Obesity issues
Hello, nutritionist: I am a 23-year-old male who appears to be thin.
My friends generally think I am slim and do not need to lose weight.
However, I have particularly large abdominal girth, which has been a concern for me for a long time.
Currently, I am 180 cm tall and weigh 68 kg, but my waist circumference is 85 cm, and my hip circumference is 92 cm.
Three months ago, I underwent a health check (fasting): height 180 cm, weight 73 kg, waist circumference 89 cm, blood pressure 124/77, pulse 46 (I have bradycardia and faint during fasting blood draws).
My fasting blood glucose was 100, triglycerides 117, high-density lipoprotein (HDL) cholesterol 64, low-density lipoprotein (LDL) cholesterol 48, and total cholesterol 135.
I usually exercise regularly, three times a week for over 60 minutes each session.
I have lost weight over the past three months, but I have only lost in my limbs and face, while my abdomen has not reduced.
I would like to ask the nutritionist if my large abdomen is purely due to obesity and if I should lose weight, or if I need to see a gastroenterologist.
If it is due to obesity, what should I do to lose belly fat? Thank you.
Liu Xiansheng, 20~29 year old female. Ask Date: 2017/12/01
Dr. Cai Xiuwen reply Nutrition
Hello.
Controlling your diet and exercising is a great approach to weight loss.
Regarding a larger abdomen, it's important to consider that everyone's body shape is different; you might want to check if your family members have similar body types.
Your BMI of 22.5 is considered standard, while your waist-to-hip ratio of 0.92 is slightly above the recommended range for men, which is 0.85-0.9.
A preference for sweets or alcohol in your diet can contribute to central obesity.
If you are genuinely concerned, you can visit a clinic to consult a physician for relevant tests to assess your body fat distribution and check for any other issues.
If the abdominal fat is indeed present, it is advisable to focus on dietary control and exercise to reduce fat, while strengthening your limbs through muscle training.
Additionally, incorporating abdominal exercises can help improve muscle tone, although it may not necessarily reduce waist circumference.
It is recommended to maintain good dietary habits and continue appropriate exercise to keep your body in good condition, which can help you appear energetic.
You may also possess other personal qualities, such as a sense of humor, a sunny smile, and approachability, which can be even more attractive than your ideal body shape!
Reply Date: 2017/12/01
More Info
Understanding abdominal obesity can be quite complex, especially when it appears that weight loss is not evenly distributed across the body. In your case, at 23 years old, with a height of 180 cm and a weight of 68 kg, you are within a healthy weight range according to Body Mass Index (BMI) calculations. However, your waist circumference of 85 cm indicates a higher level of abdominal fat, which is a risk factor for various health issues, including metabolic syndrome, cardiovascular diseases, and type 2 diabetes.
Causes of Abdominal Obesity
Abdominal obesity can be attributed to several factors, including genetics, diet, physical activity levels, and hormonal changes. Even if you appear slim in your limbs, it is possible to have a higher percentage of body fat concentrated in the abdominal area. This condition is sometimes referred to as "skinny fat," where individuals may have a normal weight but still possess a high level of visceral fat, which is the fat stored around internal organs.
Importance of Waist Circumference
Waist circumference is a critical measure because it provides insight into fat distribution. A waist measurement greater than 94 cm for men is considered a risk factor for health problems. Your waist measurement of 85 cm is concerning, especially since you have reported difficulty in losing fat in that area despite regular exercise and weight loss.
Recommendations for Reducing Abdominal Fat
1. Dietary Adjustments: Focus on a balanced diet that emphasizes whole foods, including fruits, vegetables, lean proteins, and whole grains. Reducing your intake of refined carbohydrates, sugars, and saturated fats can help manage body fat levels. Consider incorporating more fiber-rich foods, as they can aid in digestion and promote a feeling of fullness.
2. Regular Exercise: While you are already exercising three times a week, consider incorporating both cardiovascular and strength training exercises. Cardio exercises like running, cycling, or swimming can help burn calories, while strength training can build muscle mass, which in turn can increase your resting metabolic rate. Additionally, specific abdominal exercises such as planks, leg raises, and Russian twists can help strengthen the core muscles.
3. High-Intensity Interval Training (HIIT): This type of training alternates between short bursts of intense activity and periods of rest or lower-intensity exercise. HIIT has been shown to be effective in reducing visceral fat and improving overall fitness levels.
