Appetite Issues: Tips for Healthy Weight Loss - Nutrition

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Weight loss with loss of appetite?


I am 156 cm tall and weigh 63 kg, and I have maintained this weight for about six to seven years (I know this is above the normal BMI).
I usually eat very little; I don't snack in between meals and I don't have late-night snacks.
I typically eat two meals a day, and if I eat three meals, I often feel uncomfortable in my stomach after one meal due to fullness.
Sometimes, just a boiled egg, a piece of cookie, or a cup of soy milk is enough to make me feel full; I consider any intake as a meal.
I really don't indulge in snacks or high-calorie foods as people often say.
Even when I'm hungry, I don't feel like eating, so if dinner time passes, I won't want to eat even if I'm hungry, and I won't eat even if I stay up late.
I also don't suddenly crave a lot of food.
My portions are smaller than others; if I eat a normal-sized meal, I won't be able to eat at the next meal time.
I don't exercise much and I stay up late (I know this is an unhealthy habit; I'm trying to improve, but I often feel anxious and end up staying up late).
Is my appetite considered normal? Sometimes I skip meals simply because I'm too lazy to eat.
If I'm forced to eat, it puts me in a bad mood.
How should I go about losing weight?

Xiao Ruo, 20~29 year old female. Ask Date: 2021/10/18

Dr. Fan Chunmei reply Nutrition


Hello: Based on your height and weight, your BMI of 25.9 falls into the overweight category.
If you want to continue losing weight, the principle is to eat less and move more.
Your caloric intake should not fall below the basal metabolic rate of 1200 calories.
It's important to maintain a balanced diet that includes all six food groups, and to pay attention to food choices, cooking methods, and portion sizes.
Additionally, increasing your physical activity is recommended; a daily brisk walk of 40 minutes is suggested.
Also, try to avoid staying up late.
If needed, I recommend visiting a hospital for nutritional counseling with a dietitian for personalized advice.
Wishing you health and happiness! Sincerely, Dietitian Fan Chun-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/18

More Info


Understanding appetite issues and how they relate to healthy weight loss can be quite complex, especially when considering individual habits and physiological responses. Based on your profile of being 156 cm tall and weighing 63 kg, it’s clear that you are aware of your weight status and its implications on your health. Maintaining a stable weight for six to seven years indicates a certain level of consistency in your lifestyle, but it also suggests that you may be facing challenges that prevent further weight loss.

Firstly, it’s important to recognize that appetite regulation is influenced by a variety of factors, including hormonal signals, psychological state, and dietary habits. Your description of eating very little and feeling full after small portions may indicate a few things. It could be that your body has adapted to a lower caloric intake, leading to a decreased appetite. This is sometimes referred to as "adaptive thermogenesis," where the body becomes more efficient at using energy, making weight loss more challenging.

Moreover, your eating pattern of having only two meals a day and feeling discomfort after eating may not be ideal for your metabolism. Skipping meals or eating infrequently can lead to a slower metabolism and may also affect your body's hunger signals. When you do eat, if you consume a meal that is too large relative to your usual intake, it can lead to discomfort, reinforcing a cycle of eating less.
To address your appetite issues and facilitate healthy weight loss, consider the following strategies:
1. Regular Meal Timing: Instead of having only two meals a day, try to incorporate three balanced meals with healthy snacks in between. This can help regulate your appetite and prevent extreme hunger, which may lead to overeating or discomfort.

2. Balanced Nutrition: Focus on including a variety of food groups in your meals. Aim for a balance of macronutrients—proteins, fats, and carbohydrates. Incorporating fiber-rich foods like fruits, vegetables, and whole grains can help you feel fuller for longer and support digestive health.

3. Mindful Eating: Pay attention to your hunger cues and eat slowly. This practice can help you recognize when you are truly hungry and when you are satisfied, preventing overeating.

4. Hydration: Sometimes, feelings of hunger can be confused with thirst. Ensure you are drinking enough water throughout the day. Aim for at least 1.5 to 2 liters, adjusting based on your activity level and climate.

5. Physical Activity: Incorporate regular physical activity into your routine. This doesn’t have to be intense; even moderate activities like walking, yoga, or stretching can help boost your metabolism and improve your mood, which may reduce anxiety and help regulate your appetite.

6. Sleep Hygiene: Since you mentioned issues with staying up late, prioritize good sleep hygiene. Lack of sleep can disrupt hormones that regulate appetite, leading to increased hunger and cravings.

7. Seek Professional Guidance: Consulting with a registered dietitian or nutritionist can provide personalized advice tailored to your specific needs and challenges. They can help you create a structured meal plan and address any underlying issues related to your appetite.

8. Mental Health Considerations: If anxiety or stress is impacting your eating habits, consider speaking with a mental health professional. They can provide strategies to manage anxiety and improve your relationship with food.

In conclusion, your appetite issues may not be "normal" in the sense that they align with typical eating patterns, but they are not uncommon. By implementing a structured approach to eating, focusing on balanced nutrition, and addressing lifestyle factors, you can work towards achieving a healthier weight in a sustainable manner. Remember, weight loss is a gradual process, and it’s important to be patient and kind to yourself throughout this journey.

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