Obesity at its extreme level?
Hello, Doctor.
I am Lin Yu-Chen.
I have had a slender build since childhood, but I started gaining weight during the winter break of sixth grade, adding 7 kilograms.
After that, I didn't pay much attention to it, and my weight has increased from 53 kilograms at 158 centimeters to 67 kilograms at 163 centimeters in the second year of junior high.
Wow, it's terrifying! Now, let me describe my daily routine.
I wake up at 6:10 AM and take the bus to school.
I almost always buy two egg pancakes, one chocolate toast, and a cup of milk tea from a breakfast shop.
For lunch, I eat the school lunch, and for dinner, I often have fried foods because I attend tutoring classes.
I'm not sure what I should eat.
Could you please help me plan what dietary changes I should make? Can you help me outline what I should eat in a day? I don't want to gain more weight.
Thank you!
Zhen, 10~19 year old female. Ask Date: 2006/12/17
Dr. Xie Huimin reply Nutrition
Dear Zhen: Your ideal weight of 58 kg is clearly over the ideal weight by 10%.
After reviewing your dietary habits, significant adjustments are necessary.
Your breakfast portion is too large and too oily; I recommend modifying it to one sandwich, one bun, or a bowl of congee, and avoid milk tea, replacing it with milk.
For lunch, if you are having a bento box with fried chicken or pork cutlet, please remove the skin, and if the vegetables are too oily, rinse them with water.
For dinner, avoid fried foods; if you truly have no time, you can opt for rice balls with tea eggs, or plain noodles, or non-fried instant noodles as long as you don’t add the oil packet.
However, since you may not be getting enough vegetables, remember to supplement with a bowl of greens when you get home.
You can bring 1-2 servings of fruit to school, such as oranges, apples, or wax apples (the recommended daily intake is 2 servings of fruit).
Along with moderate exercise—three times a week for 30 minutes each time—this will help you maintain a healthy and beautiful body! Best regards, Hsiao-Hui Min, 95.12.25
Reply Date: 2006/12/17
More Info
Hello, Lin Yuzhen! It's great to hear that you're taking the initiative to improve your eating habits. At your age, your body is still developing, and making healthier choices can have a significant impact on your overall health and well-being. Let's break down your current eating habits and explore how you can transform your diet for better health.
Current Eating Habits
From what you've shared, it seems like your breakfast consists of two egg pancakes, a chocolate toast, and a milk tea. For lunch, you have a school lunch, and for dinner, you often eat fried foods due to your tutoring schedule. This diet is high in carbohydrates and fats, particularly from fried foods and sugary drinks, which can contribute to weight gain and other health issues.
Why Change is Important
At 163 cm and 67 kg, your Body Mass Index (BMI) is around 25.1, which is considered overweight. While BMI is not the only indicator of health, maintaining a healthy weight is crucial for reducing the risk of chronic diseases, improving energy levels, and enhancing your overall quality of life. Additionally, developing healthy eating habits now can set the foundation for a lifetime of good health.
Suggested Dietary Changes
1. Breakfast: Instead of two egg pancakes and chocolate toast, consider a more balanced breakfast. You could have:
- One whole-grain toast with avocado or peanut butter (healthy fats and fiber).
- One boiled or poached egg (protein).
- A piece of fruit, like a banana or an apple (vitamins and fiber).
- A glass of water or unsweetened tea instead of milk tea to reduce sugar intake.
2. Lunch: School lunches can vary, but try to choose options that include:
- Lean protein (chicken, fish, tofu).
- Plenty of vegetables (salad, steamed veggies).
- A serving of whole grains (brown rice, quinoa, or whole-grain bread).
- Limit fried foods and sugary sauces.
3. Snacks: Instead of fried snacks or sweets, opt for healthier options:
- Fresh fruits (like berries, oranges, or grapes).
- Nuts or seeds (in moderation).
- Yogurt (preferably low-fat or Greek yogurt).
4. Dinner: For dinner, try to prepare meals that are balanced and nutritious:
- Grilled or baked protein (chicken, fish, or legumes).
- A variety of colorful vegetables (steamed, roasted, or stir-fried).
- A small portion of whole grains (like quinoa or brown rice).
- Avoid fried foods; instead, try to incorporate healthy cooking methods like grilling or steaming.
5. Hydration: Drink plenty of water throughout the day. Aim for at least 8 glasses (about 2 liters) to stay hydrated. Limit sugary drinks like milk tea and sodas.
6. Physical Activity: Incorporate regular physical activity into your routine. Aim for at least 30 minutes of moderate exercise most days of the week. This could include walking, cycling, dancing, or any activity you enjoy.
Mental Well-being
It's also important to consider your mental health. Stress and anxiety about weight can lead to unhealthy eating patterns. Focus on making gradual changes and celebrate your progress, no matter how small. Surround yourself with supportive friends and family who encourage your healthy choices.
Conclusion
Transforming your diet is a journey, and it's great that you're starting this process now. By making small, manageable changes to your eating habits and incorporating physical activity, you can achieve a healthier lifestyle. Remember, it's not just about losing weight but also about feeling good and being healthy. If you have access to a nutritionist or dietitian, consider seeking their guidance for personalized advice. Good luck, and take care!
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