Please help me, doctor!
Hello, doctor! I'm very overweight; I weigh 110 kg.
What should I do? I'm only in the 9th grade, and I really want to lose weight quickly!
Xiao Hong, 10~19 year old female. Ask Date: 2004/10/02
Dr. Xiao Yongxun reply Internal Medicine
Hello: In response to your questions.
1.
Obesity refers to an excess of body fat; there are many methods to measure it, but currently, the Body Mass Index (BMI, expressed in kg/m²) is commonly used to define it.
This is calculated by dividing weight (in kilograms, kg) by the square of height (in meters, m).
According to our Department of Health, a BMI between 18.5 and 23.9 is considered ideal.
2.
The treatment for obesity must be individualized; it generally focuses on non-pharmacological methods, supplemented by medication or very low-calorie diets, and may even involve surgical treatment.
3.
Non-pharmacological treatments include dietary control, exercise, and behavioral therapy.
For example, slowing down the pace of eating, avoiding snacks, limiting desserts after meals, improving lifestyle habits, and avoiding eating snacks while watching television, among others.
4.
It is recommended that you first visit the weight management clinic at a public hospital for an assessment of your body, lifestyle, and behaviors before making any decisions.
Considering health and weight loss effectiveness, it is not advisable to misuse weight loss medications or adopt overly aggressive methods.
Reply Date: 2004/10/02
More Info
Hello! It's great that you're reaching out for advice on weight loss. At your age, it's essential to approach weight management in a healthy and sustainable way, especially since your body is still growing and developing. Here are some effective tips for you to consider:
1. Understand Your Body's Needs
First, it's important to know that everyone's body is different. Factors like genetics, metabolism, and lifestyle all play a role in how your body stores fat and builds muscle. At 14 years old, your body is still growing, and it's crucial to provide it with the nutrients it needs to support healthy development.
2. Balanced Nutrition
Instead of focusing solely on losing weight, aim for a balanced diet that includes a variety of foods:
- Fruits and Vegetables: Try to fill half your plate with fruits and vegetables. They are low in calories and high in nutrients.
- Whole Grains: Choose whole grains like brown rice, whole wheat bread, and oats instead of refined grains. They provide more fiber and keep you feeling full longer.
- Lean Proteins: Include sources of lean protein such as chicken, fish, beans, and legumes. Protein helps build muscle and can keep you satisfied.
- Healthy Fats: Incorporate healthy fats from sources like avocados, nuts, and olive oil, but be mindful of portion sizes.
3. Portion Control
Pay attention to portion sizes. Eating smaller portions can help you manage your calorie intake without feeling deprived. Try using smaller plates or bowls to help control your portions.
4. Stay Hydrated
Drink plenty of water throughout the day. Sometimes, our bodies confuse thirst with hunger. Aim for at least 8 glasses of water daily, and consider drinking a glass of water before meals to help control your appetite.
5. Regular Physical Activity
Aim for at least 60 minutes of physical activity each day. This can include:
- Aerobic Activities: Such as walking, running, swimming, or biking.
- Strength Training: Bodyweight exercises like push-ups, squats, or using resistance bands can help build muscle.
- Fun Activities: Engage in sports or activities you enjoy, which will make it easier to stick with your routine.
6. Mindful Eating
Practice mindful eating by paying attention to what you eat and savoring each bite. Avoid distractions like TV or smartphones during meals, as they can lead to overeating.
7. Get Enough Sleep
Sleep is crucial for overall health and can affect your weight. Aim for 8-10 hours of sleep each night to help regulate your metabolism and support your body's recovery.
8. Seek Support
Talk to your family about your goals. They can help you by preparing healthier meals and encouraging you to be active. If possible, consider consulting a healthcare professional or a registered dietitian who can provide personalized guidance.
9. Be Patient and Kind to Yourself
Weight loss takes time, and it's essential to be patient with yourself. Focus on making small, sustainable changes rather than drastic ones. Celebrate your progress, no matter how small, and remember that your worth is not defined by your weight.
Conclusion
It's commendable that you're taking steps to improve your health. Remember, the goal is not just to lose weight but to develop healthy habits that will last a lifetime. By focusing on balanced nutrition, regular physical activity, and a positive mindset, you'll be on your way to achieving your goals in a healthy manner. Good luck, and take care!
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