Weight Concerns: Tips for Healthy Weight Gain - Family Medicine

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Weight issues


Doctor, I have a question.
Since my first height and weight measurement in middle school, I was 59 kg and 159 cm tall.
In eighth grade, I grew to 165 cm and weighed 58 kg.
By ninth grade, I reached 173 cm and weighed 57 kg.
Over these three years, my weight has fluctuated between 57 and 59 kg.
This year, after graduating, I got accepted into a sports program, and my weight remains in the same range of 57 to 59 kg.
This morning, after drinking a cup of warm water on an empty stomach, I weighed 56.7 kg, with a BMI of 18.4.
I would like to ask if this is normal.
I want to gain some weight because I feel too thin; my sternum is very prominent when I raise my hand.
Is there any way to gain weight?

567, 10~19 year old female. Ask Date: 2020/08/05

Dr. Ye Qianyu reply Family Medicine


Hello! Based on your description, you are experiencing weight loss issues.
If you have already increased your food intake and there is still no progress in your weight, I recommend that you visit a metabolic specialist to evaluate any potential endocrine problems.

Reply Date: 2020/08/05

More Info


Gaining weight in a healthy manner can be just as challenging as losing weight, especially if you have a naturally high metabolism or a busy lifestyle that doesn't allow for regular meals. Based on your profile, it appears that you are experiencing a weight that is below the normal range for your height, which can lead to various health concerns. Your current BMI of 18.4 indicates that you are underweight, and it's understandable that you want to gain weight to achieve a healthier body composition.


Understanding Your Weight Concerns
Firstly, it's important to recognize that being underweight can have its own set of health risks, including weakened immune function, decreased muscle mass, and potential nutrient deficiencies. Therefore, gaining weight should be approached thoughtfully and healthily.


Tips for Healthy Weight Gain
1. Increase Caloric Intake: To gain weight, you need to consume more calories than your body burns. This can be achieved by incorporating calorie-dense foods into your diet. Foods such as nuts, seeds, avocados, whole grains, and healthy oils (like olive oil) are excellent choices. For example, adding a handful of nuts to your meals or snacks can significantly increase your caloric intake without making you feel overly full.

2. Eat More Frequently: Instead of three large meals, try to eat five to six smaller meals throughout the day. This can help you consume more calories without feeling uncomfortable. Include snacks that are rich in protein and healthy fats, such as Greek yogurt, cheese, or protein bars.

3. Focus on Nutrient-Rich Foods: While it may be tempting to eat junk food to increase your calorie intake, it's crucial to focus on nutrient-rich foods that provide vitamins and minerals. Incorporate lean proteins (like chicken, fish, eggs, and legumes), whole grains (like brown rice and quinoa), and plenty of fruits and vegetables.

4. Strength Training: Engaging in strength training exercises can help you build muscle mass, which is a healthy way to gain weight. Focus on compound movements like squats, deadlifts, and bench presses, which work multiple muscle groups at once. This not only helps in gaining weight but also improves overall body composition.

5. Stay Hydrated: While it's important to drink enough fluids, try to avoid drinking large amounts of water before meals, as this can fill you up and reduce your appetite. Instead, aim to drink fluids between meals.

6. Monitor Your Progress: Keep track of your weight and dietary intake to ensure that you are making progress. If you find that you are not gaining weight despite your efforts, consider consulting with a healthcare professional or a registered dietitian who can provide personalized guidance.

7. Consider Professional Guidance: If you continue to struggle with weight gain, it may be beneficial to seek advice from a healthcare provider. They can help rule out any underlying medical conditions that may be affecting your weight and provide tailored recommendations.


Conclusion
Gaining weight should be a gradual process, and it's essential to approach it in a healthy manner. Focus on increasing your caloric intake with nutrient-dense foods, engage in strength training, and monitor your progress. Remember, it's not just about the number on the scale; it's about achieving a healthy body composition and feeling good in your own skin. If you have any further questions or concerns, don't hesitate to reach out for professional advice.

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