Continuous weight gain after surgery?
Hello doctor, I underwent surgery on my femur and hip joint last September.
Due to poor bone healing, I have been unable to exercise.
Before the surgery, I had a habit of swimming and walking, and my weight was consistently around 55 kg (height 160 cm, body fat percentage 28%).
However, after the surgery, my elders have been urging me to "nourish" myself and have not allowed me to go out.
Over the past four to five months, I have gained nearly ten kilograms.
Recently, I measured my thigh circumference and found it to be 2 inches larger than before the surgery, and my waist circumference is close to 80 cm.
I would like to know if there are any methods to help control my weight.
Niming, 10~19 year old female. Ask Date: 2016/01/20
Dr. Cai Xiuwen reply Nutrition
Weight gain occurs when caloric intake exceeds caloric expenditure.
If you are unable to exercise outdoors or engage in physical activity, increasing your daily movements or incorporating upper body strength training, such as using dumbbells or resistance bands, can help burn calories and build muscle mass.
Additionally, when preparing soups, opt for clear broth; for oily soups, you can use a large spoon to skim off the fat by gently touching the surface with ice cubes.
Choose lean meats and avoid fatty cuts and skin.
Portion control is essential for every meal, and even fruits should be consumed in moderation.
This advice is provided by Dietitian Tsai Hsiu-Wen from Nantou Hospital, Ministry of Health and Welfare.
Wishing you peace and good health.
Reply Date: 2016/01/20
More Info
Managing weight gain after hip surgery can be a challenging yet crucial aspect of recovery. It’s important to understand that post-surgical weight management is not only about aesthetics but also plays a significant role in your overall health and recovery process. Here are some strategies to help you manage weight gain effectively while ensuring a smooth recovery.
1. Understanding Caloric Balance
Weight gain occurs when caloric intake exceeds caloric expenditure. After surgery, your activity levels may decrease, leading to fewer calories burned. To manage your weight, it’s essential to monitor your caloric intake. Focus on consuming nutrient-dense foods that provide essential vitamins and minerals without excessive calories. This includes fruits, vegetables, whole grains, and lean proteins.
2. Nutritional Choices
Since you mentioned that your family encourages you to "eat well" post-surgery, it’s vital to make smart choices about what you eat:
- Lean Proteins: Opt for chicken, turkey, fish, legumes, and low-fat dairy. These foods can help maintain muscle mass while being lower in calories.
- Healthy Fats: Include sources of healthy fats like avocados, nuts, and olive oil, but be mindful of portion sizes as fats are calorie-dense.
- Limit Processed Foods: Avoid foods high in sugar and unhealthy fats, as they can contribute to weight gain without providing nutritional benefits.
3. Portion Control
Even healthy foods can lead to weight gain if consumed in large quantities. Use smaller plates to help control portion sizes and be mindful of serving sizes. Eating slowly and paying attention to hunger cues can also help prevent overeating.
4. Hydration
Sometimes, our bodies confuse thirst with hunger. Ensure you are drinking enough water throughout the day. Staying hydrated can help control appetite and support overall health.
5. Physical Activity
While your mobility may be limited post-surgery, it’s important to engage in physical activity as much as possible. Here are some suggestions:
- Upper Body Exercises: If lower body movement is restricted, focus on upper body strength training using light weights or resistance bands.
- Gentle Stretching: Incorporate gentle stretching exercises to maintain flexibility and promote circulation.
- Consult a Physical Therapist: A physical therapist can provide tailored exercises that accommodate your recovery stage and help you regain strength safely.
6. Set Realistic Goals
Weight management is a gradual process. Set achievable goals for weight loss or maintenance, such as aiming to lose 1-2 pounds per week. Celebrate small victories to stay motivated.
7. Seek Professional Guidance
Consider consulting with a registered dietitian or a nutritionist who can provide personalized dietary advice based on your specific needs and recovery status. They can help you create a meal plan that aligns with your recovery goals while managing weight.
8. Mindful Eating
Practice mindful eating by focusing on your meals without distractions. This can help you enjoy your food more and recognize when you are full, reducing the likelihood of overeating.
9. Support System
Engage your family in your weight management journey. Educate them about your dietary needs and involve them in meal planning and preparation. A supportive environment can make a significant difference in your recovery.
Conclusion
Managing weight gain after hip surgery requires a multifaceted approach that includes mindful eating, appropriate physical activity, and professional guidance. By making informed choices and gradually increasing your activity level, you can effectively manage your weight while ensuring a successful recovery. Remember, it’s essential to listen to your body and consult with healthcare professionals throughout your recovery journey.
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