I want to gain weight?
Hello Dr.
Tang: I want to gain weight, but no matter how much I eat, I can't seem to put on any weight.
I have previously tried using Chinese medicine to adjust my constitution, but my weight only increased slowly and then plateaued.
I'm not sure what the problem is.
Currently, I am 156 cm tall and weigh 38 kg.
I often have late-night snacks, but even eating a lot doesn't help me gain weight.
I have bowel movements every 2 to 3 days, and if I eat more, my bowel movements become regular.
I don't exercise regularly and usually eat about two meals a day.
I'm unsure how to resolve this issue.
Could you please advise me? Thank you!
An An, 20~29 year old female. Ask Date: 2008/07/04
Dr. Tang Weili reply Nutrition
Dear An-An: Based on your current height and weight, your BMI (Body Mass Index) is 15.6, which is only 73% of the ideal weight (52 kg), indicating that you are underweight.
I'm curious to know what your highest weight has been.
First, I recommend that you consult an endocrinologist to check for any endocrine issues, such as thyroid problems.
Second, to gain weight, you should aim to consume at least 500 calories more than your body burns each day.
This could help you gain approximately 1 kg in about half a month.
I'm not sure about your usual daily food intake, but you might start by trying to drink an extra glass of whole milk and adding a sandwich (approximately 400-500 kcal) to your meals.
Maintaining a regular lifestyle and having balanced meals are fundamental to good health.
Please consult a nutritionist at a nearby hospital you are accustomed to visiting, and check how your current diet compares to your daily caloric needs of 1800 kcal.
Late-night snacks should be light and minimal to avoid gastrointestinal burden and to promote better sleep.
Does your work require you to rotate night shifts? Disrupted day-night cycles can also hinder weight management.
Nutritionist Tang Wei-Li
Reply Date: 2008/07/04
More Info
Hello! It's great that you're reaching out for advice on healthy weight gain. Based on your height of 156 cm and weight of 38 kg, your Body Mass Index (BMI) is approximately 15.5, which is considered underweight. It's important to address this issue, as being underweight can lead to various health problems, including weakened immune function, nutritional deficiencies, and decreased muscle mass.
First, let's discuss the fundamental principle of weight gain: it revolves around consuming more calories than your body burns. Since you mentioned that you often eat late-night snacks but still struggle to gain weight, it may be beneficial to evaluate the quality and quantity of your food intake.
Nutritional Strategies for Healthy Weight Gain:
1. Increase Caloric Intake: Aim to consume more calories than you currently do. Since you mentioned eating only two meals a day, consider adding a third meal or incorporating snacks between meals. Focus on calorie-dense foods that provide more energy without requiring large volumes of food. Examples include:
- Nuts and Nut Butters: Almonds, walnuts, and peanut butter are high in calories and healthy fats. You can add them to smoothies, oatmeal, or yogurt.
- Avocados: Rich in healthy fats and calories, avocados can be added to salads, sandwiches, or eaten on their own.
- Whole Grains: Foods like quinoa, brown rice, and whole-grain bread are not only nutritious but also provide more calories than their refined counterparts.
- Dairy Products: Full-fat milk, cheese, and yogurt are excellent sources of calories and protein.
2. Frequent Meals and Snacks: Instead of two large meals, try to eat smaller, more frequent meals throughout the day. This can help increase your overall caloric intake without making you feel overly full at any one time.
3. Protein-Rich Foods: Incorporate protein-rich foods into your diet, as they help build muscle mass. Good sources include lean meats, fish, eggs, dairy products, legumes, and protein shakes.
4. Healthy Fats: Include sources of healthy fats in your diet, such as olive oil, coconut oil, and fatty fish like salmon. These foods are calorie-dense and can help you gain weight healthily.
5. Avoid Empty Calories: While it might be tempting to consume sugary snacks and fast food to gain weight, these can lead to unhealthy fat gain and nutritional deficiencies. Focus on nutrient-rich foods instead.
Lifestyle Considerations:
1. Regular Exercise: Although you mentioned not exercising, incorporating strength training into your routine can help you gain muscle mass, which is healthier than simply gaining fat. Aim for at least two to three sessions of strength training per week, focusing on major muscle groups.
2. Monitor Your Digestive Health: Since you mentioned having bowel movements every 2-3 days, it might be beneficial to consult a healthcare professional about your digestive health. Regular bowel movements are important for overall health and can affect nutrient absorption. Consider increasing your fiber intake gradually through fruits, vegetables, and whole grains, and ensure you're drinking enough water.
3. Consult a Healthcare Professional: If you continue to struggle with weight gain despite making dietary changes, it may be worthwhile to consult a healthcare professional or a registered dietitian. They can help assess your overall health, identify any underlying issues, and provide personalized recommendations.
Conclusion:
Gaining weight healthily is a gradual process that requires a combination of dietary changes and lifestyle adjustments. Focus on increasing your caloric intake with nutrient-dense foods, incorporate strength training into your routine, and monitor your digestive health. If you have persistent concerns, seeking professional guidance can provide you with tailored support. Remember, patience is key, and with consistent effort, you can achieve your weight gain goals. Best of luck on your journey to better health!
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