4. Monitor Stress Levels: High stress can lead to increased levels of cortisol, a hormone that can promote fat storage in the abdominal area. Consider incorporating stress-reducing activities such as yoga, meditation, or deep-breathing exercises into your routine.
5. Sleep Hygiene: Ensure you are getting adequate sleep, as poor sleep quality can negatively impact metabolism and increase cravings for unhealthy foods. Aim for 7-9 hours of quality sleep per night.
When to Seek Medical Advice
Given your concerns about your abdominal fat and your previous health check-up results, it may be wise to consult with a healthcare professional, such as a gastroenterologist or an endocrinologist. They can assess whether there are underlying health issues contributing to your abdominal obesity, such as hormonal imbalances or gastrointestinal concerns.
Conclusion
In summary, while your overall weight is within a healthy range, the distribution of fat, particularly around the abdomen, can pose health risks. By making dietary changes, enhancing your exercise routine, managing stress, and ensuring adequate sleep, you can work towards reducing abdominal fat. If you continue to struggle despite these efforts, seeking medical advice would be a prudent step to rule out any underlying health issues. Remember, achieving a healthier waistline is a gradual process that requires consistency and patience.
Similar Q&A
Effective Strategies to Reduce Waist Circumference and Bloating
Hello Dr. Hsieh: I am 154 cm tall and weigh 62 kg. My main concern is that I have developed a ring of fat around my waist, and whenever I sit down, my stomach protrudes significantly, making it seem like all the excess weight is concentrated around my waist. It is very unattracti...
Dr. Xie Peiru reply Nutrition
Hello, Xiao Fang: Your body mass index (BMI) is 26, which classifies you as overweight. It is recommended to focus on diet and exercise. If you want to maintain your current weight, it is suggested to incorporate exercises such as sit-ups and hula hooping, following the 333 princ...[Read More] Effective Strategies to Reduce Waist Circumference and Bloating
Effective Strategies to Reduce Belly Fat: Expert Tips
Hello Dr. Tsai, I noticed in the mirror over the past few days that the area below my navel is protruding. Is this what is referred to as the lower abdomen? How can I slim it down? I often eat until I'm full and sit in front of the computer, and I also drink cold beverages (...
Dr. Cai Mengru reply Family Medicine
Dear Mr. JJ, Each individual's accumulation of body fat varies. If you notice that your lower abdomen is protruding due to fat, please be cautious about the issue of central obesity. The standards for central obesity in Taiwan are a waist circumference of greater than 80 cm...[Read More] Effective Strategies to Reduce Belly Fat: Expert Tips
Effective Weight Loss Strategies for Managing Abdominal Obesity
My waist circumference is 97 cm, my weight is 99.2 kg, and my body mass index (BMI) is 28.98. I currently want to lose weight, and my main methods include walking for 40 minutes, doing push-ups, and cycling. Before the age of 23, my weight was mostly in the 70s kg range. However,...
Dr. Wu Zongying reply Family Medicine
Hello: Weight loss primarily relies on dietary control; exercise is beneficial for the body but may not lead to significant weight loss unless combined with dietary management. In terms of diet, it is advisable to avoid fried foods (such as fried chicken cutlets, fried chicken le...[Read More] Effective Weight Loss Strategies for Managing Abdominal Obesity
Understanding Abdominal Obesity: Which Specialist to Consult?
I would like to address this issue and ask if I should consult a metabolic specialist, or how to proceed, as I am concerned about choosing the wrong department. Can a physician also explain how to eliminate abdominal obesity?
Dr. Li Jian reply Internal Medicine
You can schedule a consultation with a metabolic specialist. To prevent an increase in abdominal fat, it is important to reduce carbohydrate intake. Intermittent fasting, such as the 16:8 method, can also help with fat burning.[Read More] Understanding Abdominal Obesity: Which Specialist to Consult?
Related FAQ
(Nutrition)
Gastrointestinal(Nutrition)
Eating Habits(Nutrition)
Obesity(Gastroenterology and Hepatology)
Body Fat(Nutrition)
Bowel Movement(Nutrition)
Abdomen(Family Medicine)
Cholesterol(Nutrition)
Obesity(Family Medicine)
Obesity(Physical Fitness)