What should I do...?
Hello, doctor! My height is about 159 cm and my weight is 42 kg.
I have been trying to gain weight by eating a lot, even having late-night snacks before going to bed.
However, now that I am in my second year of high school, my weight has not changed at all.
My routine involves eating out for all three meals, and I don't like to exercise.
After showering, I noticed that I have gained weight mostly in my thighs, while my upper body, including my chest and ribs, is very prominent.
My arms are also very thin, and I find it quite unpleasant to look at.
What should I do? My chest hasn't developed either, and I feel really upset about it since I'm already in my second year of high school.
Xiao Tong, 10~19 year old female. Ask Date: 2006/05/21
Dr. Hu Yuqing reply Nutrition
Xiao Tong: Hello, regarding the "Subject of the Issue: What should I do...!?", I am unsure about the main complaint.
From the "Content of the Issue," is the key point not that "the breasts are not developing...?" Is the diet balanced and nutritious? You can refer to the Department of Health's food information website http://food.doh.gov.tw (as our hospital currently cannot connect, I am unable to provide an actual link) for the daily dietary guidelines for adolescent females, which include six food groups.
Are you getting enough from each group daily? Furthermore, increasing physical activity and doing more chest exercises can be beneficial.
Wishing you good health.
Response from Nutritionist Hu Yuqing.
950522 Monday.
Reply Date: 2006/05/21
More Info
Hello! It's great that you're reaching out for advice on healthy weight management, especially during your teenage years, which is a crucial time for growth and development. Based on your height of 159 cm and weight of 42 kg, your Body Mass Index (BMI) is approximately 16.6, which classifies you as underweight. It's understandable that you want to gain weight, but it's important to do so in a healthy manner.
First, let's address your current eating habits. You mentioned that you eat a lot, including late-night snacks, but your weight hasn't changed. This could be due to several factors, including the types of foods you're consuming, your metabolism, and your overall lifestyle. Eating a lot of food doesn't necessarily mean you're consuming enough calories or the right nutrients to support weight gain.
Here are some tips to help you gain weight healthily:
1. Increase Caloric Intake: Focus on calorie-dense foods that provide more energy in smaller portions. Foods like nuts, seeds, avocados, whole grains, and healthy oils (like olive oil) are excellent choices. Incorporating these into your meals can help you increase your caloric intake without feeling overly full.
2. Eat More Frequently: Instead of just three meals a day, try to have five to six smaller meals or snacks throughout the day. This can help you consume more calories without feeling uncomfortable.
3. Choose Nutrient-Rich Foods: While it's tempting to eat junk food to gain weight, this can lead to unhealthy fat gain and nutritional deficiencies. Focus on whole foods like lean meats, dairy products, legumes, fruits, and vegetables. These foods will provide the necessary vitamins and minerals your body needs for growth.
4. Strength Training: While you mentioned that you don't like to exercise, incorporating some form of strength training can help you build muscle mass, which is a healthy way to gain weight. You don't have to go to the gym; simple bodyweight exercises like push-ups, squats, and lunges can be effective. Building muscle can also help improve your body composition, making you feel more confident.
5. Stay Hydrated: Sometimes, people confuse thirst with hunger. Make sure you're drinking enough fluids throughout the day, but try to avoid drinking large amounts of water before meals, as it can fill you up and reduce your appetite.
6. Consult a Nutritionist: If you're struggling to gain weight despite trying these strategies, it may be beneficial to consult with a registered dietitian or nutritionist. They can help create a personalized meal plan that meets your specific needs and goals.
7. Be Patient: Gaining weight, especially in a healthy way, takes time. It's important to be patient with yourself and focus on gradual changes rather than expecting immediate results.
Regarding your concerns about body image, it's common for teenagers to feel self-conscious about their bodies, especially during periods of growth and change. Remember that everyone's body is different, and it's essential to focus on being healthy rather than just the number on the scale.
Lastly, if you're feeling particularly down about your body image or weight, consider talking to a trusted adult or counselor. They can provide support and guidance as you navigate these feelings.
In summary, focus on increasing your caloric intake with nutrient-dense foods, eat more frequently, consider strength training, and be patient with your progress. Your health and well-being are the most important factors, so prioritize a balanced approach to weight management. Good luck, and take care!
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