weight in a healthy manner, especially for individuals with medical conditions, requires a careful and structured approach. Given your height of 170 cm and weight of 60 kg, your Body Mass Index (BMI) is indeed on the lower end of the normal range. Aiming to gain around 5 kg is a reasonable goal, but it’s essential to do so in a way that supports your overall health, particularly considering your history of serious illness and the presence of a Central Venous Catheter (CVC).
1. Consultation with Healthcare Professionals
Before making any significant changes to your diet or lifestyle, it’s crucial to consult with your healthcare provider or a registered dietitian. They can provide personalized advice based on your medical history, current health status, and nutritional needs. This is especially important given your CVC, as it may affect your nutritional absorption and overall health.
2. Caloric Surplus
To gain weight, you need to consume more calories than your body burns. This can be achieved by:
- Increasing Portion Sizes: Gradually increase the portion sizes of your meals. Instead of three large meals, consider having five to six smaller meals throughout the day.
- Nutrient-Dense Foods: Focus on foods that are high in calories but also provide essential nutrients. Examples include:
- Healthy Fats: Incorporate avocados, nuts, seeds, olive oil, and fatty fish like salmon. These foods are calorie-dense and provide healthy fats that are beneficial for heart health.
- Whole Grains: Choose whole grains like brown rice, quinoa, and whole-grain bread, which provide more nutrients and calories than refined grains.
- Protein Sources: Include lean meats, poultry, fish, eggs, dairy products, legumes, and plant-based proteins. Protein is essential for muscle growth and repair, especially if you are increasing your physical activity.
- Dairy Products: Full-fat dairy products like yogurt, cheese, and milk can add calories and nutrients to your diet.
3. Incorporate Snacks
Healthy snacks can help you increase your calorie intake without feeling overly full. Consider snacks like:
- Nut butter on whole-grain toast or fruit
- Trail mix with nuts and dried fruits
- Smoothies made with yogurt, fruits, and nut butter
4. Strength Training
Incorporating strength training exercises can help you gain muscle mass rather than just fat. This is particularly important for overall health and can be beneficial if you have been ill. Focus on:
- Bodyweight Exercises: If you’re unable to lift weights, exercises like push-ups, squats, and lunges can help build strength.
- Resistance Bands: These can be a good alternative to weights and are often easier on the joints.
5. Hydration
While it’s important to stay hydrated, be mindful of how much water you consume, especially if you have a CVC. Sometimes, drinking too much water can lead to a feeling of fullness, which may hinder your ability to consume enough calories. Aim for a balanced intake of fluids, and consider calorie-containing beverages like smoothies or milk.
6. Monitor Progress
Keep track of your weight gain progress and how you feel. Adjust your caloric intake and exercise routine as necessary. If you’re not seeing results after a few weeks, consult with your healthcare provider to reassess your plan.
7. Avoid Empty Calories
While it may be tempting to consume high-calorie junk foods to gain weight quickly, this can lead to poor health outcomes. Focus on whole, nutrient-rich foods that will support your overall health and well-being.
Conclusion
Healthy weight gain is a gradual process that requires a balanced approach to diet and exercise, particularly for individuals with medical conditions. By focusing on nutrient-dense foods, incorporating strength training, and consulting with healthcare professionals, you can achieve your weight gain goals in a safe and effective manner. Always listen to your body and adjust your plan as needed, ensuring that your health remains the top priority.
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