Why Is My Belly Still Big Despite Dieting and Exercise? - Gastroenterology and Hepatology

Share to:

Having a bloated abdomen that resembles that of a pregnant woman, and not being able to reduce the size despite eating less?


My belly is as big as a pregnant woman's, and even with reduced food intake, it doesn't get smaller.
I've undergone both colonoscopy and gastroscopy, and there are no issues.
I walk and do push-ups, but my belly is still quite large.
What can I do to make my belly smaller?

Xile, 30~39 year old female. Ask Date: 2012/02/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: The causes of "abdominal distension" are twofold: 1.
Ascites, which can be evaluated through abdominal ultrasound.
2.
Gastrointestinal gas, often related to functional disorders, which may require consultation with a gastroenterologist for medication.
Wishing you good health.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2012/02/22

More Info


The frustration of not seeing results despite dieting and exercising is a common experience for many individuals. When it comes to stubborn belly fat, several factors can contribute to the difficulty in losing weight in that area, even when you are following a healthy lifestyle.

Firstly, it’s important to understand that weight loss is not always linear. Many people experience plateaus where their weight remains stable despite their efforts. This can be due to various reasons, including metabolic adaptations, hormonal changes, and even water retention. When you start a new exercise or diet regimen, your body may initially respond well, but over time, it can adapt to the changes, making it harder to lose weight.

One significant factor that could be affecting your belly fat is your diet. Even if you are eating less, the types of foods you consume matter greatly. High-calorie foods, even in small portions, can contribute to weight gain. Foods high in sugar, refined carbohydrates, and unhealthy fats can lead to increased fat storage, particularly in the abdominal area. It’s crucial to focus on a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains, while minimizing processed foods.

Another aspect to consider is your exercise routine. While walking and doing push-ups are beneficial, they may not be sufficient for targeting belly fat specifically. Incorporating a mix of cardiovascular exercises, strength training, and core workouts can enhance fat loss. High-intensity interval training (HIIT) has been shown to be particularly effective for burning fat. Additionally, exercises that engage the core, such as planks, leg raises, and bicycle crunches, can help strengthen the abdominal muscles, leading to a tighter appearance over time.

Hormonal factors can also play a significant role in weight distribution, especially around the belly. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to weight gain or difficulty losing weight. Stress is another critical factor; it can lead to increased cortisol levels, which are associated with abdominal fat accumulation. Managing stress through mindfulness practices, adequate sleep, and relaxation techniques can be beneficial.

Moreover, if you have undergone medical examinations like colonoscopy and gastroscopy without any findings, it might be worth consulting with a healthcare professional, such as an endocrinologist or a nutritionist, to explore any underlying metabolic or hormonal issues that could be affecting your weight loss efforts.

Lastly, patience is key. Sustainable weight loss takes time, and it’s essential to set realistic goals. Aim for a gradual weight loss of about 1-2 pounds per week, which is considered healthy and sustainable. Celebrate small victories along the way, and remember that the journey to health is not just about the number on the scale but also about feeling better physically and mentally.

In summary, to effectively reduce belly fat, focus on a balanced diet, incorporate a variety of exercises, manage stress, and consider consulting with healthcare professionals for personalized advice. With persistence and the right approach, you can achieve your goals.

Similar Q&A

Why Am I Slim but Have a Big Belly? Understanding Body Fat Distribution

Hello, doctor. I have read the previous articles and searched online for methods and articles about losing belly fat, but I still have some doubts and hope you can help me clarify. I am a person with a lean body, standing at 175 cm and weighing a maximum of 61 kg; I have never be...


Dr. Cai Xiuwen reply Nutrition
Hello! Actually, abdominal circumference is not necessarily all fat, but the abdomen is indeed the hardest area to exercise. Prolonged sitting without activity can easily lead to fat accumulation in the abdominal area! Generally speaking, if subcutaneous fat can be pinched into a...

[Read More] Why Am I Slim but Have a Big Belly? Understanding Body Fat Distribution


Why Am I Losing Weight but Gaining Belly and Hip Size?

Last year, my weight was 57 kg, and now it's less than 55 kg, but I feel that my lower abdomen and buttocks are larger than last year. I'm not sure why this is happening; I feel that my food intake is smaller than last year, and my exercise level is even lower than befo...


Dr. Li Yuqi reply Family Medicine
At the age of 14, a proper assessment should be made in person to determine the actual situation.

[Read More] Why Am I Losing Weight but Gaining Belly and Hip Size?


Why Is My Upper and Lower Abdomen Always Bloated?

Since childhood, my upper abdomen and lower abdomen have always been quite large, almost like a child's belly. Now that I am 21 years old, my stomach still shows no signs of shrinking despite my bowel movements. Why won't it go down? I admit that I have a good appetite,...


Dr. Yang Guojun reply Gastroenterology and Hepatology
The chances of having worms in the stomach are extremely low; it is more likely to be obesity. You can arrange for an ultrasound scan and a stool examination to thoroughly address your concerns.

[Read More] Why Is My Upper and Lower Abdomen Always Bloated?


Understanding Weight Gain: Exploring Nutrition, Hormones, and Body Changes

Two years ago, my weight was consistently between 46 to 48 kg, and my waist was always around 23.5 inches. However, over the past two years, my weight has been increasing. Although my appearance doesn't seem overweight (I was on the school team in both junior high and high s...


Dr. Xie Huimin reply Nutrition
Dear Xiao Yu, Changes in lifestyle or a sudden cessation of exercise can lead to weight gain. A weight of 57 kilograms with a waist circumference of 30 inches is possible. Regarding weight loss, it may be necessary to carefully assess the caloric intake of the foods you consume ...

[Read More] Understanding Weight Gain: Exploring Nutrition, Hormones, and Body Changes


Related FAQ

Belly

(Gastroenterology and Hepatology)

Stomach Bloating

(Gastroenterology and Hepatology)

Abdomen

(Gastroenterology and Hepatology)

Diet

(Gastroenterology and Hepatology)

Gastric Ptosis

(Gastroenterology and Hepatology)

Navel

(Gastroenterology and Hepatology)

Abdominal Bloating And Pain

(Gastroenterology and Hepatology)

Digestion

(Gastroenterology and Hepatology)

Stomachache

(Gastroenterology and Hepatology)

Medication And Diet

(Gastroenterology and Hepatology)