Can Weak Congenital Health Be Improved Through Lifestyle Changes?

Can congenital weakness be improved through postnatal interventions?

I have been weak and sickly since childhood, with very poor physical stamina, and I tend to gain weight easily.
Even a short jog leaves me breathless, and I feel very uncomfortable while gasping for air (I do not have asthma).
In high school, during a physical education class, we had to run 1600 meters.
I couldn't continue without resting, so I stopped and walked.
The PE teacher saw me and said, "You need to improve your stamina because your complexion is pale.
If you jog a little every day, your body will completely change in six months." However, I really dislike running, so I didn't follow his advice.
I would like to ask the doctor if it is possible to improve my inherent weakness through lifestyle changes.
Additionally, I recently had a blood test, and my liver function tests showed an APOT value of 42 and an AGPT value of 102 (I have been taking psychiatric medication for over four years due to depression).

Jianyu, 20~29 year old female. Ask Date: 2005/04/21

Dr. Zhao Chongliang reply Internal Medicine

(APOT and AGPT should refer to SGOT and SGPT.) Congenital deficiencies can certainly be improved over time, including both physical weakness and intellectual capacity.
However, I must draw your attention to your abnormal liver function, which may indicate the early or recovery phase of acute hepatitis, chronic active hepatitis, or recurrent chronic persistent hepatitis.
These conditions can lead to feelings of physical weakness and jaundice.
Psychiatrists often prescribe many medications, and drug-induced hepatitis should be considered, but in Taiwan, hepatitis B is more prevalent, with 1% to 2% of the population also having hepatitis C, so viral hepatitis must be taken into account.
Please see a hepatologist for examination and treatment immediately, and consult your original psychiatrist to minimize unnecessary medications.
As for physical training, it would be best to postpone that until your hepatitis treatment is completed.

Reply Date: 2005/04/21

More Info

Improving weak congenital health through lifestyle changes is indeed a complex but achievable goal. While genetics play a significant role in determining one's baseline health, lifestyle factors such as diet, exercise, and mental well-being can greatly influence overall health and physical performance.
First and foremost, it is essential to understand that congenital health issues often manifest as a result of genetic predispositions. However, this does not mean that individuals are powerless to change their health outcomes. Research has shown that adopting healthier lifestyle habits can lead to significant improvements in physical fitness, mental health, and overall quality of life.

1. Dietary Changes: Nutrition plays a crucial role in health. A balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains, can provide the necessary nutrients to support bodily functions and improve energy levels. For someone with a history of being underweight or having low energy, incorporating calorie-dense foods like nuts, seeds, avocados, and healthy oils can help increase caloric intake without excessive bulk. Additionally, staying hydrated is vital for maintaining energy levels and overall health.

2. Physical Activity: While you mentioned a dislike for running, it is important to find physical activities that you enjoy. Exercise does not have to be limited to traditional forms like running or jogging. Activities such as walking, cycling, swimming, or even dancing can provide cardiovascular benefits without the stress of running. Start with low-intensity exercises and gradually increase the intensity and duration as your fitness improves. Consistency is key; even short daily workouts can lead to significant improvements over time.

3. Strength Training: Incorporating strength training into your routine can help build muscle mass and improve overall strength. This can be particularly beneficial for someone who feels weak or fatigued. Bodyweight exercises, resistance bands, or light weights can be effective starting points. Strength training not only enhances physical capabilities but also boosts metabolism, which can help manage weight.

4. Mental Health: Given your history of depression and the use of psychiatric medications, it is crucial to address mental health as part of your overall wellness strategy. Engaging in activities that promote mental well-being, such as mindfulness, yoga, or meditation, can help reduce stress and improve mood. Additionally, seeking support from mental health professionals can provide you with coping strategies and tools to manage your condition effectively.

5. Regular Check-ups: Regular medical check-ups are essential, especially considering your elevated liver enzyme levels. It is important to discuss these results with your healthcare provider to rule out any underlying conditions and to monitor your health as you make lifestyle changes. Your doctor can also provide personalized advice based on your medical history and current health status.

6. Setting Realistic Goals: It is important to set achievable health goals. Start small and gradually increase the difficulty of your workouts or the complexity of your diet. Celebrate small victories along the way to stay motivated.

In conclusion, while congenital health issues may present challenges, they can often be improved through dedicated lifestyle changes. By focusing on a balanced diet, engaging in enjoyable physical activities, addressing mental health, and maintaining regular medical oversight, you can work towards enhancing your overall health and well-being. Remember, the journey to better health is a marathon, not a sprint, and every small step counts.

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