Struggling to Gain Weight: A Middle School Girl's Nutrition Dilemma - Nutrition

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Difficulty gaining weight..?


I am a middle school girl, 150.5 cm tall and weighing 35 kg.
I have always had a large appetite and rarely snack, eating three regular meals a day.
I only eat chicken for meat, but my weight has dropped from 38 kg to 35 kg after entering middle school, and I have been unable to gain weight.
I even received a "underweight notification" from my school.
I would like to know how I can gain some weight to maintain a normal standard, so I am consulting you, a nutritionist.

Ting Ting, 10~19 year old female. Ask Date: 2012/11/11

Dr. Ke Qiuliang reply Nutrition


Hello Tingting,
First of all, I apologize for the delay in my response due to business matters.
I appreciate your understanding! Based on your height and weight, it does appear that you are underweight.
Is it possible that you are experiencing significant academic pressure? From your previous message, I couldn't estimate your actual food intake during meals, so I haven't calculated your caloric intake.
Here are a few suggestions for your consideration:
1.
Avoid drinking beverages before meals and try to minimize liquid intake during meals.
2.
Make your dinner more substantial, and consider having a snack before bedtime.
3.
Use rich soups, jams, or nuts to increase your caloric intake.
4.
Consider adding snacks between meals (such as ice cream, bread, etc.).
5.
Engage in moderate exercise to stimulate your appetite.
I also recommend that you visit a nearby qualified hospital to check for any other physiological issues.
Wishing you success in gaining weight.
Sincerely,
Qiu Liang, Nutritionist at Grass Therapy

Reply Date: 2012/11/11

More Info


Gaining weight, especially for a middle school girl, can be a challenging yet important goal, particularly when it comes to ensuring proper growth and development during these formative years. Your current height of 150.5 cm and weight of 35 kg puts you at a BMI of approximately 15.4, which is considered underweight for your age and height. It’s crucial to approach weight gain in a healthy manner, focusing on balanced nutrition rather than simply increasing caloric intake.


Understanding Your Nutritional Needs
As a growing adolescent, your body requires a variety of nutrients to support not only weight gain but also overall health, including muscle development, bone health, and hormonal balance. Here are some key components to consider:
1. Caloric Surplus: To gain weight, you need to consume more calories than your body burns. This can be achieved by increasing portion sizes at meals and incorporating more calorie-dense foods into your diet.

2. Balanced Macronutrients:
- Proteins: Essential for muscle growth and repair. Include sources like chicken, fish, eggs, dairy products, legumes, and nuts.

- Carbohydrates: Provide energy and should be a significant part of your diet. Opt for whole grains, fruits, and starchy vegetables.

- Fats: Healthy fats are calorie-dense and can help you gain weight. Include avocados, nuts, seeds, olive oil, and fatty fish in your meals.

3. Frequent Meals and Snacks: Instead of three large meals, aim for five to six smaller meals throughout the day. This can help increase your overall caloric intake without making you feel overly full.

4. Nutrient-Dense Foods: Focus on foods that are high in calories but also provide essential nutrients. Examples include:
- Nut butters (peanut butter, almond butter) spread on whole-grain bread or fruit.

- Full-fat dairy products (whole milk, yogurt, cheese).

- Dried fruits and granola bars as snacks.


Sample Meal Plan
Here’s a sample meal plan to help you visualize how to incorporate more calories into your diet:
- Breakfast:
- 2 scrambled eggs with cheese
- 1 slice of whole-grain toast with avocado
- A glass of whole milk or a smoothie with fruit and yogurt
- Snack:
- A handful of mixed nuts or a protein bar
- Lunch:
- Grilled chicken breast with quinoa or brown rice
- A side of roasted vegetables drizzled with olive oil
- A piece of fruit (like a banana or apple)
- Snack:
- Greek yogurt with honey and granola
- Dinner:
- Baked salmon or chicken with sweet potatoes
- A large salad with a variety of vegetables and a dressing made from olive oil
- A serving of whole-grain pasta or bread
- Evening Snack:
- Cottage cheese with fruit or a smoothie

Additional Tips
- Stay Hydrated: While it’s important to drink fluids, try to avoid filling up on water or low-calorie drinks before meals, as this can reduce your appetite.

- Strength Training: Engaging in strength training exercises can help build muscle mass, which can contribute to healthy weight gain. Consider activities like resistance training or bodyweight exercises.

- Consult a Professional: If you continue to struggle with weight gain, consider consulting a registered dietitian or a healthcare provider. They can provide personalized advice and ensure there are no underlying health issues affecting your weight.


Conclusion
Gaining weight in a healthy way is about more than just eating more; it’s about making smart food choices that support your overall health and development. By focusing on nutrient-dense foods, increasing meal frequency, and possibly incorporating strength training, you can work towards achieving a healthier weight while ensuring your body gets the nutrients it needs to thrive during these important years of growth. Remember, patience is key, and gradual changes are often the most sustainable.

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