Weight gain; is doctor being irresponsible?

@liquorice (3887)
April 21, 2008 9:04am CST
When I went to see the doctor recently to get some asthma medication she weighed me as a routine thing and told me that I was slightly underweight. She tells me this whenever I see her, and I'm never really concerned about it as I eat a normal diet and have never been on a weight-loss programme or anything like that. I like eating healthy things, but I also eat some unhealthy things like chocolate, crisps and some fast-food, like most people, but I'm lucky that it doesn't seem to affect my weight. This time though she said I really need to put some weight on. I am 5 foot 3, and I weigh about 7.5 stone, which doesn't look too far away from "normal" on the charts, but she was quite insistent. I asked her if she had any advice on how I should safely put weight on, and she just said "eat lots of cream cakes". She said this in a deadly serious manner, as if it were legitimate medical advice, and without a hint of sarcasm. I was quite shocked to get this advice from a doctor. Does anyone else find this shocking? I don't really want to start eating a load more empty calories, I really do eat plenty already! Does anyone know if it is really is important to put on those extra few pounds, and if so are there any healthy ways of doing this?
1 person likes this
2 responses
21 Apr 08
In my experiences in trying to lose weight, the killer for me is carbs. Generally it is bad carbs such as cakes, biscuits and too much bread. But if you are trying to gain a couple of pounds I would recommend this food group, but keep it in balance with the rest of your meals. Perhaps having pasta or rice once or twice a week. Likewise more potatoes. These are starchy foods which are converted into energy by your insulin. If they are not used up immediately by the muscles then they are stored as fat. Hence, when I am dieting (which seems to be all the time), I try and limit the intake of carbs. Alternatively, muscle weighs more than fat, so perhaps if you increased your protein intake, with more meat and fish, and then did some exercise (weights) then you would develop more muscle tissue. I'm not suggesting going overboard, but I would imagine that these ideas are better than stuffing yourself with cream cakes.
@liquorice (3887)
21 Apr 08
Yes, people do mention carbs for weight gain. I have to say I already eat quite a lot of pasta, rice and bread, although I do tend to eat more brown than white as I just like them better. Not sure if brown rice/pasta/bread has have a lower carb value or not; comparing brown and white rice, it doesn't seem as if there's much difference. If anyone knows different I'd be interested to know... It's a good idea to try to put weight on as muscle. You're right, this sounds sooo much more healthy than stuffing my face! And I've been meaning to do some more exercise, so it might work. I feel like this is a weird position to be in as like you everybody seems to be on constant diets to lose weight, so I feel quite lucky really, just a bit confused.
2 people like this
21 Apr 08
It may just be that you are fortunate enough to have an active metabolism. If it is only a few pounds, don't stress about it too much. The adverse effects of stress won't be worth it! Enjoy your food. :)
2 people like this
@eden32 (3973)
• United States
21 Apr 08
I had to look up how stones converted to pounds since I'm not familiar with that system of weight. You're 105lbs according to what I found, at 5'3" that's not very underweight- a bit under but not severely. If your doctor suspected you had an eating disorder, she should help you find help for that- suggesting you eat cake wouldn't help you if that were the case. If you're having medical issues arise because you're slightly underweight- missing periods, weak, low iron, funny blood sugar readings- then perhaps she should send you to a nutritionist to talk about your diet & come up with healthy ways to help you gain a little. If you're planning on trying to conceive soon, you may want to put on a couple pounds (again by eating healthy). But by the sounds of things, this is the weight your body wants to be when eating right. Even if you were very underweight, I can't see any benefit to gaining weight through eating junk. Refined sugars, unhealthy fats & white flour is usually what cakes are made of, that's not what a body needs for fuel- an occasional snack is OK, but not all the time. If you wanted to gain weight (& again I don't really see why your doctor is making a big deal out of it) I'd suggest weighing & measuring the foods you eat already. Make sure you are getting a full serving of what you eat, and enough servings from each food group. If you are already, I'd probably tell my doctor to back off about it.
2 people like this
@liquorice (3887)
21 Apr 08
Thanks for your reply, there's a lot of great information there. No, the doctor didn't mention any suspicion of an eating disorder and we didn't discuss any medical issues like the ones that you mention. She didn't really say at all why I had to put weight on, just that it's not good to be underweight, and at the time I just didn't question it. I agree, eating more sugars and fats doesn't really seem a very sensible thing to do! It's a good idea to check what I'm already eating, I'm not certain that I'm getting all the right foods from different groups, so I probably would benefit from having a general look at my diet.
1 person likes this