Why Can't I Gain Weight? Exploring Nutrition and Exercise Solutions - Nutrition

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Hello, I would like to ask why I can't gain weight no matter how much I eat. Would exercising help?


Hello Doctor, I am 23 years old, 158 cm tall, and weigh 38 kg.
I have normal meals three times a day and have seen a doctor at Chang Gung Hospital, where I had blood tests that showed no issues.
I often eat high-calorie foods like hot pot, teppanyaki, and steak, but no matter what I eat, I have a bowel movement the next morning.
Is this normal? Additionally, I really want to gain weight, but no matter how much I eat, I can't seem to gain any.
Would exercising daily and drinking high-protein shakes help improve this? Thank you, Doctor.

Mingming, 20~29 year old female. Ask Date: 2016/09/01

Dr. Shi Guimei reply Nutrition


Hello! You are indeed too thin.
If your doctor has checked and found no issues, you can feel more at ease.
Regarding weight gain, first and foremost, if you smoke, it is essential to quit.
Maintain a regular daily routine, avoid staying up late, and try to relax to minimize stress.
Additionally, engage in moderate exercise.
Besides having three main meals a day, you can supplement with milk and other foods between breakfast and lunch, as well as between lunch and dinner.
If you can add two snacks daily, your weight should gradually increase; just don't rush the process.
Wishing you health and happiness! Sincerely, Dietitian Shih Kuei-Mei, Nutrition Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/09/01

More Info


Gaining weight can be a challenging endeavor for some individuals, particularly for those with a naturally high metabolism or specific physiological conditions. Your situation, where you are 23 years old, 158 cm tall, and weigh 38 kg, indicates that you are underweight according to the Body Mass Index (BMI) scale. A BMI below 18.5 is considered underweight, and it is essential to address this issue for your overall health and well-being.

Firstly, it is important to understand that weight gain is fundamentally about creating a caloric surplus, meaning you need to consume more calories than your body burns. While you mentioned that you eat normal meals and enjoy high-calorie foods like hot pot, teppanyaki, and steak, it seems that your body may be metabolizing these calories too quickly or that your overall caloric intake is still insufficient to promote weight gain.


Factors Affecting Weight Gain
1. Metabolism: Some individuals have a naturally fast metabolism, which means their bodies burn calories at a higher rate. This can be influenced by genetics, muscle mass, and activity levels. If you have a high metabolic rate, you may need to consume significantly more calories to see an increase in weight.

2. Digestive Health: If you experience rapid digestion or gastrointestinal issues, it may prevent your body from absorbing nutrients effectively. Conditions like hyperthyroidism, diabetes, or malabsorption syndromes can also lead to difficulty in gaining weight. Since you have already consulted a doctor and had blood tests, it is crucial to ensure that no underlying health issues are contributing to your situation.

3. Diet Composition: While you are consuming high-calorie foods, the composition of your diet matters. Focus on nutrient-dense foods that provide not only calories but also essential vitamins and minerals. Incorporate healthy fats (like avocados, nuts, and olive oil), complex carbohydrates (like whole grains and legumes), and protein sources (like lean meats, dairy, and legumes) into your meals.

4. Meal Frequency: Eating more frequently can help increase your caloric intake. Consider having five to six smaller meals throughout the day instead of three large ones. This can make it easier to consume more calories without feeling overly full.

5. Exercise: While exercise is essential for overall health, excessive cardio can hinder weight gain. Instead, focus on strength training exercises, which can help build muscle mass. Muscle weighs more than fat, and increasing your muscle mass can contribute to weight gain. After workouts, consuming a high-protein shake can aid in muscle recovery and growth.


Recommendations for Weight Gain
1. Caloric Surplus: Aim to consume at least 500 calories more than your body burns each day. This can be achieved by adding calorie-dense snacks like nuts, cheese, and dried fruits between meals.

2. Protein Intake: Incorporate high-protein foods into your diet. Aim for at least 1.2 to 2.0 grams of protein per kilogram of body weight. This can include protein shakes, Greek yogurt, eggs, and lean meats.

3. Healthy Fats: Include sources of healthy fats in your diet. Foods like avocados, nut butters, and olive oil can significantly increase your caloric intake without adding too much volume to your meals.

4. Consult a Nutritionist: If you continue to struggle with weight gain, consider consulting a registered dietitian or nutritionist. They can provide personalized meal plans and strategies tailored to your specific needs and lifestyle.

5. Monitor Progress: Keep track of your weight and dietary intake. This can help you identify what works best for your body and make necessary adjustments.

In conclusion, gaining weight is a process that requires patience and consistency. By focusing on a balanced diet, increasing your caloric intake, and incorporating strength training, you can work towards achieving your weight gain goals. If you have any concerns about your health or dietary choices, always consult with a healthcare professional for personalized advice.

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