Effective Weight Loss Strategies: Managing Body Fat and Nutrition - Family Medicine

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Weight loss issues


Hello, doctor.
I apologize for bothering you during your busy schedule.
I would like to inquire about weight loss.
I originally weighed 106 kg and was 183 cm tall.
Since the end of April this year, I have started skipping rope at a rate of 140 jumps per minute, resting for 1 minute after every 5 minutes of jumping, and completing 6 sets.
I have been consistently skipping rope every day, and after my workout, I drink a glass of milk to replenish protein.
I also practice intermittent fasting with the 16:8 method, skipping breakfast and only having lunch at 2 PM and dinner at 9 PM.
When I measured on October 1, I found that I had dropped to 84.4 kg and my height is now 186 cm.
People around me have commented that I look much thinner, but when I bend over at a 90-degree angle, my stomach still hangs down.
I would like to ask if this indicates that my body fat percentage is still too high.
What methods can I use to accelerate fat loss? My sister works in the baking industry, and sometimes she brings home small cakes or pastries.
I try to limit my intake to after 2 PM or immediately after exercising in the evening (I’ve heard these times are less likely to lead to weight gain), keeping it under 250 calories.
Although I cook my meals myself, I have already controlled my intake within my Total Daily Energy Expenditure (TDEE).
Should I completely avoid sweets? For lunch, I used to eat instant noodles with an egg and beef shank, but I have now switched to 100 grams of boiled dry noodles mixed with salt and olive oil, along with one egg, to reduce sodium and calorie intake.
Is this approach correct?

Mr. Lu, 20~29 year old female. Ask Date: 2021/10/01

Dr. Ye Qianyu reply Family Medicine


Hello! You have actually achieved significant weight loss.
Now, it's time to fine-tune your lifestyle habits.
I recommend that you choose natural foods and low glycemic index (GI) foods as much as possible, avoid refined carbohydrates and animal fats, and increase your intake of fruits and vegetables.
Since you cook for yourself, the cooking methods are also very important.
Additionally, incorporate high-intensity interval training (HIIT) and ensure you get enough sleep.

Reply Date: 2021/10/01

More Info


Effective weight loss strategies involve a combination of proper nutrition, regular physical activity, and behavioral changes. Given your journey from 106 kg to 84.4 kg, it’s commendable that you have made significant progress. However, it’s important to focus not just on weight loss but also on body composition, particularly body fat percentage, which seems to be a concern for you.


Understanding Body Fat and Weight Loss
Body fat percentage is a crucial indicator of health, as it reflects the amount of fat in your body relative to your total weight. While you have lost a considerable amount of weight, the presence of excess skin or fat in certain areas, such as your abdomen, can indicate that your body fat percentage may still be higher than desired. This is common, especially after significant weight loss, as the body may retain fat in specific areas.


Nutrition and Eating Habits
1. Balanced Diet: While you are practicing intermittent fasting (16:8 method), it’s essential to ensure that your meals are balanced and nutrient-dense. Your current diet seems to focus on controlling calories, which is good, but it’s also crucial to include a variety of food groups. Aim for a diet rich in lean proteins, whole grains, healthy fats, and plenty of fruits and vegetables. This will not only help in reducing body fat but also provide essential nutrients for overall health.

2. Managing Sweet Treats: It’s understandable to indulge in sweet treats occasionally, especially when they are readily available. However, moderation is key. Instead of completely eliminating sweets, consider healthier alternatives or smaller portions. Eating sweets right after exercise can be beneficial as your body is more likely to utilize the sugars for recovery rather than storing them as fat.
3. Meal Composition: Your switch from instant noodles to a more balanced meal with whole grain noodles, olive oil, and eggs is a positive change. This not only reduces sodium intake but also increases the nutritional value of your meals. Ensure that you are incorporating enough protein and fiber in your meals, as these can help you feel fuller for longer and support muscle maintenance during weight loss.


Exercise and Physical Activity
Jumping rope is an excellent cardiovascular exercise that can help burn calories and improve cardiovascular health. However, it’s important to incorporate strength training into your routine as well. Strength training helps build muscle, which can increase your resting metabolic rate, meaning you burn more calories even when at rest. Aim for at least two days a week of strength training exercises targeting all major muscle groups.


Behavioral Changes and Mindset
1. Set Realistic Goals: While it’s great to aim for a lower body fat percentage, set achievable and realistic goals. Focus on gradual changes rather than drastic ones. This will help you maintain motivation and prevent feelings of frustration.

2. Monitor Progress: Keep track of your body measurements, not just weight. Sometimes, the scale may not reflect changes in body composition. Consider using body fat scales or calipers to measure your body fat percentage.

3. Seek Professional Guidance: If you find it challenging to navigate your nutrition and exercise regimen, consider consulting with a registered dietitian or a certified personal trainer. They can provide personalized advice based on your specific needs and goals.


Conclusion
In summary, effective weight loss and body fat management require a holistic approach that includes balanced nutrition, regular physical activity, and behavioral changes. While you have made significant strides in your weight loss journey, focusing on body composition and overall health is essential. Remember, it’s not just about the number on the scale but how you feel and your overall well-being. Keep up the great work, and stay committed to your health goals!

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