Struggling with Weight Gain: A Night School Student's Dilemma - Nutrition

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Annoying Obesity


Hello Dr.
Liu, I am a night school student.
After class, I usually eat a late-night snack.
My height is 160 cm, but my weight has increased from 54 kg to 60 kg.
As a result, I sometimes stop eating after 6 PM, but if I go to bed too late, my stomach starts to hurt from hunger.
I considered trying weight loss pills, but I have a family history of hereditary Mediterranean anemia and favism, and my bowel movements are also irregular, so I am hesitant to take any medication without caution.
I do not eat fried foods and consume very little sugar, so I am puzzled as to why I am still gaining weight.
This has been a source of concern for me, and I would like to ask the doctor how I can resolve this issue.
Wishing you all the best.

tian, 20~29 year old female. Ask Date: 2004/05/12

Dr. Liu Yulai reply Nutrition


Hello Sky, I'm glad you haven't tried weight loss medications, as they require a doctor's prescription.
Currently, only two types are legal, and any other medications used in conjunction must be deemed appropriate by a physician; otherwise, it could jeopardize your health and lead to greater losses.
I'm not sure if you have time during the day, but we need to first understand your food intake, dietary habits, activity level, exercise frequency, and eating patterns in order to assess why you might be gaining weight.
Therefore, we need the above information first, or you can visit the nutrition consultation clinic at Yunlin Hospital.
Wishing you health and happiness.
Nutritionist Liu Yulai, National Taiwan University Hospital Yunlin Branch.

Reply Date: 2004/05/12

More Info


Hello! Thank you for reaching out with your concerns about weight gain and your health. It sounds like you're facing a challenging situation, especially as a night school student with a busy schedule. Let's break down your concerns and explore some potential solutions.

First, it's important to understand that weight gain can be influenced by various factors, including diet, physical activity, metabolism, and even genetics. You mentioned that your height is 160 cm and your weight has increased from 54 kg to 60 kg. This change may seem significant, but it's essential to consider your Body Mass Index (BMI) and overall health rather than just the number on the scale. A BMI of around 23.4 (calculated from your height and weight) is generally considered to be within a healthy range, but individual body composition and distribution of fat matter as well.

You noted that you often eat late-night snacks after class, which can contribute to weight gain. Eating late at night can lead to consuming extra calories that your body may not burn off, especially if you're not engaging in much physical activity afterward. Additionally, late-night eating can disrupt your sleep cycle, leading to a cycle of fatigue and increased cravings. If you find yourself hungry at night, consider healthier snack options that are lower in calories and high in nutrients, such as fruits, vegetables, or yogurt.

Regarding your concerns about weight loss medications, it's wise to be cautious, especially given your family history of Mediterranean anemia and favism (a condition related to fava beans). These conditions can affect your body's ability to process certain substances, and using weight loss medications without medical supervision could pose serious health risks. It's great that you're avoiding fried foods and limiting sugar, but it's also essential to focus on overall caloric intake and the quality of your diet.

To effectively manage your weight, consider the following strategies:
1. Balanced Diet: Focus on a balanced diet that includes a variety of food groups. Incorporate whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. This will help you feel full and satisfied while providing essential nutrients.

2. Portion Control: Be mindful of portion sizes, especially when snacking. Eating smaller portions can help you manage your calorie intake without feeling deprived.

3. Regular Physical Activity: Aim for at least 150 minutes of moderate aerobic activity per week, such as brisk walking, cycling, or swimming. Incorporating strength training exercises can also help build muscle, which can boost your metabolism.

4. Meal Timing: If you find yourself hungry at night, try to have a light, healthy dinner that keeps you satisfied. If you need a snack later, opt for something nutritious rather than high-calorie options.

5. Hydration: Drink plenty of water throughout the day. Sometimes, thirst can be mistaken for hunger, leading to unnecessary snacking.

6. Sleep Hygiene: Establish a regular sleep schedule. Aim for 7-9 hours of quality sleep each night, as poor sleep can affect your metabolism and increase cravings for unhealthy foods.

7. Consult a Professional: Given your unique health concerns, it may be beneficial to consult a registered dietitian or a healthcare professional who can provide personalized advice based on your medical history and lifestyle.

In conclusion, while weight management can be challenging, especially with your busy schedule and health considerations, focusing on a balanced diet, regular physical activity, and mindful eating can make a significant difference. Remember, it's about making sustainable changes rather than quick fixes. Take care, and I wish you the best on your journey to better health!

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