How can I lose weight?
Hello, doctor.
I would like to ask you a question.
I am 22 years old, about 173 to 174 cm tall, but I weigh 85 kg.
I really want to lose weight, but I am afraid of injuring my right leg because I currently have scoliosis, which is compressing the nerves in my right leg.
I am unsure what exercises would be suitable for weight loss without risking injury.
Is it possible to lose weight through diet or medication? How should I manage my diet? I often feel full after eating, but I have heard that eating rice can lead to weight gain.
Additionally, I have been experiencing poor mental health, often feeling fatigued and sleepy, even after getting a full 8 hours of sleep; I still feel tired throughout the day.
Yinsu, 20~29 year old female. Ask Date: 2004/04/14
Dr. Qi Minghua reply Nutrition
Hello: Based on your height of 174 cm, your ideal weight range is between 60-73 kg.
Therefore, your weight is indeed over 20% of your Ideal Body Weight (IBW), and you need to lose weight.
Since you have issues with spinal curvature, it is advisable to consult a rehabilitation physician to determine which exercises are most suitable for you.
Regarding your diet, you can reduce your caloric intake by 500 calories per day compared to your usual intake, which could lead to a weight loss of about half a kilogram per week, or 2 kilograms in a month.
However, since I am unaware of your daily dietary choices and caloric intake, I recommend visiting a nutrition consultation clinic at a hospital, where a dietitian can help you adjust your diet for optimal results.
This can also help address your feelings of low energy, as improper food distribution can contribute to fatigue.
Lastly, I wish you success in your weight loss journey.
Nutritionist Qi Minghua, Miaoli Hospital.
Reply Date: 2004/04/14
More Info
When it comes to safe weight loss strategies for young adults with spinal issues, particularly in your case of scoliosis and nerve compression in the right leg, it's essential to approach this with caution and a well-rounded plan. Here are some recommendations that can help you achieve your weight loss goals while minimizing the risk of aggravating your spinal condition.
1. Consult a Healthcare Professional
Before starting any weight loss program, it's crucial to consult with a healthcare provider, such as a physical therapist or a physician specializing in spinal health. They can assess your specific condition and provide personalized advice tailored to your needs.
2. Focus on Low-Impact Exercises
Given your spinal issues, engaging in low-impact exercises is vital to avoid further injury. Here are some suitable options:
- Walking: A simple yet effective way to burn calories. Start with short distances and gradually increase as your stamina improves.
- Cycling: Stationary cycling can be a great way to get your heart rate up without putting too much strain on your back.
- Water Aerobics: Exercising in water reduces the impact on your joints and spine, making it an excellent option for those with back issues.
- Yoga or Pilates: These practices can help improve flexibility, strengthen core muscles, and promote better posture, which is beneficial for spinal health.
3. Strength Training
Incorporating strength training can help build muscle, which in turn can boost your metabolism. Focus on exercises that strengthen your core, as a strong core can provide better support for your spine. Use resistance bands or light weights to start, and always prioritize proper form to avoid injury.
4. Dietary Changes
Weight loss is significantly influenced by diet. Here are some dietary strategies to consider:
- Balanced Diet: Aim for a diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. These foods are nutrient-dense and can help you feel full without consuming excessive calories.
- Portion Control: Be mindful of portion sizes. Eating smaller, more frequent meals can help manage hunger and prevent overeating.
- Hydration: Drink plenty of water throughout the day. Sometimes, our bodies confuse thirst with hunger, leading to unnecessary snacking.
- Limit Processed Foods: Reduce your intake of sugary snacks, fast food, and other processed items that can contribute to weight gain.
5. Mindful Eating
Practice mindful eating by paying attention to your hunger cues and eating slowly. This can help you recognize when you are full and prevent overeating.
6. Addressing Fatigue
Feeling constantly tired can hinder your weight loss efforts. Here are some tips to improve your energy levels:
- Sleep Hygiene: Ensure you maintain a consistent sleep schedule and create a restful environment to improve the quality of your sleep.
- Nutrition: Eating a balanced diet can also impact your energy levels. Ensure you're getting enough vitamins and minerals, particularly B vitamins, which are essential for energy production.
- Physical Activity: While it may seem counterintuitive, regular physical activity can actually boost your energy levels over time.
7. Mental Health Considerations
Since you mentioned feeling fatigued and having a poor mental state, it might be beneficial to explore stress management techniques. Consider practices such as meditation, deep breathing exercises, or speaking with a mental health professional. Addressing mental health can significantly impact your motivation and overall well-being.
Conclusion
In summary, safe weight loss for young adults with spinal issues involves a combination of low-impact exercises, dietary changes, and addressing mental health. Always prioritize your spinal health and consult with professionals to tailor a plan that suits your specific needs. Remember, gradual changes are more sustainable and can lead to long-term success.
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